Barriers of clinical practice guidelines development and implementation in developing countries: A case study in iran

International Journal of Preventive Medicine

Volumn 4, Issue 3, 2013, Pages 340-348

  Baradaran Seyed, Zahra ^a   Nedjat, Sima ^b   Yazdizadeh, Bahareh ^b   Nedjat, Saharnaz ^b   Majdzadeh, Reza ^b  

^a TEHRAN UNIVERSITY OF MEDICAL SCIENCES   (Iran)

^b TEHRAN UNIVERSITY OF MEDICAL SCIENCES   (Iran)

Author keywords

Barriers; Clinical practice guideline; Development; Health care system; Implementation; Qualitative study

Indexed keywords

ARTICLE; CASE STUDY; CLINICAL PRACTICE; ECONOMIC ASPECT; EVIDENCE BASED MEDICINE; HEALTH CARE PERSONNEL; HEALTH CARE SYSTEM; HUMAN; IRAN; ORGANIZATIONAL STRUCTURE; POLITICS; PRACTICE GUIDELINE; QUALITATIVE RESEARCH; SEMI STRUCTURED INTERVIEW; SOCIAL ENVIRONMENT;

EID: 84876166064     PISSN: 20087802     EISSN: 20088213     Source Type: Journal    
DOI: None     Document Type: Article

References (37)

1. Grol R, Grimshaw J. From best evidence to best practice: effective implementation of change in patients' care. Lancet 2003;362:1225-30.
2. Straus SE, Tetroe J, Graham ID. Knowledge translation in health care: moving from evidence to practice. London: Wiley-Blackwell; 2009.
3. Field MJ, Lohr KN. Clinical practice guidelines: directions for a new program. Washington, DC: National Academy Press; 1990.
4. Field MJ, Lohr KN. Guidelines for clinical practice: from development to use. Washington, DC: National Academies Press; 1992.
5. Grol R, Wensing M, Eccles M. Improving patient care: the implementation of change in clinical practice. Edinburgh: Elsevier Butterworth Heinemann; 2005.
6. Kashyap N, Dixon J, Michel G, Brandt C, Shiffman R. GuideLine implementability appraisal v. 2.0. In Book: GuideLine implementability appraisal v. 2.0 Yale Center for Medical Informatics, New Haven; CT; 2011.
7. Grol R, Grimshaw J. Evidence-based implementation of evidence-based medicine. Jt Comm J Qual Improv 1999;25:503-13.
8. Network SIG. SIGN 50: A guideline developers' handbook. SIGN publication. Edinburgh. 2011. Available from: http://www.sign.ac.uk/pdf/sign50.pdf. [Last accessed 2013 Jan 03].
9. Fourth Social, Cultural and Economical Developmental Plans of the country. Tehran: Parliament of Islamic Republic of Iran; 2005.
10. Vosoogh Moghaddam A, Damari B, Alikhani S, Salarianzedeh MH, Rostamigooran N, Delavari A, et al. Health in the 5th 5-years Development Plan of Iran: main challenges, general policies and strategies. Iranian J Publ Health 2013;42 (Suppl 1):42-9.
11. Healthcare Reform Plan for 2025. Tehran: Ministry of Health and Medical Education; 2011. p. 71-5.
12. Long Term Plan of Health Sciences and Technology. Tehran: Ministry of Health and Medical Education; 2011.
13. Dabbagh A, Mirmiran B, Erfani N, Bikdeli B, Kermani S, Beyhaghi H, et al. The appropriate approach for adoption of clinical practice guidelines in the national health system, according to the experienced project in Iran national health system. Hakim Res J 2010;13:49-57.
14. Mounesan L, Nedjat S, Majdzadeh R, Rashidian A, Gholami J. Only one third of Tehran's: physicians are familiar with 'evidence-based clinical guidelines. Int J Prev Med 2013;4:349-57.
15. Bryman A, Burgess RG. Analyzing qualitative data. New York: Taylor & Francis e-Library; 2002.
16. Pope C, Mays N. Qualitative research in health care. 3rd ed. Massachusetts: Blackwell; 2006.
17. Sudsawad P. Knowledge translation: introduction to models, strategies and measures. Austin, TX: Southwest Educational Development Laboratory, National Center for the Dissemination of Disability Research. 2007: Available from: http://www.ncddr.org/kt/products/ktintro/index.html. [Last accessed 2013 Jan 03].
18. Rycroft-Malone J, Bucknall T. Models and frameworks for implementing evidence-based practice: Linking evidence to action. Oxford: Wiley-Blackwell; 2010.
19. Lomas J. Retailing research: increasing the role of evidence in clinical services for childbirth. Milbank Q 1993;71:439-75.
20. Thorsen T, Mäkelä M, editors. Changing professional practice: theory and practice of clinical guidelines implementation. Copenhagen: Danish Institute for Health Services Research and Development; 1999.
21. Graham K, Logan J. Using the Ottawa model of research use to implement a skin care program. J Nurs Care Qual 2004;19:18-24.
22. Dobbins M, Ciliska D, Cockerill R, Barnsley J, DiCenso A. A framework for the dissemination and utilization of research for health care policy and practice. Online J Knowl Synth Nurs 2002;9:7.
23. Cabana MD, Rand CS, Powe NR, Wu AW, Wilson MH, Abboud PA, et al. Why don't physicians follow clinical practice guidelines? JAMA 1999;282:1458-65.
24. Francke A, Smit M, De Veer A, Mistiaen P. Factors influencing the implementation of clinical guidelines for health care professionals: a systematic meta-review. BMC Med Inform Decis Mak 2008;8:38.
25. Rashidian A, Russell I. Towards better prescribing-a model for implementing clinical guidelines in primary care organisations in the NHS. Clin Govern Int J 2003;8:26-32.
26. Grol R, Wensing M. What drives change? Barriers to and incentives for achieving evidence-based practice. Med J Aus 2004;180(6 Suppl):S57-60.
27. Rycroft-Malone J. The PARIHS framework-A framework for guiding the implementation of evidence-based practice. J Nurs Care Qual 2004;19:297-304.
28. Melnyk B, Fineout-Overholt E. Putting research into practice. Reflect Nurs Leadersh 2002;28:22-5, 45.
29. Melnyk BM, Fineout-Overholt E. Evidence-based practice in nursing & healthcare: A guide to best practice. Philadelphia, PA: Lippincott Williams & Wilkins; 2011.
30. Pearson A, Wiechula R, Lockwood C. The JBI model of evidence based healthcare. Int J Evi Based Healthc 2005;3:207-15.
31. Graham I, Logan J, Harrison MB, Straus S, Tetroe J, Caswell W, et al. Lost in knowledge translation: time for a map? J Contin Educ Health Prof 2006;26:13-24.
32. Majdzadeh R, Sadighi J, Nejat S, Mahani AS, Gholami J. Knowledge translation for research utilization: design of a knowledge translation model at Tehran University of Medical Sciences. J Contin Educ Health Prof 2008;28:270-7.
33. Gagliardi AR, Brouwers MC, Palda VA, Lemieux- Charles L, Grimshaw J. How can we improve guideline use? A conceptual framework of implementability. Implem Sci 2011;6:26.
34. Majdzadeh R, Yazdizadeh B, Nedjat S, Gholami J, Ahghari S. Strengthening evidence-based decisionmaking: is it possible without improving health system stewardship? Health Policy Plan 2012;27:499-504.
35. Baradaran-Seyed Z, Majdzadeh R. Evidence-based health care, past deeds at a glance, challenges and the future prospects in Iran. Iranian J Publ Health 2012;41:1-7.
36. Majdzadeh R, Nedjat S, Fotouhi A, Malekafzali H. Iran's approach to knowledge translation. Iranian J Publ Health 2009;38(Suppl 1):58-62.
37. Majdzadeh R, Nedjat S, Denis J, Yazdizadeh B, Gholami J. Linking research to action in Iran: Two decades after integration of the health ministry and the medical universities. Public Health 2010;124:404-11.