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The major barriers found impairing implementation concerned clinicians' attitude and healthcare professionals' knowledge.
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This study found six major barriers to integrating BIM into higher education: (1) disagreement over BIM concepts, (2) traditional program structures, (3) need for strong fundamental knowledge, (4) need for industry involvement, (5) resistance to change, and (6) professional accreditation issues.
Researchers from the University of Illinois at Chicago found four major barriers to participation: 1) lack of awareness, 2) economic factors, 3) communication issues, and 4) mistrust [3].
We found that major barriers to adherence were forgetfulness, stigma, poor social support, inadequate food supply and stressful working conditions.
We found that major barriers for trial recruitment were time constraints and the fact that eligible patients could not be included in the trial for several reasons.
The major focus of the in-depth interview was to find out major barriers for HIV testing.
They are also found to be major barriers to retention in care in other resource-limited settings [ 9, 10, 45- 48].
Fear of abuse and rejection resulting from partner referral was found to be major barriers, especially for women [ 14, 26].
Morgan et al. found that the major barriers to prescribing during pregnancy were lack of a single comprehensive source of information, lack of time and the fact that information gets outdated rapidly [ 23].
This innovative form of community engagement was a way to encourage community members to connect the health of their community with the local political environment.Despite creating some major barriers, models of governance were also found to be an important support system for several participants.
A qualitative study in five sub-districts found that the major barriers to health care utilization were socio-behavioral and service quality issues, geographical distance, as well as interchangeable use of biomedical and traditional health services [Edmonds A for the World Bank, unpublished data].
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