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High quality health systems are a major focus for health care reform in Australia.1 In July 2015, Medicare Locals were replaced by 31 primary health networks (PHNs) with the aim of improving population health.
Abstract Background Evaluation of health technology programmes should be theoretically informed, interdisciplinary, and generate in-depth explanations. The NASSS (non-adoption, abandonment, scale-up, spread, sustainability) framework was developed to study unfolding technology programmes in real time—and in particular to identify and manage their emergent uncertainties and interdependencies.
This process evaluation of a multifaceted computer-guided QI trial in Australian primary healthcare settings sought to better understand why there was increased CVD risk factor screening and no effect on the prescribing rates in the intervention sites compared to the usual care during the trial. In depth examination of six case studies revealed a complex interaction between implementation processes and several contextual factors.
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