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Theories of public health impact suggest that increasing the receipt of HIV services into an at-risk population would raise the overall positive public health impact, even without significantly increasing the effectiveness of the intervention since public health impact is a product of an intervention's effect size and the rate of utilization of the intervention (Tucker & Roth 2006).
The trial has two primary goals: 1) to examine the effectiveness of the intervention on both physical (diabetes) and emotional health (depression) outcomes and 2) to simultaneously pilot test a multifaceted implementation strategy designed to increase fidelity and utilization of the intervention by coaches interfacing within the primary care setting.
The evaluation seeks to: (1) identify barriers and facilitators to implementation, adoption and utilization of the intervention; (2) measure impacts on workflow, provider awareness, and end-user satisfaction; and (3) describe the contextual factors that impact the effectiveness of the intervention within heterogeneous clinical settings and the HIE.
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The eldest women's (ages 45 49) lesser utilization of the interventions (although not statistically significant) could be a result of having survived several pregnancies by that age and not being interested in incorporating new, unfamiliar technologies into their home delivery practices.
It is therefore, necessary to identify the barriers to the utilization of these interventions by the poor so that the poor make use of these interventions more than the non-poor who have less need for it.
12 Although the National Comprehensive Cancer Network and American Society of Clinical Oncology guidelines propose baseline BMD assessment and bisphosphonate therapy, there has been no systematic review of the utilization of these interventions by practicing physicians in the community.
Due to the significant respiratory benefits to utilization of this intervention in AECOPD, it is imperative that we explore the cardiovascular impact of this intervention in a population at such high cardiovascular risk.
The reduced utilization of the technological interventions in normal pregnancies could be explained by the fact that, in Japan, both women and obstetricians consider birth as being primarily physiological rather than potentially pathological [ 22].
40 However, utilization of these interventions varies considerably according to region and the health of the individual.
There is also a need for longer-term studies in programmatic settings on approaches to optimise the coverage and long-term utilization of these interventions among vulnerable populations.
As evidence suggests effectiveness improves with adherence, studies assessing programmatic approaches to optimising coverage and long-term utilization of these interventions among vulnerable populations could also help strategies to improve health outcomes.
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