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The review process has been split into three phases to be completed by the end of this year: an assessment of terms and conditions to be submitted by 19 October; a draft implementation of changes and a plan with key dates to be submitted by 16 November; and an implementation strategy and plan to be submitted by 31 December.
Organizational Readiness for Change (ORC) is seen as a critical precursor for a successful implementation of change initiatives.
During this period, department plans and budgets were used as a loose guide to a negotiated process for implementation of changes.
Insufficient remuneration modalities are seen to be a limiting condition by GPs from all groups and can thus be seen as a major barrier for the implementation of changes in primary care for older people with complex health problems.
This is in line with the results of previous studies, which identify the organization and lack of authority as a prominent barrier in the implementation of changes in healthcare [ 9, 37].
These groups also tend to have a distinctive culture and a very pronounced identity that may complicate implementation of changes.
Only a few practices did indeed report implementation of changes in the focus groups.
Software process improvement (SPI) aims to understand the software process as it is used within an organisation and thus drive the implementation of changes to that process to achieve specific goals such as increasing development speed, achieving higher product quality or reducing costs.
Additionally, such an approach may help in the implementation of changes in BSE regulations.
The action-research process proved to be particularly adapted to the implementation of changes within an open complex adaptive system such as the health care system.
The implementation of changes seems to depend for an important part on professionals working collaboratively.
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Since I tried Ludwig back in 2017, I have been constantly using it in both editing and translation. Ever since, I suggest it to my translators at ProSciEditing.

Justyna Jupowicz-Kozak
CEO of Professional Science Editing for Scientists @ prosciediting.com