Each recommendation was then discussed by the research team, and a decision about implementation was recorded, comprising either Implemented, Not implemented or Undecided (when the recommendation related to a later phase of the study, such as a reference to include in a resulting publication).
The decision about implementation for these 172 recommendations is shown in Table 2.
All recommendations received in the start-up phase (first seven months) of the study were recorded, along with the decision about implementation of the recommendation.
The use of open standards will also allow central managers to set, say, the format of electronic patient records, while allowing decisions about implementation to be made on a local level.
Lost In Translation: a handbook for information systems in the 21st century explains how capturing requirements for IT solutions in terms of the values, policies, events, content and trust dimensions of the underlying information system provides IT with a personality of the desired solution that allows them to make the right technical decisions about implementation.
The study design allows an assessment of the effectiveness and cost of physician and patient interventions separately, so that health care organizations can make informed decisions about implementation of 1 or both interventions in the context of local resources.ClinicalTrials.gov identifier NCT00201136.
The results of this study will be relevant for researchers, implementation experts, healthcare practitioners and policy makers when making decisions about implementation and sustainability resource allocation.
Decisions about implementation of new methods in clinical laboratories are often based mostly on cost and ease of use, whereas parameters such as their sensitivity, specificity, and relevance to public health surveillance are less likely to be emphasized.
However, to make a through-out decision about the implementation of such a pertussis booster vaccination strategy, one should first compare the cost-effectiveness of the adolescent vaccination with that of other vaccination strategies (e.g. adult vaccination or cocooning).
The results of this trial will form the basis for making an informed decision about the implementation of general population screening for ovarian cancer.
When the policy is adopted, critical steps must be taken to plan for implementation of the policy, including decisions about financing, implementation of services, and scale-up outside of the seven LDs. Attention must also be given to ensuring that scale-up includes a focus on providing quality services and serving vulnerable children.
