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The standard implementation of the disease management programme from the Central Denmark Region went ahead and thus also covered all the groups in our study.
All project leaders were interviewed about their projects, their practice settings, and the changes being made as a result of the development and implementation of the disease management project.
We did this because the objective of the study was to assess the effectiveness of the intervention as a tool to enhance the implementation of the disease management programmes.
The content of the interviews focused on the implementation of the disease management programs by the project leadership team, communication and team dynamics between members of the project leadership team, the clinicians, and the patients, and changes in health care practices, based on the diseases addressed in the programs.
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For this paper, interviews done with project leadership teams conducted during the development and early implementation phases of the disease management programs have been analyzed from a traveling technologies viewpoint.
Future research would benefit from analyzing multiple repeated measurements over time, the opportunity for which was limited in this study due to the recent implementation of the studied disease management strategy in the Netherlands.
There are only few randomised controlled trials of interventions using practice facilitation as an implementation strategy to enhance the implementation of the chronic disease management [ 37, 38].
To test the model we will first examine the actual implementation of the COPD disease management programme in the 'Gelderse Vallei' region through process evaluation.
This finding, supported by similar anecdotal reports stimulated the push for the implementation of waterborne disease surveillance with over-the-counter drug sales [ 19].
Common elements of these plans include the drafting of a national framework for the provision of chronic care, the promotion of integrated care, the implementation of a disease management processes and the set-up of personal health care plans [ 12].
The active involvement of the farmers' organisations has been important for the implementation of national disease control programmes – for example the programme for bovine virus diarrhoea in cattle [ 15] – and the result of this study might be interpreted as support from the individual farmer to such a policy.
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CEO of Professional Science Editing for Scientists @ prosciediting.com