Albeit relatively rare compared to past decades, ECFs still represent one of the most challenging conditions encountered in surgical practice, burdened with severe morbidity, impaired quality of life, and substantial mortality [1, 2, 3].
Instead of burden-sharing, Washington should practice burden-shedding.
We continue to use CBPR in the phasic roll out of the Practice Intervention in order to minimize practice burden, introduce new elements only once practices have demonstrated confidence in taking on new activities, and to ensure that the practice staff members and providers continue to have a voice in designing the ongoing study related activities.
Given that we knew at the outset that the HHL study would coincide with other initiatives such as the Office of the National Coordinator's (ONC) EHR Incentive program, we partnered with the region's Area Health Education Center AHECC) in order to minimize practice burden by aligning our respective data requirements and data standards.
Re "American Prudery, and Its Opposite" (Op-Ed, Feb. 19), by Richard Marusa: While a general acceptance of more nudity in advertising may in itself be reasonable, in practice the burden falls predominantly on women's bodies.
And the companies would have been forced to end the outrageous practice of burdening teenagers with credit cards without first judging their ability to pay the bills or getting a signature from a responsible adult.
In practice, the burden of enforcing the law falls on the individual woman, and demonstrating systematic bias has proved difficult despite some successes, like a recent ruling upholding the award of $1.6 million to 12 women who charged that their company discriminated against them in pay and promotions.
The president's budget released this week could have weighed in on the side of students and called this practice of burdening tomorrow's young families with even more debt to help pay for today's government expenditures what it is -- insane.
It will be important to find the appropriate balance of meeting patient needs with limiting disruption to provider practice and burden on testing labs.
Others have also identified likelihood to influence change in practice, relevance, burden of illness, and the potential for significant benefit and harm as factors to consider when selecting a guideline topic [ 3].
