¶ … MIPCD program. Part of the review will be how the results were applied to other disease types and foci. The main three things that will be focused on in this analysis will be how smooth or bumpy the implementation was overall, what the most prominent barriers were to the implementation and whether there were any solutions devised that could be applied to other studies of the same or similar nature. While one-size-fits-all solutions do not exist in medicine or most other fields, there are indeed some best practices and general approaches that can be devised and applied to a disparate amount of problems and challenges.
Overall, the implementation was pretty "bumpy" if the barriers and solutions garnered are any indication. Indeed, in looking at the column of the Interventions table near the end, the barriers and solutions appear in roughly a 1:1 ratio rather than the solutions alone dominating the paradigm of the results. Further, there is at least one barrier listed for every sub-section of that part of the report. These sections include diabetes prevention, diabetes management and hypertension management. The area with the most solutions was diabetes prevention but it was also the area with the most barriers. For every solution, there was also a barrier. That being said, each solution was in response to a barrier posed. As such, the problems were being identified and then ostensibly fixed one by one. Even so, having roughly ten barriers overall would make for a lot of adjustments and calculation so as to ensure the highest amount of efficacy possible. Under diabetes prevention alone, there are barriers including not enough people being eligible, language barriers existing between those trying to help and those being helped, lack of accessibility to qualified members, a lack of diabetes prevention professionals in the area and many of those providers being less than interested in participating in the plan. Each in their own way, this all impacts accessibility to the program and that is going to be a net drain on the success of the program no matter how well it is otherwise crafted and planned. The other two sections, those being diabetes management and hypertension management, experienced the same overall problem and that was providers not making the records available to the plan even though they had a nine-month turnaround time to do so. In short, the major barriers were delivering care to the most people possible due to barriers like language and the parameters of eligibility and the lack of interest from providers in being assistive and participatory in the plan.
As far as the solutions devised that could and should be applied to other situations and challenges, there are indeed a few of them. First, the people needed to make the study or program go off without a hitch need to buy in to the plan. Whether there be a presentation, a brainstorming session or something else, there needs to be a connection whereby it is clear to everyone involved why the plan is being done and why…
c.. Is the treatment feasible in my clinical setting? Yes No Unknown d. What are my patients/family's values and expectations for the outcome that is trying to be prevented and the treatment itself? There are several implications from this study: Identification of self-care needs are important to patients; mitigation of stronger, more invasive treatment options are thus prevented. However, some instruments are more useful than others in encouraging self-care or monitoring behavioral change. Use
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