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In spite of the good performance, the proposed method seems to have limitations for implementation in a large network, mainly due to the complexity.
Furthermore, the MBL approach does not incur an obvious increase in labor and financial costs, which makes it feasible for easy adaptation and implementation in a large class.
Haggstrom et al. used surveys based on qualitative interviews to assess the implementation of the CCM among community health centers [ 43], while Hroscikoski et al. used a qualitative, comparative case study design to evaluate CCM implementation in a large health care organisation [ 44].
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After these preliminary studies, further research must be done, particularly those regarding the treatment of real wastewater samples and the implementation in a large-scale installation.
These findings suggest that the intervention is amenable to implementation in a larger trial.
However, the additional burden for the parents to pack and send the bio samples has to be considered and tested prior to implementation in a larger study.
The purpose of the study was to compare the feasibility of the technologies prior to selecting one for implementation in a larger study on the impact of new interventions to control MDR-TB in Kampala.
To further explore factors that could influence the implementation of a new practice in PHC, and to enhance the possibility of tailoring implementation activities in the future, the research team saw a need to assess staff opinions regarding implementation in a larger sample.
For technical organizations, sustainability implementation rests in a large part with the many engineering teams responsible for meeting client needs and organizational targets.
This overview of the implementation processes in a large national pilot has demonstrated some significant effects on outcomes of interest, although many outcomes were inconclusive.
Hébert and colleagues [ 15] reported reduced in-hospital mortality rates after implementation of leukoreduction in a large Canadian multicenter study compared with the control period.
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