It draws on insights and evidence acquired through the implementation of the Knowledge Sector Initiative, a donor-funded programme that aims to increase the demand for and use of evidence in policymaking in Indonesia.
The 'Action Cycle' describes eight processes that may need to occur for the successful implementation of the knowledge (or tool) into clinical practice.
A typical case is developed to illustrate the implementation of the knowledge acquisition and restitution of medical experts.
The action cycle moves from this process of knowledge refinement into the implementation of the knowledge.
The next step is implementation of this knowledge, which will require explicit handling of the identified challenges.
This suggests that, despite increased attention towards the role of primary care in treating obesity, there are still gaps in the implementation of this knowledge.
(T133: NThere1) There was also doubt about the implementation of this knowledge in medical practices and about doctors' ability to assess and use new knowledge.
While our evaluation primarily focuses on the implementation of the MVP's CHW programme, we acknowledge that implementation of research knowledge alone regarding programmes such as the MVP is not sufficient to ensure that the findings will get taken up by policy [ 17, 18].
Furthermore, we argue that attitudes will affect a subsequent implementation of a technical system, and that knowledge about stakeholder identity can be useful for further design activities and for planning system implementation.
Dijkstra (2006) synthesized some barriers and facilitators, as well as interventions, to improve the implementation of new knowledge, identifying that they depend, basically, on factors associated to the professionals, the organisation they work for and their management policies [ 6].
PCM should entail systematic use of such programs, recognizing that optimal treatment does not end with writing the correct prescription, but in the implementation of solutions that improve our knowledge of the disease, enable greater patient involvement in realizing therapeutic benefits, and ultimately achieve better outcomes.
