ArticleImplementation science : IS2013
What supports do health system organizations have in place to facilitate evidence-informed decision-making? A qualitative study.
Article in Implementation science : IS, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 50 papers, 2 of them syntheses that pooled it.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
50 citing papers in PubMed, 2 syntheses or guidelines pooled it.
- Barriers, Facilitators, Process and Sources of Evidence for Evidence-Based Management among Health Care Managers: A Qualitative Systematic Review.Ethiopian journal of health sciences · 2018Pooled it
- Interventions to increase the use of electronic health information by healthcare practitioners to improve clinical practice and patient outcomes.The Cochrane database of systematic reviews · 2015Pooled it
- Increasing the capacity of policy agencies to use research findings: a stepped-wedge trial.Health research policy and systems · 2019Trial
- The use of research evidence in blood collection policy and practice: a qualitative study with frontline staff, middle managers and senior managers.Health research policy and systems · 2025Article
- Evaluating barriers and facilitators to healthcare providers' use of an emergency department electronic referral portal for high-risk children with asthma using the Theoretical Domains Framework.The Journal of asthma : official journal of the Association for the Care of Asthma · 2024Article
- Facilitating Utilization of Evidence-Informed Management by Nurse Managers in Healthcare Facilities: An Integrative Literature Review.Journal of nursing management · 2024Review
- A framework of evidence-based decision-making in health system management: a best-fit framework synthesis.Archives of public health = Archives belges de sante publique · 2022Article
- The neglected contexts and outcomes of evidence-based management: a systematic scoping review in hospital settings.Journal of health organization and management · 2021Article
- Value of stakeholder engagement in improving newborn care in Kenya: a qualitative description of perspectives and lessons learned.BMJ open · 2021Article
- Organizational supports for knowledge translation in paediatric health centres and research institutes: insights from a Canadian environmental scan.Implementation science communications · 2021Article
- A mapping of facilitators and barriers to evidence-based management in health systems: a scoping review study.Systematic reviews · 2021Article
- Force field analysis of driving and restraining factors affecting the evidence-based decision-making in health systems; comparing two approaches.Journal of education and health promotion · 2021Article
- Rapid response to crisis: Health system lessons from the active period of COVID-19.Health policy and technology · 2020Article
- Supporting the use of research evidence in decision-making in crisis zones in low- and middle-income countries: a critical interpretive synthesis.Health research policy and systems · 2020Article
- Decentralizing evidence-based decision-making in resource limited setting: A case of SNNP region, Ethiopia.PloS one · 2020Article
- Alignment of Perceived Competencies and Perceived Job Tasks among Primary Care Managers.Healthcare (Basel, Switzerland) · 2019Article
- Integrating Smoking Cessation Care into a Medically Supervised Injecting Facility Using an Organizational Change Intervention: A Qualitative Study of Staff and Client Views.International journal of environmental research and public health · 2019Article
- Facilitating evidence uptake: development and user testing of a systematic review summary format to inform public health decision-making in German-speaking countries.Health research policy and systems · 2018Article
- Development of measurable indicators to enhance public health evidence-informed policy-making.Health research policy and systems · 2018Article
- What can we learn from interventions that aim to increase policy-makers' capacity to use research? A realist scoping review.Health research policy and systems · 2018Article
Corrections and comments
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Authors and funding
6 authors.
Funding
Abstract
backgroundDecisions regarding health systems are sometimes made without the input of timely and reliable evidence, leading to less than optimal health outcomes. Healthcare organizations can implement tools and infrastructures to support the use of research evidence to inform decision-making.
objectivesThe purpose of this study was to profile the supports and instruments (i.e., programs, interventions, instruments or tools) that healthcare organizations currently have in place and which ones were perceived to facilitate evidence-informed decision-making.
methodsIn-depth semi-structured telephone interviews were conducted with individuals in three different types of positions (i.e., a senior management team member, a library manager, and a 'knowledge broker') in three types of healthcare organizations (i.e., regional health authorities, hospitals and primary care practices) in two Canadian provinces (i.e., Ontario and Quebec). The interviews were taped, transcribed, and then analyzed thematically using NVivo 9 qualitative data analysis software.
resultsA total of 57 interviews were conducted in 25 organizations in Ontario and Quebec. The main findings suggest that, for the healthcare organizations that participated in this study, the following supports facilitate evidence-informed decision-making: facilitating roles that actively promote research use within the organization; establishing ties to researchers and opinion leaders outside the organization; a technical infrastructure that provides access to research evidence, such as databases; and provision and participation in training programs to enhance staff's capacity building.
conclusionsThis study identified the need for having a receptive climate, which laid the foundation for the implementation of other tangible initiatives and supported the use of research in decision-making. This study adds to the literature on organizational efforts that can increase the use of research evidence in decision-making. Some of the identified supports may increase the use of research evidence by decision-makers, which may then lead to more informed decisions, and hopefully to a strengthened health system and improved health.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.