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Although the importance of implementing clinical guidelines is widely recognised, little is known about the optimal implementation strategy.
Currently, she is carrying out several large studies in partnership with the Ministries of Health in central Uganda and western Kenya to evaluate the optimal implementation strategy for HPV-based cervical cancer screening in rural settings.
The process evaluation will provide us with barriers and facilitators that can be used to determine the optimal implementation strategy.
Notably, as with other clinical decision support tools (e.g., medication order entry, asthma management, etc)., clinicians may choose not to use results generated by the prediction tool; this is an important aspect to consider in assessing the potential impact, practicality, and optimal implementation strategy for the tool.
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We discuss optimal implementation strategies of the proposed scheme to achieve lower out-of-control (OOC) average run length (ARL) and false alarm rate (FAR).
Further researches can be conducted on other types of consumer e-health services and the optimal implementation strategies that could lead to successful adoption, usage and benefits realization.
The mix of researchers with a background in implementation science, professionals active in daily clinical practice and members involved in national policy making, facilitated the identification of optimal implementation strategies.
The optimal guideline implementation strategy likely varies with the nature of the clinical problem and the type of health care delivery setting.
Respondents (stakeholders) felt that there was a lack of planning at provincial and district health management levels for optimal implementation of the strategy.
In terms of efficacy, the evaluated projects achieved the goals of the Return to Happiness' intervention – an important achievement given the numerous elements required for implementing the methodology and the need to guarantee accompaniment and follow-up for optimal implementation of the strategy.
More interestingly, the optimal control solution and proposed implementation strategy are consistent with empirical demonstrations but provide mathematical evidence that the flux may be increased dramatically by precise timing of the forward and backwashing cycles.
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