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To evaluate the quality and improvement of compliance in the inter-consultation documents of the primary care team (PCT).
In the current German AIT-guideline that focuses on the management of patients with AR and/or AA, the improvement of compliance is defined as a major task of the future, which is needed to ensure the therapy success and causal efficacy of AIT [8].
Subsequent surveillance evaluated improvement of compliance rates.
Second round of observations showed a global improvement of compliance with HH to 73%.
The nurse specialists also rated their perceived improvement of compliance to the guideline after completion of the education program.
Further closed ward treatment was necessary, but after improvement of compliance, the patient could be discharged in May 1995.
Due to their longer treatment duration, an improvement of compliance and adherence for the 6-month formulations could be considered.
However, evidence on the more complex interventions relating to improvement of compliance, practice and behaviour is less well documented.
It can be hypothesized that key efficacy and safety aspects go hand-in-hand with an improvement of compliance and adherence for the 6-month formulations.
Reiterer et al. [ 16] and previous investigators [ 5, 17- 20] have described improvement of compliance during ECMO and especially in combination with surfactant treatment.
However, two things seem to be of special interest for improvement of compliance: The presence of written standards for management of mechanically ventilated patients and existence of an established VAP surveillance system.
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