| Barriers to evidence-based decision making in public health: a national survey of chronic disease practitioners. | |
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MedLine Citation:
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PMID: 20873290 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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OBJECTIVE: Existing knowledge of evidence-based chronic disease prevention is not systematically disseminated or applied. This study investigated state and territorial chronic disease practitioners' self-reported barriers to evidence-based decision making (EBDM). METHODS: In a nationwide survey, participants indicated the extent to which they agreed with statements reflecting four personal and five organizational barriers to EBDM. Responses were measured on a Likert scale from 0 to 10, with higher scores indicating a larger barrier to EBDM. We analyzed mean levels of barriers and calculated adjusted odds ratios for barriers that were considered modifiable through interventions. RESULTS: Overall, survey participants (n=447) reported higher scores for organizational barriers than for personal barriers. The largest reported barriers to EBDM were lack of incentives/rewards, inadequate funding, a perception of state legislators not supporting evidence-based interventions and policies, and feeling the need to be an expert on many issues. In adjusted models, women were more likely to report a lack of skills in developing evidence-based programs and in communicating with policy makers. Participants with a bachelor's degree as their highest degree were more likely than those with public health master's degrees to report lacking skills in developing evidence-based programs. Men, specialists, and individuals with doctoral degrees were all more likely to feel the need to be an expert on many issues to effectively make evidence-based decisions. CONCLUSIONS: Approaches must be developed to address organizational barriers to EBDM. Focused skills development is needed to address personal barriers, particularly for chronic disease practitioners without graduate-level training. |
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Authors:
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Julie A Jacobs; Elizabeth A Dodson; Elizabeth A Baker; Anjali D Deshpande; Ross C Brownson |
Publication Detail:
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Type: Journal Article; Multicenter Study; Research Support, U.S. Gov't, P.H.S. |
Journal Detail:
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Title: Public health reports (Washington, D.C. : 1974) Volume: 125 ISSN: 0033-3549 ISO Abbreviation: Public Health Rep Publication Date: 2010 Sep-Oct |
Date Detail:
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Created Date: 2010-09-28 Completed Date: 2010-10-18 Revised Date: 2011-09-13 |
Medline Journal Info:
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Nlm Unique ID: 9716844 Medline TA: Public Health Rep Country: United States |
Other Details:
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Languages: eng Pagination: 736-42 Citation Subset: AIM; IM |
Affiliation:
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Prevention Research Center in St. Louis, Saint Louis University School of Public Health, St. Louis, MO, USA. |
Export Citation:
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APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
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Adult Attitude of Health Personnel Chronic Disease / prevention & control* Clinical Competence Decision Making* Educational Status Evidence-Based Practice* Female Health Care Surveys Health Plan Implementation* Humans Male Middle Aged Organizational Policy Public Health Practice* Social Support United States |
| Grant Support | |
ID/Acronym/Agency:
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5R18DP001139-02/DP/NCCDPHP CDC HHS; U48/DP000060/DP/NCCDPHP CDC HHS |
| Comments/Corrections | |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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