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Outcome 4 indicates HMM is less effective, suggesting that the intervention should be rejected, even if it is less expensive, unless implementing such an intervention results in economic gains that outweigh the strong ethical objections to introducing a less effective intervention.
The paper highlights the importance of community participation in planning and implementing such an intervention and of establishing trust and mutual respect among key actors.
Implementing such an intervention as part of a government programme for example, could have a negative impact on the performance of an already overstretched workforce.
However, overcoming barriers to organisational change and addressing some patients' hesitation to report their continuity difficulties must be considered when implementing such an intervention.
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There is some overlap in the moderating factors and issues that should be considered in implementing a personal alarm intervention but there is little mention of the specifics required to implement such an intervention successfully, in the studies found.
Assuming positive results general practitioners, hospitals or home care agencies seem a promising way to implement such an intervention in the German health system.
Convincing clinics to implement such an intervention with the current lack of infection control culture in veterinary medicine may be difficult.
In 2009, with approval from the Government of Zambia (GoZ), FHI 360 collaborated with ChildFund Zambia to design and implement such an intervention as part of its existing CHW family planning program.
Data on training costs and direct medical costs may be of particular interest to providers seeking to implement such an intervention, and information on costs from the perspective of the health plan may be of particular interest to payers.
The Women's Intervention Nutrition Study low-fat eating plan can serve as a model for implementing such a long-term dietary intervention in clinical practice.
It is important to establish how best to implement such a well-received intervention into clinical practice.
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