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Barriers and facilitators to the implementation of integrated community multimorbidity care model in Shanghai-a qualitative study based on normative process theory
Published 2025-06-01“…Objective To analysis of the facilitators and barriers to the implementation of the integrated community multimorbidity care model from the perspective of the implementers, to bridge the implementation gap, and to provide policy recommendations for government.Methods A qualitative interview questionnaire was developed around the four constructs of normalisation process theory (NPT) (coherence, cognitive engagement, collective action and reflective monitoring) and 40 professionals from 11 community health centers in 10 administrative districts of Shanghai were interviewed, with data coded using NVivo 12 software.Results A total of 4 thematic terms and 11 sub-thematic terms were summarized as coherence (perceived value, understanding and implementing the purpose and vision of the model, new skills and requirements), cognitive engagement (implementers’ attitudes towards the new model, multi-sectoral engagement), collective action (current status of model implementation, team members’ cooperation and collaboration, resource support), reflective monitoring (data accessibility, sharing of implementation progress and effectiveness, population labelling and personalized alerts).Conclusion The model faces challenges in implementation such as unclear service objectives, irregular staffing, insufficient resource support, insufficient adhesion with family doctors, unavailability of relevant data, and low utilization of services, etc.It is recommended that clear objectives be set to increase recognition of the model, establish fixed posts and responsibilities for service providers, strengthen information disclosure and sharing between the authorities, the community, and within the team. …”
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8923
A Hardware Implementation of Spaceborne SAR BP Algorithm Based on Precise Region Focusing and Hardware–Software Collaboration
Published 2025-01-01“…Given the limited resources of the satellite’s hardware platform, the traditional hardware implementation of the algorithm can hardly support large-scale scenes imaging. …”
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A comparative study of critical thinking implementation in face-to-face and online classrooms: Medical students’ critical thinking and reading comprehension
Published 2024-07-01“…Hence, this research aimed to compare the influence of implementing a CT framework in traditional classroom settings and online platforms on the CT and reading comprehension of medical students. …”
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8927
Amplifying Community Health Worker Voices to Examine the Implementation and Scaling of a Community Health Program: A Qualitative Study in the Philippines
Published 2025-06-01“…Objectives: (1) To assess implementer experiences and perceptions of a community-based health program delivered by CHWs that underwent recent changes to broaden its programing and reach (ie, scaling up); and (2) to describe facilitators and barriers to the implementation of this community-based health program to inform subsequent scaling out. …”
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Construction and implementation of Traditional Chinese Medicine nursing outpatient clinic (中医护理门诊的建设与实施方法)
Published 2022-01-01“…The aim of this paper was to share the construction and implementation experience of the green nursing outpatient clinic of Traditional Chinese Medicine (TCM). …”
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Understanding of factors that enable health promoters in implementing health-promoting schools: a systematic review and narrative synthesis of qualitative evidence.
Published 2014-01-01“…However, few qualitative studies have been conducted to investigate the strategies used by health promoters to implement such initiatives. In this study, the researchers conducted a systematic review and narrative synthesis of the qualitative literature to identify important enablers assisting the implementation of health-promoting schools from the perspectives of health promoters. …”
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Change in Ratio of Observed-to-Expected Deaths in Pediatric Patients after Implementing a Closed Policy in an Adult ICU That Admits Children
Published 2012-01-01“…We examined the effect on the prognosis of critically ill pediatric patients after a closed ICU policy was implemented into an adult ICU that admitted children. …”
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A dynamic examination of the digital circuit implementing the Fitzhugh-Nagumo neuron model with emphasis on low power consumption and high precision.
Published 2025-01-01“…The presented CORDIC method eliminates multipliers by using adder and shifter operations, which provides efficient digital hardware implementation of the FHN model. Error analysis and dynamic assessments confirm that the CORDIC-based FHN model is capable to follow the biological behaviors of the original model with high accuracy. …”
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A framework for ranking potential cities for implementing emerging urban mobility technologies: A case study for eVTOL aircraft
Published 2025-06-01“…Finding suitable cities for implementing such a technology is therefore a crucial task. …”
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Implementation, barriers, solving strategies and future perspectives of reimbursed community pharmacy services - a nationwide survey for community pharmacies in Germany
Published 2024-11-01“…However, little is known about barriers that hinder their implementation. We therefore aimed to investigate the implementation of reimbursed community pharmacy services (i), barriers to the implementation (ii), solving strategies to overcome the barriers (iii), and future perspectives (iv). …”
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Implementation of Aerosol Mie Scattering in POSEIDON with Application to the Hot Jupiter HD 189733 b’s Transmission, Emission, and Reflected Light Spectrum
Published 2024-01-01“…With JWST, we now have access to mid-infrared wavelengths where aerosols have detectable composition-specific resonance features. Here, we implement new features into the open-source atmospheric retrieval code POSEIDON to account for the complex scattering, reflection, and absorption properties of Mie-scattering aerosols. …”
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Implementation of a cascade training model to enhance emergency care capacity of healthcare workers during the COVID-19 outbreak in Uganda
Published 2025-03-01“…The Ugandan Ministry of Health implemented an emergency care capacity-building program during the COVID-19 pandemic response to improve COVID-19 case management in Uganda. …”
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Screening for undiagnosed atrial fibrillation using an electronic health record‒based clinical prediction model: clinical pilot implementation initiative
Published 2024-12-01“…Physicians were surveyed on their use of the workflow, attitudes toward implementation, and perceived impact on patient care. …”
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