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To stimulate the implementation of such programmes in the Netherlands, a new payment policy (ie, bundled payment) was recently implemented. 1 However, the wide implementation of these programmes in the Netherlands, as is currently ongoing, would benefit by a justification from a cost-effectiveness perspective.
The implementation of these programmes is complex and requires a close evaluation.
In this context, our findings show important operational deficiencies and accountability deficits precisely because of the lack of public relations input in the design and implementation of these programmes.
Without local participation, successful implementation of these programmes was difficult.
2 For instance, there is little knowledge on the required investments in implementation of these programmes.
An important issue is the implementation of these programmes in general practice.
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Additional attention needs to be devoted to implementation of those programmes demonstrated to be effective.
With this growing cadre of faculty, work on the planning and implementation of these degree programmes moved forward with increasing speed.
(Harlan et al, 1991) The successful implementation of these screening programmes is based on the underlying model that cervical intraepithelial lesions (CIN) behave as progressive stages of a biologic continuum towards the development of invasive cervical cancer (Richart and Barron, 1969; Campion et al, 1986).
The implementation of the programmes is through projects publicly bided.
The current evaluation was conducted six months after the implementation of the programmes in each site.
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