Skip to main content
Top
Published in: BMC Health Services Research 1/2014

Open Access 01-12-2014 | Research article

Barriers and facilitators to evidence-use in program management: a systematic review of the literature

Authors: Serena Humphries, Tania Stafinski, Zubia Mumtaz, Devidas Menon

Published in: BMC Health Services Research | Issue 1/2014

Login to get access

Abstract

Background

The use of evidence in decision-making at the program management level is a priority in health care organizations. The objective of this study was to identify potential barriers and facilitators experienced by managers to the use of evidence in program management within health care organizations.

Methods

The authors conducted a comprehensive search for published, peer-reviewed and grey literature that explores the use of evidence in program management. Two reviewers selected relevant studies from which data was extracted using a standard data abstraction form and tabulated for qualitative analysis. The results were summarized through narrative review. The quality of the included studies was assessed using published criteria for the critical appraisal of qualitative, quantitative and mixed methods research.

Results

Fourteen papers were included in the review. Barriers and facilitators were categorized into five main thematic areas: (1) Information, (2) Organization – Structure and Process, (3) Organization – Culture, (4) Individual, and (5) Interaction.

Conclusion

This paper reviews the literature on barriers and facilitators to evidence-informed decision-making experienced by program management decision-makers within health care organizations. The multidimensional solutions required to promote evidence-informed program management can be developed through an understanding of the existing barriers and facilitators of evidence-use.
Appendix
Available only for authorised users
Literature
1.
go back to reference Hibberd JM, Smith DL: Nursing Leadership and Management in Canada. 2006, Canada: Elsevier, 3 Hibberd JM, Smith DL: Nursing Leadership and Management in Canada. 2006, Canada: Elsevier, 3
2.
go back to reference Best A, Terpstra JL, Moor G, Riley B, Norman CD, Glasgow RE: Building knowledge integration systems for evidence-informed decisions. J Organ Manag. 2009, 23: 627-641. Best A, Terpstra JL, Moor G, Riley B, Norman CD, Glasgow RE: Building knowledge integration systems for evidence-informed decisions. J Organ Manag. 2009, 23: 627-641.
3.
go back to reference Baker GR, Ginsberg L, Langley A: An organizational science perspective on information, knowledge, evidence, and organizational decision-making. Using Knowledge and Evidence in Health Care: Multidisciplinary Approaches. Edited by: Champagne F. 2004, Toronto, ON: University of Toronto Press, 95-123. Baker GR, Ginsberg L, Langley A: An organizational science perspective on information, knowledge, evidence, and organizational decision-making. Using Knowledge and Evidence in Health Care: Multidisciplinary Approaches. Edited by: Champagne F. 2004, Toronto, ON: University of Toronto Press, 95-123.
4.
6.
go back to reference Straus SE, Tetroe JM, Graham ID: Knowledge translation is the use of knowledge in health care decision-making. J Clin Epidemiol. 2011, 64: 6-10. 10.1016/j.jclinepi.2009.08.016.CrossRefPubMed Straus SE, Tetroe JM, Graham ID: Knowledge translation is the use of knowledge in health care decision-making. J Clin Epidemiol. 2011, 64: 6-10. 10.1016/j.jclinepi.2009.08.016.CrossRefPubMed
7.
go back to reference Kitson A, Straus SE: The knowledge-to-action cycle: Identifying the gaps. Can Med Assoc J. 2010, 182: E73-E77. 10.1503/cmaj.081231.CrossRef Kitson A, Straus SE: The knowledge-to-action cycle: Identifying the gaps. Can Med Assoc J. 2010, 182: E73-E77. 10.1503/cmaj.081231.CrossRef
8.
9.
go back to reference Canadian Health Services Research Foundation: Health services research and…evidence-based decision-making. 2000, Ottawa. ON: Canadian Health Services Research Foundation Canadian Health Services Research Foundation: Health services research and…evidence-based decision-making. 2000, Ottawa. ON: Canadian Health Services Research Foundation
12.
go back to reference Dixon-Woods M, Bonas S, Booth A, Jones DR, Miller T, Sutton AJ, Shaw RL, Smith JA, Young B: How can systematic reviews incorporate qualitative research? A critical perspective. Qual Res. 2006, 6: 27-44. 10.1177/1468794106058867.CrossRef Dixon-Woods M, Bonas S, Booth A, Jones DR, Miller T, Sutton AJ, Shaw RL, Smith JA, Young B: How can systematic reviews incorporate qualitative research? A critical perspective. Qual Res. 2006, 6: 27-44. 10.1177/1468794106058867.CrossRef
13.
go back to reference Synthesizing Qualitative Research: Synthesizing Qualitative Research. 2012, Oxford: John Wiley & Sons, Ltd Synthesizing Qualitative Research: Synthesizing Qualitative Research. 2012, Oxford: John Wiley & Sons, Ltd
14.
go back to reference Moher D, Liberati A, Tetzlaff J, Altman DG, The PRISMA Group: Preferred reporting items for systematic reviews and meta-analyses: The PRISMA Statement. PLoS Med. 2009, 6: e1000097-10.1371/journal.pmed.1000097.CrossRefPubMedPubMedCentral Moher D, Liberati A, Tetzlaff J, Altman DG, The PRISMA Group: Preferred reporting items for systematic reviews and meta-analyses: The PRISMA Statement. PLoS Med. 2009, 6: e1000097-10.1371/journal.pmed.1000097.CrossRefPubMedPubMedCentral
16.
go back to reference Farmer J, Chesson R: Health care management: models for evidence-based practice. J Manag Med. 2001, 15: 266-282. 10.1108/02689230110403777.CrossRefPubMed Farmer J, Chesson R: Health care management: models for evidence-based practice. J Manag Med. 2001, 15: 266-282. 10.1108/02689230110403777.CrossRefPubMed
17.
go back to reference Higgins JW, Strange K, Scarr J, Pennock M, Barr V, Yew A, Drummond J, Terpstra J: “It’s a feel. that’s what a lot of our evidence would consist of”: public health practitioners’ perspectives on evidence. Eval Health Prof. 2011, 34: 278-296. 10.1177/0163278710393954.CrossRefPubMed Higgins JW, Strange K, Scarr J, Pennock M, Barr V, Yew A, Drummond J, Terpstra J: “It’s a feel. that’s what a lot of our evidence would consist of”: public health practitioners’ perspectives on evidence. Eval Health Prof. 2011, 34: 278-296. 10.1177/0163278710393954.CrossRefPubMed
18.
go back to reference Mitton C, Patten S: Evidence-based priority-setting: what do the decision-makers think?. J Health Serv Res Policy. 2004, 9: 146-152. 10.1258/1355819041403240.CrossRefPubMed Mitton C, Patten S: Evidence-based priority-setting: what do the decision-makers think?. J Health Serv Res Policy. 2004, 9: 146-152. 10.1258/1355819041403240.CrossRefPubMed
19.
go back to reference Niedzwiedzka BM: Barriers to evidence-based decision making among Polish health care managers. Health Serv Manage Res. 2003, 16: 106-115. 10.1258/095148403321591429.CrossRefPubMed Niedzwiedzka BM: Barriers to evidence-based decision making among Polish health care managers. Health Serv Manage Res. 2003, 16: 106-115. 10.1258/095148403321591429.CrossRefPubMed
20.
go back to reference Weatherly H, Drummond M, Smith D: Using evidence in the development of local health policies. Some evidence from the United Kingdom. Int J Technol Assess Health Care. 2002, 18: 771-781.CrossRefPubMed Weatherly H, Drummond M, Smith D: Using evidence in the development of local health policies. Some evidence from the United Kingdom. Int J Technol Assess Health Care. 2002, 18: 771-781.CrossRefPubMed
22.
go back to reference Bowen S, Erickson T, Martens PJ, Crockett S: More than “using research”: the real challenges in promoting evidence-informed decision-making. Healthc Policy. 2009, 4: 87-102.PubMedPubMedCentral Bowen S, Erickson T, Martens PJ, Crockett S: More than “using research”: the real challenges in promoting evidence-informed decision-making. Healthc Policy. 2009, 4: 87-102.PubMedPubMedCentral
23.
go back to reference McDiarmid M, Kendall S, Binns M: Evidence-based administrative decision making and the Ontario hospital CEO: information needs, seeking behaviour, and access to sources. JCHLA. 2007, 28: 63-72. 10.5596/c07-019.CrossRef McDiarmid M, Kendall S, Binns M: Evidence-based administrative decision making and the Ontario hospital CEO: information needs, seeking behaviour, and access to sources. JCHLA. 2007, 28: 63-72. 10.5596/c07-019.CrossRef
24.
go back to reference Dobbins M, Cockerill R, Barnsley J, Ciliska D: Factors of the innovation, organization, environment, and individual that predict the influence five systematic reviews had on public health decisions. Int J Technol Assess Health Care. 2001, 17: 467-478.CrossRefPubMed Dobbins M, Cockerill R, Barnsley J, Ciliska D: Factors of the innovation, organization, environment, and individual that predict the influence five systematic reviews had on public health decisions. Int J Technol Assess Health Care. 2001, 17: 467-478.CrossRefPubMed
25.
go back to reference Ham C, Kipping R, McLeod H: Redesigning work processes in health care: lessons from the National Health Service. Milbank Q. 2003, 81: 415-439. 10.1111/1468-0009.t01-3-00062.CrossRefPubMedPubMedCentral Ham C, Kipping R, McLeod H: Redesigning work processes in health care: lessons from the National Health Service. Milbank Q. 2003, 81: 415-439. 10.1111/1468-0009.t01-3-00062.CrossRefPubMedPubMedCentral
26.
go back to reference Dobbins M, Jack S, Thomas H, Kothari A: Public health decision-makers’ informational needs and preferences for receiving research evidence. Worldviews Evid Based Nurs. 2007, 4: 156-163. 10.1111/j.1741-6787.2007.00089.x.CrossRefPubMed Dobbins M, Jack S, Thomas H, Kothari A: Public health decision-makers’ informational needs and preferences for receiving research evidence. Worldviews Evid Based Nurs. 2007, 4: 156-163. 10.1111/j.1741-6787.2007.00089.x.CrossRefPubMed
27.
go back to reference Belkhodja O, Amara N, Landry R, Ouimet M: The extent and organizational determinants of research utilization in Canadian health services organizations. Sci Commun. 2007, 28: 377-417. 10.1177/1075547006298486.CrossRef Belkhodja O, Amara N, Landry R, Ouimet M: The extent and organizational determinants of research utilization in Canadian health services organizations. Sci Commun. 2007, 28: 377-417. 10.1177/1075547006298486.CrossRef
28.
go back to reference Jbilou J, Amara N, Landry R: Research-based-decision-making in Canadian health organizations: A behavioural approach. J Med Syst. 2007, 31: 185-196. 10.1007/s10916-007-9054-3.CrossRefPubMed Jbilou J, Amara N, Landry R: Research-based-decision-making in Canadian health organizations: A behavioural approach. J Med Syst. 2007, 31: 185-196. 10.1007/s10916-007-9054-3.CrossRefPubMed
29.
go back to reference Solomons NM, Spross JA: Evidence-based practice barriers and facilitators from a continuous quality improvement perspective: an integrative review. J Nurs Manag. 2011, 19: 109-120. 10.1111/j.1365-2834.2010.01144.x.CrossRefPubMed Solomons NM, Spross JA: Evidence-based practice barriers and facilitators from a continuous quality improvement perspective: an integrative review. J Nurs Manag. 2011, 19: 109-120. 10.1111/j.1365-2834.2010.01144.x.CrossRefPubMed
30.
go back to reference Innvaer S, Vist G, Trommald M, Oxman A: Health policy-makers’ perceptions of their use of evidence: a systematic review. J Health Serv Res Policy. 2002, 7: 239-244. 10.1258/135581902320432778.CrossRefPubMed Innvaer S, Vist G, Trommald M, Oxman A: Health policy-makers’ perceptions of their use of evidence: a systematic review. J Health Serv Res Policy. 2002, 7: 239-244. 10.1258/135581902320432778.CrossRefPubMed
31.
go back to reference Orton L, Lloyd-Williams F, Taylor-Robinson D, O’Flaherty M, Capewell S: The use of research evidence in public health decision making processes: systematic review. PLoS One. 2011, 6: e21704-10.1371/journal.pone.0021704.CrossRefPubMedPubMedCentral Orton L, Lloyd-Williams F, Taylor-Robinson D, O’Flaherty M, Capewell S: The use of research evidence in public health decision making processes: systematic review. PLoS One. 2011, 6: e21704-10.1371/journal.pone.0021704.CrossRefPubMedPubMedCentral
32.
go back to reference Mitton C, Adair CE, McKenzie E, Patten S, Perry BW: Knowledge transfer and exchange: Review and synthesis of the literature. Milbank Q. 2007, 85: 729-768. 10.1111/j.1468-0009.2007.00506.x.CrossRefPubMedPubMedCentral Mitton C, Adair CE, McKenzie E, Patten S, Perry BW: Knowledge transfer and exchange: Review and synthesis of the literature. Milbank Q. 2007, 85: 729-768. 10.1111/j.1468-0009.2007.00506.x.CrossRefPubMedPubMedCentral
33.
go back to reference Scott C, Seidel J, Bowen S, Gall N: Integrated health systems and integrated knowledge: Creating space for putting knowledge into action. Health Care Q. 2009, 13: 30-36. Scott C, Seidel J, Bowen S, Gall N: Integrated health systems and integrated knowledge: Creating space for putting knowledge into action. Health Care Q. 2009, 13: 30-36.
34.
go back to reference Greenhalgh T, Robert G, Macfarlane F, Bate P, Kyriakidou O: Diffusion of innovations in service organizations: Systematic review and recommendations. Milbank Q. 2004, 82: 239-244.CrossRef Greenhalgh T, Robert G, Macfarlane F, Bate P, Kyriakidou O: Diffusion of innovations in service organizations: Systematic review and recommendations. Milbank Q. 2004, 82: 239-244.CrossRef
Metadata
Title
Barriers and facilitators to evidence-use in program management: a systematic review of the literature
Authors
Serena Humphries
Tania Stafinski
Zubia Mumtaz
Devidas Menon
Publication date
01-12-2014
Publisher
BioMed Central
Published in
BMC Health Services Research / Issue 1/2014
Electronic ISSN: 1472-6963
DOI
https://doi.org/10.1186/1472-6963-14-171

Other articles of this Issue 1/2014

BMC Health Services Research 1/2014 Go to the issue