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Only a handful of methodologically sound studies to demonstrate the effectiveness of priority interventions delivered in substandard environments have been conducted [ 22- 24].
The propriety of offering medicine to patients living in substandard environments, and whose health behaviours and 'compliance' fell short of clinicians' expectations, was challenged.
We review the evidence for these improvements and suggest that there remain areas to focus on, particularly the births which currently take place in an unsupervised or substandard environments.
This often translates into shifting people from substandard but incrementally developing environments into apartment blocks that cut them off from their social networks and livelihoods.
They believed disorganized environments and substandard or outdated equipment posed threats to patient safety.
Although these trials are usually intended to benefit disadvantaged children, they raise uncomfortable questions about why an affluent society allows children to live in substandard housing or hazardous environments.
Like most of the existing observational instruments in healthcare, SHAPE uses behavioural markers, defined as 'observable non-technical behaviours that contribute to superior or substandard performance within a work environment'.
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