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Furthermore, an introduction to MI through written guidelines is inadequate to implement the communication strategy in preventive consultations in general practice.
Considerable financial resources have been devoted to pandemic influenza preparedness planning at the federal and state levels (6, 7 ); however, resources at state and local levels may be inadequate to implement a robust preparedness plan (8, 9 ).
On the other hand, the procedures of inpatient counselling, for the majority of patients one day prior to surgery, seem to be inadequate to implement a shared decision making approach.
However, the accuracies were very low, around 0.7 and 0.5 for correct rates and correlation coefficients, respectively, which seems inadequate to implement genomic evaluation for crossbred performance in pigs.
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Not surprisingly, a barrier to implementation was the perception that there were inadequate resources to implement an intervention, or an environment that was not conducive to change.
Embedded in financial limitations is inadequate time to implement changes to a curriculum given other obligations, which is further propelled by lack of compensation for overtime hours.
Inadequate funding to implement evidence was cited as a barrier by a MoF respondent: " one of the barriers was the limited fiscal space for giving free public goods in all sectors".
In reality, many developing, and most low-income, countries subject to tariff reductions as conditions for loans from the international financial institutions (the World Bank and IMF) have been unable to do so [ 26, 27], partly as a result of inadequate institutions to implement alternate tax regimes [ 28].
Barriers in skill application were issues of governance/politics and bureaucracy, inappropriate placements, frequent transfers, lack of support from the system/seniors/staff, inadequate powers to implement certain procedures, lack of infrastructure, lack of community support, contractual positions and lack of planning by the state government.
The reasons for not implementing such policies have not been explored in the current survey, but it is possible that some clinicians feel that the level of staffing available is inadequate to safely implement the close monitoring required for such policies.
Various models focusing on the dynamic pressure behavior of such lines have been developed; however, some representations are either inadequate or difficult to implement.
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Justyna Jupowicz-Kozak
CEO of Professional Science Editing for Scientists @ prosciediting.com