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The implementation will be conducted in two phases.
Further studies and pilot implementation will be conducted.
A thematic analysis of barriers and facilitators to e-health implementation will be conducted.
The evaluation of the effects of the Short Stay Programme in breast cancer surgery after implementation will be conducted among the same hospitals as during the primary study.
The analysis of the implementation will be conducted using realistic evaluation and participatory approaches within four categories of stakeholders (Family Medicine Group and health centre management, Family Medicine Group practitioners, patients and their families, health centre or community partners).
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The implementation analysis will be conducted in two interdependent parts.
After completion and evaluation of this phase III study, a multi-centre implementation study will be conducted.
Analyses of the costs of the implementation strategy will be conducted by multiplying the volumes of consumed resources with the price of each resource unit.
The HBB/ENC implementation study will be conducted in three Global Network research units, located in Belgaum and Nagpur, India, and Eldoret, Kenya that have conducted common clinical research for three years under an NICHD cooperative agreement (the Global Network).
A direct observational controlled pre post implementation time-and-motion study will be conducted in six wards at one NHS Trust over two observational periods.
Hardware-in-the-loop (HIL) implementation and a real vehicle test will be conducted in the near future.
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