If this is the case, it would mean that distance has different effects for patients (where it acts as a barrier to access and thus leads to less utilisation) compared to GPs.
Secondly, there is a view that clinical uncertainty at the end of life may mean that resource utilisation is unchanged until prognosis is clearer and physicians, patients and SDMs are certain about either going ahead with expensive treatment or withdrawing it [ 34].
In principle, differences in flexibility options available to biomass installations in combination with heat utilisation concepts mean that they require more individualised marketing concepts than other RES, so that direct marketing is likely to increase efficiency.
Some moderate to high cost interventions perform quite strongly on this indicator (Active After School Communities TravelSmartt; education to reduce TV viewing), as the setting and nature of the intervention mean that large numbers of children have access and/or capacity utilisation is stronger.
However, adequate utilisation of prenatal care does not necessarily mean that women have received prenatal care of adequate content.
The fact that the impact of this factor on the utilisation of mother-child healthcare is not mentioned, does not mean that it is not a determining factor for these services.
These points, together with various feedback loops and forward leaps, mean that although the stages are presented in a linear form, the model recognises that the actual steps involved in utilisation and achieving final outcomes are often multidirectional and convoluted.
Full schedule utilisation can thus only be achieved when η l - 1 ( 1 ) = η m - 1 ( 1 ), ∀ l, m ∈ L ; otherwise, for any inequality π l < π m, l ≠ m, it must mean that η l (π l ) < 1.
These considerations could mean that, if determined in other settings with a Spanish-born population with better health and social and economic indicators, the differences in utilisation rates between Spanish-born and foreign-born residents would probably be smaller.
(Since, this is only about 24%% of the theoretical (from stoichiometry), it means that assuming a 100%% utilisation as depicted by the chemical equation, the derivable electricity from a similar combustion engine of 30%% efficiency would be about 123.75 MW).
