The variability in clinicians' practices provides a strong impetus for a definitive randomized, controlled trial.
Such a program could be part of a broader SDM training and support program, where other established approaches to supporting changes in clinician practice might be implemented [ 16].
Many studies have examined the reasons for the increase in the proportion of caesarean births observed, assessing population characteristics, variations in clinician practice [ 9], available resources, women's childbirth preferences [ 9- 12], and the views of health care practitioners [ 13- 15].
However, additional potential confounders and suppressers such as differences in clinician practice, referral care patterns, prevalence of severe illnesses, HIV, patient case-mix, or temporal changes were not adjusted for, and may further influence the performance of diagnostic algorithms in routine clinical settings.
The best clinicians practice flexibility in approach, depending on the needs of their patients.
"An eye-tracking paradigm may eventually offer a new avenue of diagnosis in clinicians' daily practice or for routine clinical exams in psychiatry and/or couple therapy".
14 Such models are embedded in clinicians' daily practice as the primary tool to estimate individual risk of future disease.
Several lessons on the implementation of a new PRS tool in clinicians' daily practice can be drawn from the results of our study.
Setting: Persons with severe disabilities living in the community and clinicians practicing in various rehabilitation disciplines.
Invest in diagnostics: At the programme level, particularly in Africa, changing clinicians' practices is one of our greatest challenges.
