In all four countries, some type of plan or national guideline for palliative care is available [ 17]; it is therefore understood that patients in these countries have access to palliative care.
In addition to the higher rates of comorbidities, the factors that might explain this result are the relatively low rates of G3 tumors (68.6%) in the 50 64 TNBC subgroup, the fact that 86.5% of the 50 64 TNBC subgroup received some type of chemotherapy (not all guideline-adherent, see Table 2), and the fact that 61.7% of the 50 64 TNBC subgroup were node negative.
All reported using some type of quality system for good guideline development.
C I seems to be some type of writing desk medicine- not a guideline for practical work.
The assessment of the psychometric properties of applying pain, sedation and delirium scales to ICU patients [5] was undertaken, another first for this type of guideline.
In the last two decades this expanded variation of prospect-refuge theory has seemingly become accepted in the design disciplines as offering an explanation of basic human responses to the environment, and as a type of guideline for creating ideal spaces (Kellert 2005; Lippmann 2010).
The identified barriers differed by type of guideline, demographics of providers, and type of practice setting.
These guidelines are followed only incidentally, irrespective of the type of guideline or clinical problem involved [ 10- 15, 15].
Several models are available for planning and achievement of desired improvements, depending on the type of guideline.
These facilitators included the work environment, aspects of the guideline itself, facilitators relating to the speech pathologists themselves, patient characteristics, and the type of guideline implementation strategy used.
