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As has been found in previous evaluations of this approach (see Table 2), certain mechanisms supported IPW (agreed entry criteria, shared assessments, shared protocols, social care funding) but equally there was considerable variation in patterns of service delivery, location of care and numbers and types of professionals involved.
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There are several, but fewer, documented uses of GIS for program implementation more generally (e.g., mapping existing service delivery locations, catchment areas, or geographic accessibility).
Evidence from the literature on supervision of healthcare providers at peripheral service delivery locations, including CHWs, suggests that supervisors seldom travel to supervise community-level staff because of other duties in patient care and administration, a lack of funds to cover transport costs for field visits or a general disinclination to carry out this responsibility.
Eye care includes promotive, preventive, curative or rehabilitative services; delivery locations include institution-based, community-based or both.
Telecoms operators are impelled to select and install suitable transmission mediums and equipment that guarantee a standardized perceived quality for their customers independently of their geographical location and service delivery context.
The medical services claims database provided information on the beneficiary, date, type, provider and location of service delivery (eg, inpatient, emergency, clinic) for all medical services remunerated on a fee-for-service basis.
In those provinces, access to CD4 testing is limited due to transportation infrastructure and location of service delivery facilities, leading to long turn-around times in some provinces and districts [ 38].
There is an independent relationship between the duration of participation in ABCD CQI and improved documented adherence to best practice guidelines, with centres that participated for 3 or more cycles having between 1.5 to 5 times the odds of top quartile service delivery to patients depending on location (Model C; Table 7).
In addition to socio-economic status, proximity to municipal health facilities and their perceived quality of services affected the choice of delivery location.
Finally, whilst this study can be regarded as a useful and innovative approach to capturing the complementary perspectives on LTOT of patients and carers, and healthcare professionals in one location, it needs to be repeated across different geographical locations with differing service delivery models.
Conclusions: The place of service delivery is both an issue of physical location and professional identity.
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Justyna Jupowicz-Kozak
CEO of Professional Science Editing for Scientists @ prosciediting.com