ReviewHealthcare (Basel, Switzerland)2020
Barriers to and Facilitators of Adherence to Clinical Practice Guidelines in the Middle East and North Africa Region: A Systematic Review.
Review in Healthcare (Basel, Switzerland), 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 2 registered trials, which are not on this map. Cited by 24 papers, 1 of them a synthesis that pooled it.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
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.
SUMAMOS EXCELENCIA Project: Assessment of Implementation of Best Practices in a National Health System (Second Edition)
SUMAMOS EXCELENCIA Project: Assessment of Implementation of Best Practices in a National Health System (Thrid Edition)
Who cites it
24 citing papers in PubMed, 1 synthesis or guideline pooled it, 61 citations in OpenAlex.
- Barriers and facilitators to the implementation of guidelines in rare diseases: a systematic review.Orphanet journal of rare diseases · 2023Pooled it
- Understanding health care practitioners' criteria regarding the decision to treat men with premature ejaculation.Sexual medicine · 2026Article
- Article
- Bridging practice and evidence: insights from the Scandinavian Society of Anaesthesiology and Intensive Care Medicine and Saudi Critical Care Society Guidelines on trauma-related VTE.Scandinavian journal of trauma, resuscitation and emergency medicine · 2026Review
- Quality Improvement in General Dental Practice: Situational Analysis for the United Kingdom and Germany.JDR clinical and translational research · 2026Article
- Exploring Hirsutism: Epidemiology, Associated Endocrinal Abnormalities, and Societal Challenges in GCC-A Narrative Review.International journal of molecular sciences · 2025Review
- Facilitators and barriers to use of clinical practice guidelines among physicians in Nigeria: a cross-sectional study.BMJ open · 2025Article
- Article
- Revolutionizing healthcare in KSA: A deep dive into clinical practice guideline development and implementation.Journal of Taibah University Medical Sciences · 2024Article
- Neonatal jaundice detection in low-resource Mexican settings: possibilities and barriers for innovation with mobile health.BMC health services research · 2024Article
- Adherence to Medications in Patients with Ischaemic Heart Disease in Oman.Sultan Qaboos University medical journal · 2024Article
- The Outcomes, Barriers, and Facilitators of Implementing Clinical Practice Guidelines in Iran: A Comprehensive Review.Iranian journal of public health · 2024Review
- Clinical Practice Guidelines in an Era of Accountability, Saudi Arabia: A Call for Action.Journal of epidemiology and global health · 2023Article
- Assessing Barriers and Facilitators for Implementing Clinical Practice Guidelines in Middle Eastern and North African Region: Delphi Study.Journal of clinical medicine · 2023Article
- Assessing Adherence to Clinical Practice Guidelines Among Primary Care Physicians in Bahrain: A Cross-sectional Study.Oman medical journal · 2023Article
- Facilitators and Barriers to National COVID 19 Guideline Adherence among Healthcare Providers in Ethiopia.Ethiopian journal of health sciences · 2023Article
- Clinical practice guideline adaptation for risk-based caries management in 18-55 year-old Iranian adults.BMC oral health · 2023Article
- The Agreement Between Virtual Patient and Unannounced Standardized Patient Assessments in Evaluating Primary Health Care Quality: Multicenter, Cross-sectional Pilot Study in 7 Provinces of China.Journal of medical Internet research · 2022Article
- Implementation Strategies for Knowledge Products in Primary Health Care: Systematic Review of Systematic Reviews.Interactive journal of medical research · 2022Review
- Point Prevalence Survey of Antibiotic Use across 13 Hospitals in Uganda.Antibiotics (Basel, Switzerland) · 2022Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
5 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
The current review aims to investigate the barriers to and facilitators of the adherence to clinical practice guidelines (CPGs) in the Middle East and North Africa (MENA) region. English language studies published between January 2010 and May 2019 were searched on PubMed, Embase, and EBSCO. The barriers were categorized as clinician-related factors, such as lack of awareness of familiarity with the CPGs, and external factors, such as patients, guidelines, and environmental factors. The search identified 295 titles, out of which 15 were included. Environmental factors, specifically lack of time, resources, incentives, availability, and costs of treatment or diagnostic tests, training, and dissemination plans were the most commonly identified barriers. The familiarity with or awareness of healthcare professionals about the guideline, guideline characteristics, lack of agreement with the guidelines and preference in clinical judgment, physician self-efficacy, and motivation were reported to a lesser extent. Few studies reported on the compliance of facilitators with the guidelines including disseminating and advertising guideline materials, education and training on the guidelines, regulatory and financial incentives, and support from institutions. The review highlights that the studies on barriers to and facilitators of compliance with CPGs in the MENA region are limited in number and quality.
Indexed as
Identifiers
What OpenQuestion holds
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.