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A system using checklists to ensure adequate recording of subjective and objective data and a defined treatment plan for a common symptom complex were implemented by physicians and physician's assistants with a patient load averaging more than 1,000 patient contacts per week in a general medical clinic at Duke University Medical Center.
Advanced directives are often neither implemented by physicians nor initiated by patients, leading to failure of clinical decision guidance [ 3].
Four of the technical interventions had structural similarities in that they were all implemented by physicians and sought to alter care processes [ 36, 37, 39, 41].
Five technical interventions were implemented by physicians [ 36, 37, 39- 41], while in one study [ 35] the intervention was implemented by both nurses and physicians.
Strategies implemented by physicians have demonstrated mixed success [ 9] with most programmes showing modest effect only in the short term [ 10].
In summary, technical interventions were mainly implemented by physicians and concentrated on improving care for patients with specific conditions such as heart disease or pneumonia.
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Given we are interested in examining an innovation implemented by individual physicians, we needed to modify the innovation implementation framework to ensure that the constructs were relevant at the individual level [ 24].
Registration was voluntary, and implemented by 138 physicians in 79 centers located in all 20 regions of Italy.
Participants randomly assigned to receive Usual Care proceed with their usual clinical care with their nephrologists as already routinely implemented by their physicians.
Participants randomly assigned to receive Usual Care proceed with their clinical care in dialysis centers as already routinely implemented by their physicians.
Demonstrating the utility of the framework among individuals is important given many innovations and evidence-based practices in healthcare are implemented by individual physicians on a voluntary basis.
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CEO of Professional Science Editing for Scientists @ prosciediting.com