Challenges of using evidence in managerial decision-making of the primary health care system
Abstract Background Managerial Evidence-Based Decision-Making [EBDM] in the primary is a systematic approach that directs the decision-maker in a conscientious, explicit, and judicious utilization of reliable and best evidence based on the professional experiences and preferences of stakeholders and...
| Main Authors: | , , , |
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| Format: | Article |
| Language: | English |
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BMC
2024-01-01
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| Series: | BMC Health Services Research |
| Subjects: | |
| Online Access: | https://doi.org/10.1186/s12913-023-10409-7 |
| _version_ | 1827388602110181376 |
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| author | Marjan Hedayatipour Sina Etemadi Somayeh Noori Hekmat Alisadat Moosavi |
| author_facet | Marjan Hedayatipour Sina Etemadi Somayeh Noori Hekmat Alisadat Moosavi |
| author_sort | Marjan Hedayatipour |
| collection | DOAJ |
| description | Abstract Background Managerial Evidence-Based Decision-Making [EBDM] in the primary is a systematic approach that directs the decision-maker in a conscientious, explicit, and judicious utilization of reliable and best evidence based on the professional experiences and preferences of stakeholders and patients from various sources. This study aimed to investigate the challenges primary healthcare managers encounter while undertaking decision-making processes. Method A systematic review was conducted in 2022 with the aim of identifying and collecting all qualitative articles pertaining to evidence-based decision-making in the primary healthcare system. To achieve this, a meticulous search was conducted using the relevant keywords, including primary health care and evidence-based decision making, as well as their corresponding synonyms, across the databases Web of Science, Scopus, and Pubmed. Importantly, there were no limitations imposed on the timeframe for the search. To carefully analyze and consolidate the findings of this systematic review, the meta-synthesis approach was employed. Results A total of 22 articles were assessed in this systematic review study. The results revealed the main categories including evidence nature, EBDM barriers, utilizing evidence, decision-makers ability, organizational structure, evidence-based, EBDM support, communication for EBDM, evidence sides, EBDM skill development, public health promotion, and health system performance improvement. Conclusion The primary healthcare system is crucial in improving health outcomes and ensuring access to healthcare services for all individuals. This study explored the utilization of evidence-based EBDM within the primary healthcare system. We identified five key dimensions: causal, contextual, and intervening conditions, strategies, and consequences of EBDM as a core phenomenon. The findings will help policymakers and administrators comprehend the importance of evidence-based decision-making, ultimately leading to enhanced decision quality, community well-being, and efficiency within the healthcare system. EBDM entails considering the best reliable evidence, and incorporating community preferences while also exploiting the professional expertise and experiences of decision-makers. This systematic review has the potential to provide guidance for future reforms and enhance the quality of decision-making at the managerial level in primary healthcare. |
| first_indexed | 2024-03-08T16:22:10Z |
| format | Article |
| id | doaj.art-303f083776a9451da21099947ee85765 |
| institution | Directory Open Access Journal |
| issn | 1472-6963 |
| language | English |
| last_indexed | 2024-03-08T16:22:10Z |
| publishDate | 2024-01-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Health Services Research |
| spelling | doaj.art-303f083776a9451da21099947ee857652024-01-07T12:17:53ZengBMCBMC Health Services Research1472-69632024-01-0124111410.1186/s12913-023-10409-7Challenges of using evidence in managerial decision-making of the primary health care systemMarjan Hedayatipour0Sina Etemadi1Somayeh Noori Hekmat2Alisadat Moosavi3Department of Healthcare Management, Policy and Economics, Faculty of Management and Medical Information Sciences, Kerman University of Medical SciencesDepartment of Healthcare Management, Policy and Economics, Faculty of Management and Medical Information Sciences, Kerman University of Medical SciencesDepartment of Healthcare Management, Policy and Economics, Faculty of Management and Medical Information Sciences, Kerman University of Medical SciencesDepartment of Medical Library & Information Sciences, Faculty of Management and Medical Information Sciences, Kerman University of Medical SciencesAbstract Background Managerial Evidence-Based Decision-Making [EBDM] in the primary is a systematic approach that directs the decision-maker in a conscientious, explicit, and judicious utilization of reliable and best evidence based on the professional experiences and preferences of stakeholders and patients from various sources. This study aimed to investigate the challenges primary healthcare managers encounter while undertaking decision-making processes. Method A systematic review was conducted in 2022 with the aim of identifying and collecting all qualitative articles pertaining to evidence-based decision-making in the primary healthcare system. To achieve this, a meticulous search was conducted using the relevant keywords, including primary health care and evidence-based decision making, as well as their corresponding synonyms, across the databases Web of Science, Scopus, and Pubmed. Importantly, there were no limitations imposed on the timeframe for the search. To carefully analyze and consolidate the findings of this systematic review, the meta-synthesis approach was employed. Results A total of 22 articles were assessed in this systematic review study. The results revealed the main categories including evidence nature, EBDM barriers, utilizing evidence, decision-makers ability, organizational structure, evidence-based, EBDM support, communication for EBDM, evidence sides, EBDM skill development, public health promotion, and health system performance improvement. Conclusion The primary healthcare system is crucial in improving health outcomes and ensuring access to healthcare services for all individuals. This study explored the utilization of evidence-based EBDM within the primary healthcare system. We identified five key dimensions: causal, contextual, and intervening conditions, strategies, and consequences of EBDM as a core phenomenon. The findings will help policymakers and administrators comprehend the importance of evidence-based decision-making, ultimately leading to enhanced decision quality, community well-being, and efficiency within the healthcare system. EBDM entails considering the best reliable evidence, and incorporating community preferences while also exploiting the professional expertise and experiences of decision-makers. This systematic review has the potential to provide guidance for future reforms and enhance the quality of decision-making at the managerial level in primary healthcare.https://doi.org/10.1186/s12913-023-10409-7Decision-makingEvidenceManagementPrimary healthcare |
| spellingShingle | Marjan Hedayatipour Sina Etemadi Somayeh Noori Hekmat Alisadat Moosavi Challenges of using evidence in managerial decision-making of the primary health care system BMC Health Services Research Decision-making Evidence Management Primary healthcare |
| title | Challenges of using evidence in managerial decision-making of the primary health care system |
| title_full | Challenges of using evidence in managerial decision-making of the primary health care system |
| title_fullStr | Challenges of using evidence in managerial decision-making of the primary health care system |
| title_full_unstemmed | Challenges of using evidence in managerial decision-making of the primary health care system |
| title_short | Challenges of using evidence in managerial decision-making of the primary health care system |
| title_sort | challenges of using evidence in managerial decision making of the primary health care system |
| topic | Decision-making Evidence Management Primary healthcare |
| url | https://doi.org/10.1186/s12913-023-10409-7 |
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