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However, implementation and quality of care improved considerably in recent years.
Data of participating patients will be used to monitor level of implementation and quality of care (see 2.6).
These diverse modeling approaches consider trade-offs between ease of design and implementation and quality of performance.
However, given that the study includes over 400 hospitals, study findings nevertheless provide important information on the relationship between HIT implementation and quality of care.
GPs understood the need for protocol-driven referrals, while at the same time suggesting variations in the implementation and quality of the protocols.
After consultation with registered guideline stakeholders (including manufacturers, NHS trusts, and patient groups), the guideline development group revisited the recommendation in light of issues raised regarding implementation and quality of the evidence base.
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Uneven policy implementation, access and quality of ECCD services Can lead to fragmentation of resources/service delivery Ownership of LGUs in a devolved set up of national government commitments Issue of subsidiarity National government oversight and regulations.
These limitations may have resulted in observed levels of implementation strength and quality of care that were higher than they would have been under normal circumstances.
The survey instruments and primary indicators of implementation strength and quality of care were adapted from the WHO Health Facility Survey tool, 26 a survey of Health Surveillance Assistants in Malawi, 21 and the CCM Global Indicators.
It was conducted as a sub-study of a larger assessment of the implementation strength and quality of CCM in six districts participating in the early CCM rollout supported by WHO and UNICEF.
Quality of care was not assessed in comparison areas because the primary purpose of the study was to assess implementation strength and quality of care of iCCM; also, funding for data collection in comparison areas was limited.
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