Although treatment and screening decision aids have been shown to be efficacious, the main barriers to their effectiveness in a real world setting are a lack of implementation and fidelity of use often as a result of a lack of buy-in at inception from stakeholders.
Although there are well established UK national guidelines for the management of tracheostomy patients, outside the ICU/HDU environment there is a lack of full implementation of the NTSP recommendations, increasing the risk of tracheostomy-related morbidity and mortality.
There is a lack of awareness and implementation of interventions that have been demonstrated to positively impact health and housing status in people who are homeless.
Over the last two decades, there has been a great deal of urban planning activities and rapid city development in China, but there is a lack of evaluation of plan implementation.
There is a lack of evidence on the implementation of family-friendly spaces or Family Rooms.
However, there is a lack of regulatory acts for implementation, systems of monitoring and control, and systems of evaluation, which is a very serious problem".
Despite the multitude of programs, initiatives, and tools that can all be seen as elements of CRM, there is a lack of knowledge concerning their implementation in hospitals.
In summary, there is a lack of knowledge about the implementation level of strategies to increase availability and accessibility of FV to adolescents at schools, the reach of strategies in different subgroups of pupils; changes in implementation level over time, and characteristics of schools with high implementation levels.
Furthermore, despite the political and financial implications of implementing EPRs, there is a lack of empirical evidence surrounding EPR implementation in the UK.
There is a lack of evidence on the policy implementation of family-friendly spaces into practice.
