However, more than 50% who were tested on the street had never been tested previously, raising questions about the barriers to HIV testing in VCT or primary care physician settings.
The response rate would also appear satisfactory considering prevailing challenges to web-based surveys especially among busy physicians in settings with limited internet connectivity.
Skilling up physicians across settings in expert palliative techniques is also endorsed by Palliative Care Australia [ 57] yet, as evidenced by the present study, any such effort has not been successfully implemented.
Systematic reviews of disease management for COPD patients emphasise the need for well-designed, practical multicenter trials [ 22, 23], including broad representative patient samples [ 24], with a wide range of physicians and settings to improve external validity [ 23].
Indeed, the issue of skilling up physicians across settings, or at least increasing access to specialist palliative expertise, is an important challenge and intensivists like Andrew acknowledge that: "some of us are better at titrating than others".
When asked to comment on the conceptual design of the tool during the focus group sessions, the conflicting barriers and facilitators that were identified for the osteoporosis tool clearly exposed the complexity of family physicians' practice settings and their widely differing practice workflows.
It may be necessary for physicians in settings with fewer supervisors to act autonomously, which can in and of itself be a motivator [ 32], Although at the same time, this may limit job performance and frustrate attempts to provide better service.
An accurate and fast assessment of disease severity and predictions regarding a patient's clinical course potentially assist patients and physicians with setting-appropriate expectations regarding the illness.
Billing data collected in hospital and physician office settings typically do not include lot numbers [ 44]; therefore, lot numbers have no utility with respect to AS.
