Moreover, different countries have different health systems and this may impact the implementation of mental health literacy approaches.
However, comments made by participants identified a number of key issues and concerns that may impact on implementation of the recommendations.
Second, surveys were mailed to physicians who responded to the postcard, to assess physicians' use of EHRs; their opinions about their EHR's utility; their familiarity with HIE and their opinions about barriers and incentives that may impact HIE implementation.
Whilst the majority of interviewees did not express concerns about symptoms either being masked or exaggerated, this concern may impact on implementation of a screening programme and therefore was included in the list of master themes.
Lastly, the nature of interviews and focus groups provides information only on aspects of clinical systems of which participants were aware; clinic observations or patient interviews might reveal additional characteristics of clinic systems and patient interactions that may impact systems implementation.
While one of the main goals of our research characterizing UC psychotherapy for children with DBPs is to examine the use of strategies common in EBPs for this population, we are also interested in examining other strategies that are highly relevant to clinicians' work and may impact the implementation of EBPs.
With the diversity among SCALE-UP adopters, institutional differences may impact what each implementation looks like.
For example, the extent to which specialized training and monitoring is needed to implement an intervention effectively may impact its adoption and implementation success.
This allowed judgement to be made on the nature of the new regulatory system and on the constraints that may impact its efficacy following implementation.
However, relatively little is known about the different aspects of communication in health care and how Computerized Provider Order Entry (CPOE) implementation may impact communication, and consequently, quality of care.
