Exploring the intentions of hospital managers to use evidence-based management in decision-making process

Abstract

ABSTRACT Background With the increased complexity of healthcare systems, an increased need for healthcare managers to effectively deliver and manage health services escalates. The research findings acknowledge Evidence-Based Management (EBMgt) as the best management practice available. This study aims to explore the intentions of hospital managers to use EBMgt practice in Jordan, by using the Theory of Planned Behavior (TPB) to predict the intentions of hospital managers. Methods A quantitative, cross-sectional study has been performed among 232 managers in 29 hospitals in the northern and middle parts of Jordan. A self-administered survey has been distributed to the participants. The data were analyzed using structural equation modeling. Results The three constructs of the TPB (attitude, subjective norm, and perceived behavioral control) all had a significant positive impact on hospital managers’ intention to use EBMgt. Subjective norm was the strongest predictor among the three constructs. Conclusions Hospital managers had a positive attitude toward the adoption of EBMgt concept in their decision-making process. Several factors could influence the adoption of this practice among hospital managers; including organizational culture, and familiarity with the concept. Further investigation is needed to clarify those factors in the healthcare management sector in Jordan.