Table 1 —

Barrier-free and barrier-impaired translation

Characteristics of barrier-free adoptionExample of barrier-free adoption: CABGExample of barrier-impaired adoption: medical nutritional therapy
It really works (efficacious)YesYes, if vigorously and continually pursued
Little or no controversy associated with widespread adoptionOnly with regard to candidate selection*Some (e.g., glycemic index, fat content)
Effort required is time-limitedYesNo
Equally desired by provider and patientYesNo
Reimbursement mechanism in placeFor mostPatchy, often patient pay
  • CABG, coronary artery bypass grafting.

  • *

    * See references 1819.