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Local stakeholders stated that local services in the region were already stretched and were unable to take on extra clinical work generated by some research projects and noted that local services had limited capacity to deliver additional services to remote communities.
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Another stakeholder stated that, "JCHEM is like a center where people from different races meet, being educated in different ways".
Another stakeholder stated that the performance of Mongolian health workers would be improved through better job satisfaction, " but we've got no system in place to…[provide] benefits to healthcare professionals".
Stakeholder consultation indicated that this is also a significant issue for healthcare providers in Australia, with one stakeholder stating that, "Security always trumps health" (General Practitioner, stakeholder consultation).
Stakeholders state that an advantage of lean is that it is simple, flexible and less resource-demanding than other improvement tools.
– Administrator 017 Many stakeholders stated this technology evolution as being a natural part of implementing an innovation that had not yet been tested for that purpose.
While the majority of stakeholders also stated that the reforms were not sufficiently communicated to the public, some noted that extensive public communication was not possible at the time.
While the majority of stakeholders interviewed stated that the reforms provided better access to healthcare for rural populations and women, they argued that the reforms had resulted in less access for poorer populations.
The final report, published in April 2004, endorsed the creation of the UK Clinical Research Collaboration to encourage the engagement of a wide range of stakeholders, and stated that it 'should adopt as its long-term goal establishing the NHS as the world leader in contributions to clinical research.' [ 77].
The health care providers and other reproductive health stakeholders interviewed all stated that TBAs and relatives are able to provide better emotional support and continuity of care in comparison to the type of care that is made available at the health units.
However, the remaining 61.4% of them stated that stakeholders do not provide the necessary support.
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