N Z Med J. The primary study outcomes will be changes, from baseline measures, in serum cholesterol and systolic blood pressure and self-reported current use of aspirin, a statin and at least two blood pressure lowering agents. Participants did not indicate that the incentive payments provided for participating in the Kanyini GAP trial influenced their involvement in the study, suggesting that the altruistic motivations outlined earlier were primarily considered. 2013;10(4):633–6. B usiness leadership has been described as the ‘ability to influence, motivate and enable others to contribute to the effectiveness and success of the organisations of which they are members’ (House, Hanges, Javidan, Dorfman, & Gupta, 2004, p. 63). EuroQol Group: EuroQol--a new facility for the measurement of health-related quality of life. BMC Public Health. World Health Organisation - Wellcome Trust Meeting Report 1-3 August 2001, Geneva. BMC Med Res Methodol. Different members of the writing group have contributed significantly to writing and manuscript revision, study design, securing of funding, stake holder engagement, ethics approval and oversight of study implementation and the study implementation at sites.

Mid-way through follow-up, semi-structured interviews will be conducted with key prescribers and other staff in participating AMSs and mainstream general practices. Hosp Pharm. Health Policy. Each ‘site’ included either a general practice clinic or an Indigenous health service and 1–3 community pharmacies. This study has identified enablers and barriers to the conduct of a PRCT in Australian primary healthcare settings by directly considering the experiences of participants. Participants will be randomised to either usual care or to a polypill-based strategy. Hueiming Liu. KVC's achievements include an audit of the detection, prevention and management of chronic vascular diseases[7] and a qualitative study exploring barriers to improving health service delivery. Patton M: Qualitative research and evaluation methods. A meta-analysis of interventions to promote patient recruitment to primary care concluded that organisational characteristics, especially trial infrastructure, were important [23]. In contrast, some providers did not find the additional paperwork overly burdensome, acknowledging time was required to be spent on training and administrative paperwork as a condition of committing to trial participation. Was this review helpful to you? For some, participating in a trial was also thought to create an opportunity for health professionals and services to improve the care given to patients while promoting collaborations with other organisations, as this next Aboriginal health worker from a remote IHS described:, ‘I’d say well it gives them (the health service) the opportunity to give their patients the best possible care that they can … offer this one more thing (that) can actually influence a lot of the patients that we have. Final decisions about eligibility will be made by the clinician and the potential study participant.

Google Scholar. Denk aan gereedschap, tablets, sportabonnementen of kerstpakketten. 2004, National Heart Foundation, National Stroke Foundation: Clinical guidelines for the management of acute stroke. Jansen YJ, Bal R, Bruijnzeels M, Foets M, Frenken R, de Bont A. Coping with methodological dilemmas; about establishing the effectiveness of interventions in routine medical practice. Ngura: A sense of belonging to home and land. Sensitivity analyses will be conducted on the discount rate, uncertainty in outcome estimates and assumptions made in the costings.