Combinations of the categories health care settings, improvement aims, functions, and component types also provide cross-category analyses in order to gain some insight into the use of systems in different health care settings.
In comparable settings, such improvements have been difficult to sustain in the long term [ 34].
Incomplete antibiotic coverage and care-seeking delays negatively influence pneumonia outcomes in low-resource settings and improvements have been inconsistent and difficult to sustain [ 4].
Moreover, a growing number of studies are showing the beneficial effects of such models for other psychiatric disorders across primary care, specialty and mental health settings, including improvements in mental health and physical health symptoms, and functional outcomes [ 30, 33– 33].
There is evidence that CS programmes can improve MMSE and ADAS-Cog scores, however, heterogeneity means that CS may not show benefit on the ADAS-Cog in all settings, and improvements on the ADAS-Cog are not generally clinically significant.
Infection control capacity and practice in many healthcare settings need improvement.
This is especially important in low resource settings where improvement is most needed and the potential to reduce the maternal and neonatal mortality and morbidity is the greatest.
Goal-setting produced improvements compared to control, with a small-to-medium effect size, and goal-setting alone was superior to mentoring, with a small effect size.
