While these models have the capacity to identify desirable resource shifts, the challenges of funding and delivery under a global budget have led to a fragmentation of the health sector into 'program budgets' or 'budgetary silos' – typically defined by modality or disease-stage.
Then there was the challenge of shifting gears.
Earlier this year, we talked to Infosys CEO Vishal Sikka about the challenge of shifting the culture and thinking at the firm to a more design and creative focus.
This paper considers the challenge of shifting primary school students away from private car drop offs (PCDOs) in a case study area where over 60% of primary school children are driven to school.
However, short-term, compromise interventions have a tendency to become the accepted, standard intervention, given the challenge of shifting behavior, training programs and health resources.
Once in treatment, practitioners therefore face the challenge of shifting a drug user's motivation from external to internal incentives [ 29].
Coupled with problem solving, the combination is formidable, particularly when applied to the challenge of shifting biology education from a totally qualitative exercise to a balance of the quantitative with the qualitative.
In three of four rats there was also a shift, likely due to the challenge of performing perfectly balanced bilateral infusions.
The firm's managing director Andy Street said the one-off day of slashed prices had represented a huge "fulfilment challenge" to retailers, shifting the bulk of Christmas shopping from December to the end of November.
The mainstream interests are, however, extremely diverse: challenges are continuously shifting, the evolution of robot' skills, as well as the advances in methods for understanding their environment radically impact the design and implementation of research prototypes.
