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The complexity of implementation factors in professional pharmacy services

机译：专业药房服务实施因素的复杂性

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Implementation of professional pharmacy services is a complex process, in which multi-level factors interact and influence implementation process and outcomes at various levels or domains. In this paper the terms that have been used to describe the factors that influence implementation of evidence-based services and their domains are presented. The complex 'cause-and-effect' interactions by which implementation factors appear to interact throughout the implementation process are also discussed. Identifying and understanding these complex and causal relationships between different implementation factors, represents a key process in the implementation of any service, in order to assist in the development of tailored implementation strategies. Future research should be directed to gain an understanding of the nature of individual implementation factors, their cause-and-effect interactions, and their relationships. Implementation strategies are less likely to succeed unless these are identified and targeted to the causes identified when designing and planning an implementation strategy. (c) 2017 Elsevier Inc. All rights reserved.
机译：专业药房服务的实施是一个复杂的过程，其中多级因素在各个层面或域名处于互动和影响的实施过程和结果。在本文中，呈现用于描述影响基于证据的服务及其域的因素的术语。还讨论了在整个实施过程中似乎在整个实施过程中交互的复杂的“原因和效应”交互。识别和理解不同实现因素之间的这些复杂和因果关系，代表了执行任何服务的关键过程，以协助制定量身定制的实施策略。应考虑未来的研究，以了解个人实施因素的性质，其原因和效应相互作用及其关系。除非在设计和规划实施策略时确定并针对所确定的原因，否则实施策略不太可能成功。 （c）2017年Elsevier Inc.保留所有权利。

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