We have coined the phrase "Trust Engines" to describe the different means we think are out there to secure the buy-in of these stakeholders.
To create an enabling environment for free expression - a cornerstone of critical thinking where rote learning has been the norm - it is imperative to secure the buy-in of key stakeholders.
In contrast, Thailand has been able to secure the buy-in of providers to being paid on a capitation and DRG basis for outpatient and inpatient care, respectively.
It became clear as the programme developed, that for sustainability of CPC services, it was important to secure the buy-in of the entire organisation, including administrative and clinical staff.
Participants felt this sort of health worker guidance could help secure smoker buy-in to the policy.
Additionally, Bush is going to have to secure the early and unconditional buy-in of Arab states, such as Saudi Arabia and Egypt, to ensure that they will bless and incubate the decisions of Mahmoud Abbas' shaky Palestinian Authority government, which will surely face threats and violence from their Gazan Hamas fraternal terror brothers to kill a deal with Israel.
For local government workers a crucial first step is to secure buy-in from councillors wary of the risks and the loss of direct control: "Sovereignty is the issue for local politicians".
The unpublished account of MDA in the Solomon Islands is a prime example of the importance of securing community buy-in to achieve high coverage.
For that purpose we have secured a "buy-in" during the needs-assessment portion of the project.
In our previous research with the teams of concern herein, identified barriers, such as lack of funding for non-physician team members and the inability to secure buy-in from primary care providers, were shown to have posed challenges in their pursuit of the shared care model [ 15].
This virtuous cycle points to the need for the accrediting body to engage insurers and payers at the front end of the development process, as well as to secure their buy-in and support for the sustainability of the accreditation program.
