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Before implementation on a wider scale, the communication and the information technology of the program should be improved.
There is some emerging evidence that smartphones and smartphone apps are effective at promoting physical activity, 8, 9 but a clearer understanding of the patient perspective and the mechanisms by which these apps might promote behaviour change is required prior to any implementation on a wider scale.
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If such a programme is implemented on a wider scale, in other hospitals, these experiences may contribute to the design of implementation strategies that are tailored to local needs.
26 27 By taking into account the views of the patients and providers, and considerations about cost as well as evidence of effectiveness, the intention was to develop a model for interventions which are likely to be suitable for implementation on a wide scale, acceptable to stakeholders and cost-effective.
After that it should be implemented on a wider scale".
While both approaches are well established for comparative proteomics as they minimize technical variation by mixing samples prior to analysis, there are a number of challenges hindering their development and implementation on a wide-scale basis.
Further study needs to be undertaken in order to better realize the benefits and effects of ECMO as well as improve the implementation of the technology on a wider scale.
Though inspired on the experience of Curitiba, Bogotá could replicate on a wider scale the implementation of a BRT system, becoming thus a reference for many other cities from Latin America, Asia and Africa.
The road safety issues raised, as well as the recommendations for improvement which were considered for pilot implementation, were selected on the basis of their potential effectiveness on a wider scale without major implications for freeway operation.
That is, implementation commences in sites receptive to change before introducing change on a wider scale having already demonstrated positive outcomes.
It matters on a wider scale too.
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