Online ISSN: 2515-8260

Keywords : Barriers

Barriers to proper sharing of cardiovascular rehabilitation services in Egypt: cross-sectional interphysiotherapist study

Hady Atef, Ph.D., PT; Abdullah Magdy, B.Sc., PT; Said A. Mohamed; Ali Mohamed Ali Ismail, Ph.D., PT; AHMED MAMDOUH ABD AL-KADER Ph.D., PT

European Journal of Molecular & Clinical Medicine, 2021, Volume 8, Issue 3, Pages 260-271

Introduction: Besides the little governmental financial support and the few scattered clinical settings of cardiovascular rehabilitation (CVR) in Egypt, there is no continuous education and/or involvement of the Egyptian physiotherapists (EPs) in the field of CVR. This cross-sectional survey aimed to determine the barriers preventing the proper implementation of EPs in the CVR program/team. Methods:Throughout 13 Egyptian cities, a soft copy of a questionnaire - developed by authors - was sent to 330 EPs who were at least in contact with cardiac patients in the different Egyptian hospitals.Results: Out of 281 respondents, 85.9 % were not familiar with the meaning and presence of an accredited CVR program from the European Society of Cardiology in Egypt, 72.9 % didn't worked before in CVR, 49.8% justified the non-engagement of EPs in CVR programs due to the disqualified and/or disvalued role of physiotherapy when compared with the medical one, and 87% recommended the need for more  education and training to be involved in the CVR team. Conclusion: Urgent institutional and organizational strategies are critically needed in the Egyptian field of physiotherapyto enhance the role of EPs in the CVR team via theoretical and practical educational programs/courses under the supervision of local and/or international experts.

The Barriers of Policy Implementation of Handling Covid-19 Pandemic in Indonesia

Sitti Aminah; Hotnier Sipahutar; Tomo HS; Josep .; Tini Apriani; Siti Maemunah; Agustinus Hartopo; Muhamad Ismail

European Journal of Molecular & Clinical Medicine, 2021, Volume 8, Issue 1, Pages 1222-1241

The study aims to describe and analyze the implementation of policies for handling Covid-19 and its obstacles. The review uses qualitative methods with data collection techniques based on literature studies sourced from journals, online media and print media, reports from agencies, survey results, and expert input in focus group discussions. The study found that policy implementation was less than optimal due to the slow response of the Government at the beginning of the pandemic, causing the policy to handle Covid-19 to be late, inconsistencies in policies to restrict activities across countries, and procedures made it difficult for local governments to propose the implementation of large-scale social restrictions in their areas. Barriers to policy implementation include bureaucratic, structural constraints, the sub-optimal organizational performance of the Covid-19 Task Force in the regions; weak coordination between central and regional governments; unsynchronized regulations between ministries. Second, barriers to public communication, namely misalignment of statements between public officials, invalid socialization, and weak efforts to overcome misinformation and fake news from Covid-19. Resource constraints, limited health personnel, personal protective equipment, medical masks, expensive Covid-19 test costs, and unequal laboratory availability. Furthermore, not all local governments are obedient to implementing the Covid-19 handling policy and the low level of citizen compliance in the disposition aspect. Finally, government officials have not adopted a crisis leadership style for swift and decisive decision-making and action. The recommendations proposed are increasing the role of the Ministry of the interior in improving central and regional coordination, synchronizing regulations between ministries, as well as revising rules regarding the formation of a Covid-19 Handling Task Force, preparing officers and completeness of personal protective equipment as well as the availability of medical masks, and ensuring affordability of test prices Covid-19 for residents. Law enforcement regarding the spread of fake news and citizen non-compliance by establishing local regulations that impose sanctions.


Dr. Manjiri Salkar; Dr. Rajnish Aggarwal; Dr R Padmini Rani; Dr. Poonam; Dr. Kamal Kumar Meena; Dr. Nikita Harshadkumar Patel

European Journal of Molecular & Clinical Medicine, 2020, Volume 7, Issue 11, Pages 7161-7166

Aim: The purpose of this study was to assess the knowledge of prosthodontics postgraduates about digital dentistry and its role in prosthodontia. Methods: Electronic based questionnaire was distributed among a total of 250(n=250) postgraduate students in India. Responses were obtained from four groups: Demographic details of students, Role and Benefits of digital dental technologies, Barriers towards the implementation of technology, and impact of digital dentistry in dental education. The data were analyzed using SPSS 12.0 software with significance levels set at P < 0.05. Results: Two hundred students (80%) responded to the survey. Most of the respondents did
not use any part of a digital workflow, and the main barriers to use were initial costs and a lack of perceived benefit over conventional methods. Conclusions: Though the usage of digital technology was limited by barriers, however, most respondents found digital technologies to be useful in fabricating definitive prosthesis with enhanced clinical outcomes and positive patient response.