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The primary goal of the national dissemination was to determine how well HEP could be implemented in settings that serve minority, low-income, and rural populations and to measure its impact in those settings (Glasgow et al 2003).
The strengths of this study include the fact that iDART is a relatively simple retention measure that could potentially be implemented in settings that are able to support the required infrastructure.
Relative to extant methods of QI adjustment (e.g., US Centers for Medicare and Medicaid Services Nursing Home Quality Measures) this approach is relatively simple, can be implemented in settings or clinical sub-populations of very small size and represents as perfect as possible adjustment for differences in the patient mix across clinical settings.
Increased collaboration between researchers and policy-makers and continued and improved technical support from various networks and multi-national organizations will put policy-makers in a better position to make more informed decisions so that the best health policies may be implemented in settings where the population potentially has the most to gain.
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With a case definition of one positive smear, we recommend that bleach sedimentation is implemented in settings where work has been done to improve sputum collection practices.
If such programs were implemented in settings such as KwaZulu-Natal, they may change the trajectory of the drug-resistant TB epidemic in a manner similar to what was seen in the United States in the 1990s (36 ).
Recommendations may need to be adapted to specific settings, can only be implemented in specific settings, and their impact can only be assessed in specific settings.
While developed and offered in an Asian setting, similar courses could be implemented in other settings to enhance the intercultural competence of both local and international students.
Thus, our algorithm has the possibility to be implemented in clinical settings.
Below we illustrate how ICH GCP principles can be implemented in different settings.
Specific and strict infection control measures must be implemented in congregate settings and especially in prisons with high prevalence of (MDR) TB.
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