Abstract
BackgroundThe gap between knowledge and practice is a global issue, which increases wasteful spending in healthcare. There are several models and frameworks to address this gap and try to solve the challenge. Promoting Action on Research Implementation in Health Services (PARIHS) framework highlights the interaction of three main elements: evidence, context and facilitation, to implement research into practice, successfully. This framework can use as a tool to evaluate the situation and guide the changing. This study conducted to explain the status of knowledge implementation in Iran’s healthcare management system.MethodsThis qualitative study was done by using a directive content analysis approach through conducting in-depth, structured interviews with 15 health managers based on the PARIHS framework. Guiding questions were based on the three main elements of the framework: evidence, context and facilitation. The content of the interviews entered into the Qualitative Data Analysis software (MAXQDA version 10) and, then, analyzed.ResultsThe most common source of evidence used by managers for decision-making was local information and previous experience. Evaluation more emphasized compared to other sub-elements of context, i.e. culture and leadership. In terms of facilitation, performing tasks by others was the dominant opinion.ConclusionOur results showed that managers in the healthcare system of Iran use their own and other manager’s experience and the local information for decision-making and have no ideas about facilitation.
Highlights
The gap between knowledge and practice is a global issue, which increases wasteful spending in healthcare
Decision making in the health system has a significant relationship with the research findings and knowledge available in this field [10]
We traced the steps described by Hsieh and Shannon [24] to conduct the interviews and analyse the emerged content. This deductive approach could help form the study categories and subcategories before starting the data gathering corresponding with three main elements of PARIHS framework, i.e. Evidence, context and facilitation
Summary
The gap between knowledge and practice is a global issue, which increases wasteful spending in healthcare. Promoting Action on Research Implementation in Health Services (PARIHS) framework highlights the interaction of three main elements: evidence, context and facilitation, to implement research into practice, successfully. This framework can use as a tool to evaluate the situation and guide the changing. Recent rapid advances in medical sciences and technology have raised public awareness and improved economic status, and increased people’s expectations of health services [2, 3]. Lack of using knowledge in the health management system will waste financial resources, time and energy [12] and increase the costs imposed on the patients.
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