The results confirm the role of cue utilisation in the context of disaster recovery project management and provide the basis for an assessment tool that could be deployed in practice.
Our study suggests that future health policy assumptions about utilisation in the context of chronic disease management and self-care support polices may benefit by acknowledging the complex, contextual and recursive nature of health service utilisation operating in the life worlds of patients' experience of living with a long-term condition.
Various elements from this and preceding sections will be particularly useful as we develop our own conceptual framework for analysing and assessing research utilisation in the context of the increasing attention on HRSs.
It is expected that each study will produce its own narrative or story of what caused utilisation in the particular context, but the data gathered could also be applied to descriptive scales of the level research utilisation.
We argue that only a multidisciplinary approach that includes an understanding of the historical construction of contemporary Chinese medical knowledge and its relation to clinical practice can overcome these problems and enable a meaningful evaluation and utilisation of Chinese medicine in the context of 21st century evidence-based healthcare.
Proposed beneficial mechanisms of action for ILEs include intravascular sequestration of intoxicant and subsequent enhanced redistribution to biologically inert tissues, augmentation of fatty acid utilisation for ATP synthesis in the context of metabolic poisoning, and direct cardiotonic and ion channel effects.
Since health system utilisation must be considered in the context of patient and provider outcomes, additional primary outcomes of interest were patient health status, quality of life, and satisfaction, as well as provider outcomes such as quality of care and job satisfaction.
An approach that uses common elements in several detailed studies, but which also expects each study to produce its own narrative or story of what caused research utilisation in the particular situation and context, has similarities to broader approaches to the study of innovation and organisational change [ 144].
Most recently the Institute of Medicine of the National Academy of Sciences in the USA has put forward an evaluation scheme for biomarkers, looking at validation (assay performance), qualification (assessment of evidence), and utilisation (the context in which the surrogate is to be used).
Thus, the article shows how the adoption of appropriate technology, case-specific technological advancements designed in the context of utilisation, in the use of geothermal resources played central role in instigating social change.
Additional file 1: Index for assessment of the adequacy of prenatal care utilisation in the Dutch primary midwifery care context.
