A knowledge implementation model in health system management based on the PARIHS model.

Area of Science:

• Health Systems Management
• Knowledge Translation
• Health Policy

Background:

• The disparity between research knowledge and practical application in healthcare leads to suboptimal service quality.
• Implementing research findings into health system management and policy remains a significant challenge.

Purpose of the Study:

• To develop and present a comprehensive model for knowledge implementation within the Iranian health system.
• To identify and address barriers to research utilization in health management.

Main Methods:

• A two-phase study combining qualitative directive content analysis with a three-stage Delphi study involving 25 health experts.
• Semi-structured interviews were used to identify barriers and facilitators, analyzed using MAXQDA10 software.

Main Results:

• Content analysis revealed 1212 codes across evidence, context, and facilitation categories.
• Health managers rely more on experience and organizational data than research findings for decision-making.
• Political, social, and administrative factors were identified as crucial contextual elements.

Conclusions:

• The developed model highlights the critical role of evidence resources, context preparation, and facilitation in successful knowledge implementation.
• The model provides a framework to enhance research utilization in health system management.
• Addressing identified barriers and leveraging facilitators is key to improving healthcare services.