Because CoPs do not arise from a specific organization, but rather span a variety of institutions from across the health system, it is possible that CoPs are well-positioned to undertake system-change interventions at several system levels.
Considering the complexity of the undertaken system, this comparison was rather satisfactory.
Administrators in the Mongolian health system were seen as important agents in undertaking system responses to reduce outbound medical tourism.
Using dialogic engagement, we attempt to move beyond traditional, and often highly constrained, conceptualizations of "stakeholder engagement" and propose a framework for undertaking systems design that can facilitate high quality and relevant SEA information systems that meet the needs of a wide range of actual and/or potential users.
Health system researchers Frenk and Moon [ 11] note that health sector actors, both domestic and international, often undertake health system interventions isolated from key non-health actors.
This study shows that it is feasible to undertake a system based approach for assessing availability of key essential medicines.
These issues are particularly acute in fragile state settings where diverse group of international health actors undertake health system interventions in volatile political and economic circumstances.
In England, the NHS Plan of July 2000 introduced the government's intention to link the allocation of hospital funds to the activity they undertake – a system of payment by results (PbR).
The effects of various input conditions on the system performance are investigated through both energy and exergy efficiencies, and an optimization study is undertaken of system efficiency and power output are obtained.
The model also recognises two "drivers" for remedial action by the managing authority, specifically: monitoring data (usually undertaken by system managers), and community satisfaction.
Clearly, there was a difference between undertaking a system development project within one organizational unit (silo) compared to the development of shared services to provide support across a large organization.
