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 one. During the screening stage of the study (which involved semi-structured telephone interviews with the individual accountable for driving the reconfiguration of respiratory services in 30 PCOs), the limitations of economic deficit, organisational uncertainty, disengaged clinicians and contradictory procedures proved insurmountable For most PCOs to producing sustainable services.

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 two. The very best-down, government-led standardised technique needed to evolve to confess a lot more variation and increased community option for hospitals so as to assistance local service delivery.

The curriculum and organisational documents gathered differed amongst web pages, which probably mirrored gatekeeper influences at Each individual site. The recruitment of contributors for emphasis group discussions proved complicated, so interviews or paired discussions were utilized instead.

Business and management: analyzing stocks or offer chains, acquisitions, the appearance of impressive or exemplary organizations, asset administration in large corporations, the performance of company obligation techniques.

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One example is, our check array of case study internet sites during the evaluation of the implementation and adoption of electronic health and fitness record units (see Desk ​Table3)3) was intensely influenced by NHS Connecting for Wellness, the government company that was responsible for overseeing the Nationwide Programme for Information Know-how (NPfIT)[5]. This popular stakeholder had by now chosen the NHS web sites (via a aggressive bidding system) being early adopters in the electronic health history units and had negotiated contracts that detailed the deployment timelines.