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Barriers to evidence-based medicine: a systematic review
Homayoun Sadeghi-Bazargani1, Jafar Sadegh Tabrizi, Saber Azami-Aghdash
1Road Traffic Injury Prevention Research Center, Tabriz University of Medical Sciences, Tabriz, Iran.
Journal of Evaluation in Clinical Practice
|August 19, 2014
Summary
Identifying barriers to evidence-based medicine (EBM) is crucial for improving healthcare quality. Overcoming challenges like lack of resources and time requires dedicated efforts and additional funding.
Area of Science:
- Health Services Research
- Medical Education
- Healthcare Management
Background:
- Evidence-based medicine (EBM) is a key strategy for enhancing healthcare quality.
- Understanding barriers to EBM implementation is essential for its successful adoption.
- This study systematically reviews and analyzes the obstacles hindering EBM.
Purpose of the Study:
- To systematically identify and analyze the barriers to the implementation and utilization of evidence-based medicine.
- To provide a comprehensive overview of common obstacles across various healthcare settings.
- To inform strategies for overcoming these barriers and promoting EBM.
Main Methods:
- A systematic literature review was conducted.
- Searches were performed across multiple databases including PubMed, Scopus, and Web of Knowledge.
- Keywords included variations of 'evidence-based' and 'barriers' or 'challenges'.
Main Results:
- 106 articles were identified from an initial 2592.
- Common barriers include research limitations, resource scarcity, time constraints, skill deficits, and financial issues.
- Barriers were prevalent in primary care, hospital settings, rehabilitation, medical education, and management.
Conclusions:
- Numerous barriers impede the effective implementation and use of evidence-based medicine.
- Identifying these obstacles is the primary step toward their resolution.
- Addressing these barriers necessitates increased resources and strategic interventions.