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Table 9 Top three elements currently in place to support evidence-informed decision-making

From: What supports do health system organizations have in place to facilitate evidence-informed decision-making? a qualitative study

Support to facilitate evidence-informed decision-making

 

Number of interview participants (n)4

Total (n = 57)

Organization

Province

Occupation

PCP (n = 9)

Hospital (n = 32)

RHA (n = 16)

Ontario (n = 29)

Quebec (n = 28)

Senior management (n = 33)

Knowledge broker (n = 11)

Library manager (n = 13)

Climate for research use

39

7

23

9

23

16

23

9

7

Organizations develop and implement a formal infrastructure or positions wherein the accountability for encouraging knowledge use lies1

27

5

18

4

14

13

13

7

7

Organizations emphasize the value of research use in decision-making in the mission, vision, values and strategic plan

17

1

11

5

14

3

13

2

2

Research production

19

2

13

4

12

7

13

4

2

Organizations participate in the production of primary research, reviews and research-derived products

12

1

10

1

6

6

7

3

2

Push efforts

23

2

15

6

10

13

12

4

7

Organizations institute a knowledge intelligence service that scans the literature and distributes research evidence throughout the organization2

14

1

9

4

5

9

8

2

4

Facilitating pull efforts

32

4

18

10

16

16

15

6

11

Organizations implement a technical infrastructure to support research and ensure no restrictions are placed on staff's access to resources that may contain relevant research evidence

17

3

10

4

11

6

9

3

5

Organizations provide easy access to journals and scientific literature either through bulk purchasing of subscriptions or promoting open-access resources

16

1

11

4

5

11

4

3

9

Organizations provide an Intranet site or clear links to websites that provide one- stop shopping for relevant research evidence

12

2

7

3

7

5

4

3

5

Pull efforts

26

0

18

8

17

9

14

6

6

Organizations encourage the use of dedicated staff to pull research into decision-making

13

0

10

3

10

3

5

4

4

Organizations encourage or provide training and continuing education that focus on finding and using research evidence in decision-making

12

0

10

2

6

6

7

1

4

Linkage and exchange efforts

26

4

11

11

13

13

17

6

3

Organizations establish formal and informal ties to researchers and brokers outside the organization who can assist in acquiring, assessing, adapting or applying research evidence in the decision-making process3

21

2

10

9

12

9

13

5

3

Evaluation efforts to link research to action

11

1

7

3

9

2

7

2

2

  1. 1The sub-element mentioned here often was the organization implementing a library or documentation centre .(n = 15).
  2. 2A sub-element mentioned here was organizations implementing information monitoring services (n = 13).
  3. 3One sub-element mentioned here was having employees that are part of groups outside the organization (n = 15) such as national, regional or provincial networks.
  4. 4Table legend. Percentage of total number of participants (font style used): 100% of participants (bold); 67% to 99% of participants (bold and italic); 33% to 66% of participants (regular i.e. not bold and not italic); 1% to 32% of participants (italic); 0% of participants (regular and underlined).