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The institutions at different levels interact and create country-specific histories and path-dependencies, which lead to different degrees of propensity and preparedness, and hence different starting positions for participatory approaches.
Moreover, in China, the coordination among the competing health service institutions at different levels becomes a concern.
The results of the analysis suggest the following implications for increasing the OW at HCs: ■ There is a need of a referral system between institutions at different levels.
Thus, there is a need of a referral system between health service institutions at different levels in order to increase the OW of the HCs.
In this new health service market, there is a price system laid down by the government for services provided by the health service institutions at different levels.
To implement strategies that are dependent on several interventions and that require comprehensive coordination between different institutions at different levels of the health system is difficult, and this is perceived as a remaining challenge among the respondents.
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Although all institutions are at different levels on the quality continuum, at a minimum, each must be accredited by their respective regional accrediting bodies in order to qualify for participation in state and federal student financial aid programs.
In 1999, the hospitals had been purposefully selected to represent best practice and with national training institution responsibilities at different levels of service: a specialist (university-affiliated) hospital, a city Maternal and Child Health (MCH) hospital, an urban district hospital, and a rural county hospital.
Incentives are inherent to individuals' preferences and needs and influenced by the nature of both formal and informal institutions or norms at different levels (country, sector, organization, or unit level) and can be manifested in the degree of external checks and balances and organizational culture.
This study analyzes these pharmaceutical regulation reforms in Tanzania by examining how politics, vested interests, power and institutions influenced decision-making at different levels of the reform process.
This experience was significant because it involved people (university professors, school teacher and their students) and institutions (university, school and museum) at different levels of teaching research.
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Justyna Jupowicz-Kozak
CEO of Professional Science Editing for Scientists @ prosciediting.com