| Evidence based primary care? A multi-tier, multiple stakeholder perspective from Chile. | |
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MedLine Citation:
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PMID: 11326574 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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METHODS: Fifteen stakeholders from the public health sector were interviewed in depth using a snowball strategy for sampling. Material relating to perceptions, thoughts and aspirations about evidence-based innovations in primary health care was collected. Content analysis of the material produced a matrix of criteria and indicators of operational power. RESULTS: Concepts of evidence and effectiveness are different according to the role of each stakeholder in the health system. Most innovations proposed by government are related to management and stakeholders considered them as not being evidence-based. Informal mechanisms of decision-making predominated over the formal. Political issues are more important than formal evidence. All stakeholders felt they had power to define policy criteria but not to implement them. Implementation difficulties are related to how the system is organized and the culture within each organization. Most stakeholders indicated the need for human resources with appropriate knowledge and personal skills in order to implement these changes. These findings reveal again the importance of human factors within organizations. Policy-making should consider such processual aspects in order to implement changes in practices in Chilean health care system more effectively. |
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Authors:
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P Bedregal; E Ferlie |
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Publication Detail:
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Type: Journal Article |
Journal Detail:
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Title: The International journal of health planning and management Volume: 16 ISSN: 0749-6753 ISO Abbreviation: Int J Health Plann Manage Publication Date: 2001 Jan-Mar |
Date Detail:
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Created Date: 2001-04-30 Completed Date: 2001-05-24 Revised Date: 2013-05-20 |
Medline Journal Info:
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Nlm Unique ID: 8605825 Medline TA: Int J Health Plann Manage Country: England |
Other Details:
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Languages: eng Pagination: 47-60 Citation Subset: H |
Affiliation:
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P. Universidad Católica de Chile, Presidente Riesco 6445 d.102-C, Las Condes, Santiago, Chile. pbedrega@med.puc.cl |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Child Chile Evidence-Based Medicine / organization & administration* Health Services Needs and Demand Health Services Research Humans Organizational Culture Organizational Innovation Policy Making Primary Health Care / organization & administration* Public Health Administration* Respiratory Tract Diseases / prevention & control Stroke / prevention & control |
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