Reviewnpj health systems2026
Facilitators of, barriers to and strategies for health-system guidance implementation: a critical interpretive synthesis.
Review in npj health systems, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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
0 citing papers in PubMed.
No citing paper in PubMed yet.
Corrections and comments
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Authors and funding
8 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
This study aims to develop a theoretical framework to support the implementation of health-system guidance, contributing to broader efforts to promote evidence-informed policymaking in health systems. A critical interpretive synthesis was conducted to identify relevant literature from 11 databases and gray literature sources. The documents were assessed for relevance and quality, and data were extracted and synthesized using an interpretive analytic method. Based on the synthesized data, the framework was developed and subsequently refined by the authors. A total of 21 documents published from 2004 to 2024 were included, with 15 (71%) empirical studies and six (29%) non-empirical. The resulting theoretical framework for supporting health-system guidance implementation identified 10 facilitators, 10 barriers, nine combined facilitators and barriers, and 11 strategies across six levels: political system, health system, community, organizational, providers and patients/public. This framework offers a structured approach to comprehensively understanding the various factors and levels involved in health-system guidance implementation. With further development into a practical tool, it may help inform implementation efforts across diverse topics and contexts.
Identifiers
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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.