A mapping of facilitators and barriers to evidence-based management in health systems: a scoping review study.
Barriers
Evidence-based decision-making
Facilitators
Health system
Journal
Systematic reviews
ISSN: 2046-4053
Titre abrégé: Syst Rev
Pays: England
ID NLM: 101580575
Informations de publication
Date de publication:
30 01 2021
30 01 2021
Historique:
received:
29
05
2020
accepted:
20
01
2021
entrez:
31
1
2021
pubmed:
1
2
2021
medline:
25
6
2021
Statut:
epublish
Résumé
Healthcare settings are complex, and the decision-making process is usually complicated, too. Precise use of best evidence from different sources for increasing the desired outcomes is the result of EBM. Therefore, this study aimed to map the potential facilitators and barriers to EBM in health systems to help the healthcare managers to better implement EBM in their organizations. The present study was a scoping review (SR) conducted in 2020 based on the integration of the frameworks presented by Arksey and O'Malley (2005) and Levac et al. (2010) considering the Joanna Briggs Institute guideline (2015). These frameworks consist of 6 steps. After finalizing the search strategy, 7 databases were searched, and the PRISMA-ScR was used to manage the retrieval and inclusion of the evidence. Microsoft Excel 2013 was used to extract the data, and the graphic description was presented. The summative analysis approach was used applying MAXQDA10. According to the systematic search, 4815 studies were retrieved after eliminating duplicates and unrelated articles, 49 articles remained to extract EBM facilitators and barriers. Six main aspects attitude toward EBM, external factors, contextual factors, resources, policies and procedures, and research capacity and data availability were summarized as EBM facilitators. The barriers to EBM were similarly summarized as attitude toward EBM, external factors, contextual factors, policies and procedures, limited resources, and research capacity and data availability. The streamgraphs describe that the international attention to the sub-aspects of facilitators and barriers of EBM has been increased since 2011. The importance of decision-making regarding complex health systems, especially in terms of resource constraints and uncertainty conditions, requires EBM in the health system as much as possible. Identifying the factors that facilitate the use of evidence, as well as its barriers to management and decision-making in the organization, can play an important role in making systematic and reliable decisions that can be defended by the officials and ultimately lead to greater savings in organization resources and prevent them from being wasted.
Sections du résumé
BACKGROUND
Healthcare settings are complex, and the decision-making process is usually complicated, too. Precise use of best evidence from different sources for increasing the desired outcomes is the result of EBM. Therefore, this study aimed to map the potential facilitators and barriers to EBM in health systems to help the healthcare managers to better implement EBM in their organizations.
METHODS
The present study was a scoping review (SR) conducted in 2020 based on the integration of the frameworks presented by Arksey and O'Malley (2005) and Levac et al. (2010) considering the Joanna Briggs Institute guideline (2015). These frameworks consist of 6 steps. After finalizing the search strategy, 7 databases were searched, and the PRISMA-ScR was used to manage the retrieval and inclusion of the evidence. Microsoft Excel 2013 was used to extract the data, and the graphic description was presented. The summative analysis approach was used applying MAXQDA10.
RESULTS
According to the systematic search, 4815 studies were retrieved after eliminating duplicates and unrelated articles, 49 articles remained to extract EBM facilitators and barriers. Six main aspects attitude toward EBM, external factors, contextual factors, resources, policies and procedures, and research capacity and data availability were summarized as EBM facilitators. The barriers to EBM were similarly summarized as attitude toward EBM, external factors, contextual factors, policies and procedures, limited resources, and research capacity and data availability. The streamgraphs describe that the international attention to the sub-aspects of facilitators and barriers of EBM has been increased since 2011.
CONCLUSIONS
The importance of decision-making regarding complex health systems, especially in terms of resource constraints and uncertainty conditions, requires EBM in the health system as much as possible. Identifying the factors that facilitate the use of evidence, as well as its barriers to management and decision-making in the organization, can play an important role in making systematic and reliable decisions that can be defended by the officials and ultimately lead to greater savings in organization resources and prevent them from being wasted.
Identifiants
pubmed: 33516269
doi: 10.1186/s13643-021-01595-8
pii: 10.1186/s13643-021-01595-8
pmc: PMC7847165
doi:
Types de publication
Journal Article
Research Support, Non-U.S. Gov't
Review
Systematic Review
Langues
eng
Sous-ensembles de citation
IM
Pagination
42Références
Aust Health Rev. 2012 Aug;36(3):284-9
pubmed: 22935119
Worldviews Evid Based Nurs. 2019 Aug;16(4):255-262
pubmed: 31155846
Implement Sci. 2014 Dec 05;9:179
pubmed: 25476735
BMJ. 1996 Jan 13;312(7023):71-2
pubmed: 8555924
PLoS One. 2017 Jan 9;12(1):e0169917
pubmed: 28068424
Implement Sci. 2009 Aug 07;4:50
pubmed: 19664226
PLoS One. 2017 Oct 3;12(10):e0184594
pubmed: 28972977
Implement Sci. 2010 Sep 20;5:69
pubmed: 20854677
Health Res Policy Syst. 2020 Jul 9;18(1):78
pubmed: 32646439
Implement Sci. 2013 Aug 06;8:84
pubmed: 23915278
J Clin Psychol. 2007 Jul;63(7):695-705
pubmed: 17551940
BMC Health Serv Res. 2014 Apr 14;14:171
pubmed: 24731719
Adv Health Care Manag. 2011;11:215-34
pubmed: 22908671
Ethiop J Health Sci. 2017 Nov;27(6):659-668
pubmed: 29487475
Worldviews Evid Based Nurs. 2007;4(3):156-63
pubmed: 17850496
BMC Public Health. 2014 Jul 18;14:728
pubmed: 25034534
BMC Health Serv Res. 2014 Nov 14;14:564
pubmed: 25398652
Int J Health Plann Manage. 1998 Oct-Dec;13(4):307-17
pubmed: 10346052
BMC Health Serv Res. 2017 Jun 21;17(1):430
pubmed: 28637473
Galen Med J. 2020 Mar 14;9:e1645
pubmed: 34466560
BMC Public Health. 2012 Feb 20;12:137
pubmed: 22348688
Health Info Libr J. 2009 Jun;26(2):91-108
pubmed: 19490148
Implement Sci. 2017 May 12;12(1):64
pubmed: 28499401
J Public Health Manag Pract. 2010 Nov-Dec;16(6):E9-E15
pubmed: 20885175
Nurs Adm Q. 2007 Apr-Jun;31(2):162-70
pubmed: 17413511
J Public Health Manag Pract. 2008 Mar-Apr;14(2):155-9
pubmed: 18287922
Health Serv Manage Res. 2003 May;16(2):106-15
pubmed: 12803950
BMC Health Serv Res. 2018 Mar 2;18(1):151
pubmed: 29499702
Healthc Manage Forum. 2012 Autumn;25(3):146-50
pubmed: 23252330
Am J Prev Med. 2012 Sep;43(3):309-19
pubmed: 22898125
Am J Prev Med. 2013 Dec;45(6):763-8
pubmed: 24237920
Health Policy Plan. 2012 Sep;27(6):499-504
pubmed: 22027555
Healthc Policy. 2009 Feb;4(3):87-102
pubmed: 19377360
Health Res Policy Syst. 2019 Dec 19;17(1):101
pubmed: 31856848
Implement Sci. 2014 Dec 14;9:188
pubmed: 25496505
J Med Libr Assoc. 2017 Jan;105(1):69-79
pubmed: 28096749