one. During the screening stage of this study (which involved semi-structured phone interviews with the person answerable for driving the reconfiguration of respiratory services in thirty PCOs), the limitations of economic deficit, organisational uncertainty, disengaged clinicians and contradictory procedures proved insurmountable For lots of PCOs to creating sustainable services.
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The curriculum and organisational paperwork gathered differed in between internet sites, which maybe reflected gatekeeper influences at Each and every site. The recruitment of participants for emphasis team discussions proved challenging, so interviews or paired discussions were being made use of as a substitute.
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2. Implementing workforce reconfiguration was strongly influenced with the negotiation see this here and contest amongst nearby clinicians and supervisors about "possession" of work and revenue.
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