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Studies have found only partial application of EBP principles, with SLPs tending to rely on their clinical experience and the opinions of colleagues when making clinical decisions with limited utilisation of published literature [ 10, 11].
There is very limited utilisation of private sector healthcare services in these communities; individuals usually make use of a single designated clinic; antibiotics cannot be bought over the counter without a prescription.
For almost all interventions, teams noted the limited capacity at district and facility level to analyse the data leading to limited utilisation of available data for decision making and action.
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Given the large number of systematic reviews available, and the limited clinical utilisation of many of the interventions found (with the exception of a few pharmacological interventions such as steroids and beta-agonists), the decision was taken to focus and limit the integrative review to only systematic reviews.
However, there is a limited change in utilisation of SBA from 55.5% in 1993 to 63.3% in 2008.
For efficient and sustainable utilisation of limited groundwater resources, improved understanding of how vegetation water-use responds to climate variation and the corresponding controls on recharge is essential.
Further research regarding the cost-effectiveness of these interventions will allow better utilisation of limited healthcare resources.
This frequently involves making difficult decisions regarding treatment of psychiatric and motor symptoms and utilisation of limited resources available for patients with dementia.
Early and accurate identification of patients with a haematological malignanacy, with a poor outcome on the intensive care, would allow appropriate utilisation of limited resources.
In such instances where the alternative clinical practice is not associated with improved outcomes but is suggestive of reduced utilisation of limited health care resources, such as diagnostic imaging, a cost-minimisation analysis is employed.
The limited impact of the FHCI in removing or reducing financial barriers to accessing care may therefore explain the limited impact observed with the utilisation of public health facilities.
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