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BCPR is a broad and integrative strategy; evidence related to its comprehensive implementation is scarce.
In a review of 182 papers about simulation modeling in population health and health care delivery, Fone et al. [ 9] concluded that evidence of implementation is scarce.
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Clinical prediction models in children fulfilling existing performance standards (that is, derivation, validation, broad validation, and implementation) are scarce.
Although small pilot studies to assess data collection, indicator computation, data sending and data analyses are commonly executed prior to national PI implementation [ 6], thorough evaluations of reliability and validity of the PIs after implementation, are scarce [ 8, 9].
Funds for implementation were scarce, however, and AIDS and tuberculosis epidemics, compounded by a heavy burden of malaria and food insecurity, caused substantial premature death and disability. 2 In December 2002, only 870 of the tens of thousands of Rwandans with advanced HIV disease were receiving antiretroviral therapy most in private clinics in Kigali, and many erratically.
13 More specific evidence on the effect of different implementation strategies for CCM is scarce.
In fact, a clear road map towards implementation does not exist and guidance is scarce.
Mostly short interventions were favoured and main implementation barriers were scarce resources.
Some individual strategies such as "audit and feedback" and "tailored interventions" may be important to establish clinical outcome improvements, but otherwise robust data on effectiveness of specific implementation strategies were scarce.
However, evidence on the practice of emergency care and the implementation of triage systems in such settings, is scarce.
Research on tailored implementation strategies specifically for occupational mental health care is scarce.
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