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Further evaluations would want to assess not only the extent to which processes such as training and information have become institutionalised in district systems, but also the degree to which front line actors and their supervisors are more knowledgeable and meaningfully engaged with outreach teams.
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Clarify lines of authority in relation to innovation and use institutional authorities to mediate and adjudicate between the competing interests and demands of front-line actors, patients and their advocates, and manufacturers.
Given the prevailing mental models, targets and the PDR processes are, in a sense, filtered through a power battle between managers seeking to give clear and consistent direction for strengthening PHC to multiple actors, and front line staff, shaped by histories and cultures of passivity and dominance, resisting change and afraid to take on new responsibilities.
If some further justification were needed, the preservation and transmission of the artistry and humanity of his actors, with Gazzara in the front line, would suffice.
She loves actors, saying they are the ones who "are on the front line", and admiring the way they can bring "insight and clarity" to what she has written.
"The front line?
They are in the front line.
"They have not seen the front line".
Directors are in the front line.
But Peter was on the front line".
"We are in the front line.
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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