It also explores how perceptions of the built environment affect inter-professional dynamics.
Furthermore, a poor use of the checklist has also shown a potential to deepen existing cultural divisions and further fray inter-professional dynamics [ 12], in addition to giving a false sense of security and compromising safety and teamwork [ 9].
Typically perceived as technical and conceptual challenges of design, I show how these issues were infused with, and undermined by, professional political dynamics, specifically tensions between medical researchers and clinicians.
This would improve on the routine registration dataset collected by the Medical Council, ensure greater provision of information to the public, and reflect professional employment dynamics, in particular, losses from the profession and from clinical practice.
In professional sports, competitive dynamics ensure that much of the broadcast windfall winds up in the hands of the players witness the $147m contract the new Los Angeles ownership just gave to Zack Greinke, a coveted free-agent pitcher.
It is about understanding the required professional culture and dynamics.
It remains to be investigated how much the recommendations and the practices continue to differ between and within countries, and how these correlate with the differences in professional structure and dynamics that I have here submitted to historical analysis, albeit in a preliminary manner.
Firstly, decisions of exactly which type of task shifting (involving doctors, nurses, community health workers, or patients) to implement will also have to be made according to each country context where task shifting will involve a different set of politics, professional and social dynamics, and resource and training needs.
The ASHAs, who at times tended to have far more understanding than many health professionals of the dynamics affecting the use of health services (for example, why many women choose not to give birth in the hospital despite their being offered incentives for institutional deliveries), could not effectively relay the message to the decision makers due rigid communication systems [ 49, 60].
