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Table 4 Views about priorities to bridge the gaps in the current mix of supports for EIDM

From: Barriers, facilitators and views about next steps to implementing supports for evidence-informed decision-making in health systems: a qualitative study

Support for evidence-informed decision-making Number of interview participants (n)a
Total (n  = 57) Organizationb Province Occupation
PCP (n  = 9) Hospital (n  = 32) RHA (n  = 16) Ontario (n  = 29) Quebec (n  = 28) Senior manager (n  = 33) Knowledge broker (n  = 11) Library manager (n  = 13)
Facilitating pull efforts 29 4 16 9 15 14 14 8 7
-Implement technical infrastructure to support research use and to ensure no restrictions are placed on staff’s access to online resources that contain relevant research evidencec 17 3 9 5 6 11 8 4 5
-Provide easy access to journals and scientific literature either through bulk purchasing of subscriptions or promoting open-access resourcesd 11 2 7 2 2 9 4 4 3
-Implement accessible and efficient systems to support the use of research in decision-makinge 10 2 5 3 7 3 7 1 2
Linkage and exchange efforts 18 4 8 6 10 8 12 4 2
-Establish formal and informal ties to researchers and knowledge brokers outside the organization who can assist in integrating evidence into decision-makingf 17 4 7 6 9 8 12 4 1
Pull efforts 18 3 10 5 12 6 10 5 3
-Enable training and continuing education that focus on finding and using research evidence in decision-making 8 1 7 0 5 3 4 1 3
-Ensure decision-making processes promote the use of research in decision-making 6 1 5 0 4 2 4 1 1
Climate for research use 16 1 12 3 8 8 11 3 2
-Develop and implement an infrastructure or positions where the accountability for encouraging knowledge use lies 11 1 8 2 4 7 7 2 2
Evaluation efforts to link research to action 13 3 7 3 6 7 7 2 4
Push efforts 12 2 9 1 2 10 8 2 2
-Use a knowledge intelligence service that scans the literature and distributes research evidence throughout the organizationg 8 0 7 1 2 6 5 2 1
Research production efforts 10 4 4 2 4 6 7 3 0
  1. aPercentage of total number of participants (font style used): 0% of participants (bold); 1% to 32% of participants (italic); 33% to 66% of participants (regular i.e. not bold and not italic); 67% to 99% of participants (bold and italic); 100% of participants (regular and underlined).
  2. b PCP primary care practice, RHA regional health authority.
  3. cThe main two sub-elements that were mentioned within the category of ‘Implement technical infrastructure’ were: access inequalities (n = 6) and restrictions (n = 5).
  4. dThe main two sub-elements that were mentioned within the category of ‘Provide easy access to journals and scientific literature’ were: electronic-based resources i.e. bibliographic databases (n = 8) and access through a network i.e. library consortium (n = 6).
  5. eThe main sub-element that was mentioned within the category of ‘Implement accessible and efficient systems’ was: decision support tools (n = 7).
  6. fThe main two sub-elements that were mentioned within the category of ‘Establish formal and informal ties to researchers and knowledge brokers’ were: links to individual researchers, experts or opinion leaders (n = 10) and being part of groups outside the institution (n = 6).
  7. gThe main sub-element that was mentioned within the category of ‘Use a knowledge intelligence service’ was: information monitoring services (n = 6).