ArticleBMJ open quality2024
Challenges, barriers and solutions for implementing clinical practice guidelines: a qualitative study in southern Iran.
Article in BMJ open quality, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.
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Who cites it
6 citing papers in PubMed.
- The UQTR university-based chiropractic clinic cohort (UQTRChiCo): description and summary of an available data source for research collaborations.Chiropractic & manual therapies · 2026Article
- Behavioral Profiles and Sociodemographic Predictors of Planetary Health Diet Engagement Among Health Care Professionals to Inform Public Health Promotion: Cross-Sectional Study.JMIR public health and surveillance · 2025Article
- Navigating hidden barriers in clinical medical education in Iran: a qualitative study.BMC medical education · 2025Article
- Application of Evidence into Practice in Trauma: The Purpose to Practice (P2P) Approach to Consensus Generation.medRxiv : the preprint server for health sciences · 2025Article
- Barriers and facilitators to implementing pulmonary rehabilitation guidelines in China: a qualitative study using implementation science frameworks.Health research policy and systems · 2025Article
- Application of evidence into practice in trauma: the Purpose-to-Practice (P2P) approach to consensus generation.Trauma surgery & acute care open · 2025Article
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Authors and funding
4 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundIdentifying the challenges of implementing clinical practice guidelines (CPGs) can provide valuable information for decision-makers and health policymakers at the national and local levels. The implementation of CPGs requires the development of strategies to facilitate their use. This research aimed to determine the challenges, barriers and solutions for implementing CPGs from the expert point of view in Bushehr University of Medical Sciences.
methodsThis qualitative research uses content analysis conducted in 2022 in southern Iran. In-depth interviews were conducted with the physicians and experts in the health system. Interviewing continued until reaching the saturation level. Altogether, 22 experts were interviewed. The interview guide was used to explore experts' opinions. All the interviews were recorded and then transcribed. Finally, coding and data analysis was done using MAXQDA 2022 software.
resultsThe analysis revealed 4 main themes and 20 subthemes. The four main themes included challenges related to physicians, medical education, the health system and patients. The most common themes were the lack of sufficient training (related to the medical education system), equipment and infrastructure, and the lack of adaptation of clinical guidelines (related to the health system). The solutions included 4 main themes and 19 subthemes.
conclusionThe most mentioned topic by the experts was training CPGs in medical schools. In Iran's current medical education system, the training of CPGs is not included in the curriculum. It is proposed to reform the medical education system in Iran. In addition, health inequalities such as lack of access to equipment, supplies and insurance in under-resourced areas and disparities in research/training/medical education should be addressed to improve the validity of guidelines.
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