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We measured pupils' perception of implementation level only once: at follow-up.
Actors were interviewed about their perception of implementation processes relating to ART roll-out, as well as their role and personal history in relation to these processes.
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The perceptions of implementation climate construct included six measures from the CCOP Physician Survey that were consistent with prior studies examining perceptions of implementation climate [ 7, 8, 12].
Perceptions of implementation climate will have a direct positive effect on implementation effectiveness.
The survey specifically supplied data on CCOP physicians' perceptions of implementation climate.
Physician characteristics will have both direct and indirect effects on implementation effectiveness operating through perceptions of implementation climate.
However, organizational maturity did not significantly influence implementation effectiveness through its effect on IPP and perceptions of implementation climate.
In this setting, strong perceptions of implementation climate should directly lead to stronger implementation effectiveness (higher patient enrollment among physicians).
Organizational factors will have an indirect effect on implementation effectiveness operating through IPP and perceptions of implementation climate.
In addition, managers should consider instituting specific organizational IPP aimed at increasing positive perceptions of implementation climate.
Hypothesis one was supported, as physicians' perceptions of implementation climate mediated the relationship between IPP and enrollment.
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