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In healthcare, organisational cultures can be long-standing, and thus obdurate, and it appears that they can be an issue in HF implementation as much as in any other service improvement initiative, for all that HF attempts to address these issues head-on.
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We have 40 years of evidence that shows policy implementation is as much "bottom-up" as "top-down", and we know that through the implementation process it is possible to effectively rewrite top-down intentions.
But he also concluded, as others have, that the quality of the implementation matters as much as the program.
The speed with which Zed was able to respond to global events was made possible by electronic publishing, but its implementation owed as much to Zed's unique structure and aims.
Chemical engineers will have an essential role in the development of new processes where the need is for new design methods for effective implementation, just as much as new technology.
Our work situates itself within a context of fostering assessment of implementation just as much as the assessment of impacts of the interventions.
Recommendation: Intergration of seasonal challenges in all aspects of planning, this includes timing of the implementation ensuring that as much as possible is covered during the dry season because during the rainy season a number of areas are hard to reach.
Recommendations: Intergration of seasonal challenges in all aspects of planning, this includes timing of the implementation ensuring that as much as possible is covered during the dry season because during the rainy season a number of areas are hard to reach.
In one study, for instance, women who formed food specific implementation intentions lost twice as much weight as a control group of dieting women.
Obstacles to implementation may therefore be as much about the people involved, as they are about resources, processes and systems.
Patients whose OCD symptoms entangled family members required more attention to family involvement in treatment planning and implementation than those without as much family involvement.
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