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Four participatory activities were conducted with members of a post-test support group (Table 3) using visual tools to identify and rank barriers to clinic attendance.
The treating health care provider(s) are contacted and again asked to identify and rank barriers to RTW from their perspective.
The supervisor and key decision makers (occupational health and safety person, human resources representative or disability manager) are contacted by the RTW coordinator and asked to identify and rank barriers to RTW.
In the second phase, we conducted a survey of 224 healthcare providers working in the 19 First Nations communities involved in the national Canadian F irst Nations Diabetes Clinical Management and Epidemiologic (CIRCLE) study to explore how healthcare providers rank barriers to diabetes care.
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Of the 10 most highly ranked barriers, 8 are related to government performance.
The ranked barriers and facilitators in the ranking written activity were reversed scored (where rank 1 = 3 points, 2 = 2, and 3 = 1 point) and tallied so that higher scores indicated higher ranked importance of a barrier or facilitator.
Factors related to economic and physical inaccessibility and lack of infrastructure, drugs and supplies at health facilities were highly ranked barriers to utilisation of institutional delivery.
The highest ranked barriers were: staff being unaware and not asking about domestic abuse and disability (M 1.34 SD 0.553); impact of domestic abuse on women (M 1.36 SD 0.559); and women's fear of disclosure (M 1.41 SD 0.780).
Overall, factors related to economic and physical inaccessibility and lack of infrastructure, drugs and supplies at health facilities were the highly ranked barriers to utilisation of delivery care services.
The next most highly ranked barriers were difficulty taking time off work, being too unwell to ask for help, having had previous bad experiences, wanting to solve the problem on one's own, and not wanting a mental health problem on one's medical records with only the latter being a designated stigma-related barrier.
The key features of the program include; having trained personnel coordinate the RTW process, identifying and ranking barriers and solutions to RTW from the perspective of all important stakeholders, mediating practical solutions at the workplace and, empowering the injured worker in RTW decision-making.
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Since I tried Ludwig back in 2017, I have been constantly using it in both editing and translation. Ever since, I suggest it to my translators at ProSciEditing.

Justyna Jupowicz-Kozak
CEO of Professional Science Editing for Scientists @ prosciediting.com