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Table 4 The four dimensions of the implementation process at intervention and control clinics.

From: An approach to measure compliance to clinical guidelines in psychiatric care

 

Strategic

Cultural

Technical

Structural

Intervention clinics

Mandatory clinical guidelines, local implementation teams with expert feed-back and support

Local groups formed a developmental culture by following-up their process. Engagement, teamwork and participation.

Indicators used as identifiers of need for change, measures of change, audits

Facilitated learning. Seminars, regular academic detailing

Control clinics

Mandatory clinical guidelines

No groups

Indicators only mentioned in the guidelines

None of the above

  1. Strategic × cultural × technical × structural = Result