Nice observations on a classic, deeply ingrained problem across all of health care & interventions. Humans are busy being humans and for a variety of (often good) reasons don’t follow protocols. This in turn has a large impact on the real world effectiveness on treatments. This is true even for something as “simple” as taking medication. The results from randomized clinical trials are far higher than what is seen when the medication is approved and used by free range humans.
Nice observations on a classic, deeply ingrained problem across all of health care & interventions. Humans are busy being humans and for a variety of (often good) reasons don’t follow protocols. This in turn has a large impact on the real world effectiveness on treatments. This is true even for something as “simple” as taking medication. The results from randomized clinical trials are far higher than what is seen when the medication is approved and used by free range humans.