Enabling Factors and Barriers among Health Policy

Kingdom of Saudi Arabia
Joint Program Of family and Community medicine Jeddah
Enabling Factors and Barriers among Health Policy
Makers toward Utilization of National Medical
Researches Recommendations in Jeddah,2010
Dr. Mahmoud Abdullah AL-Zahrani ,MBBS
Family Medicine Resident
Dr. Rajaa AL- Raddadi, MBBS, ABCM, RICR
Consultant Community family
Statistical Advisor
Dr. Adel Ibrahim , MBBS, MPH

Background: There is concern for the international community that research findings are not utilized by health policy-makers to the extent that they could be. The review of literature revealed that most of the findings from this field are based on studies from developed countries. Moreover, although a considerable number of health related researches are conducted in Jeddah Governorate every year , a much fewer number are put into consideration. This situation might have negative implications on the implementation of researches future wise.
Objectives the current study aim at identifying enabling factors and determine barriers among health policy makers toward utilization of national medical researches recommendations in Jeddah city, Saudi Arabia, 2010.
Methods A cross sectional descriptive study was conducted in MOH hospitals, PHCC sectors, private hospitals and dispensaries. Self administered questionnaires were distributed to 210 general managers& medical directors of MOH governmental& private hospitals plus MOH PHCC supervisors& only medical directors of private dispensaries. For convenience ,two versions of the questionnaire were used : Arabic & English. It included 3 parts: socio- demographic data, enabling factors& potential barriers for utilization of researches, recommendations. Data were collected by 3 trained data collectors. It was entered and analyzed using SPSS version 16. Ethical considerations were ensured.
Results 19% of the respondents addressed that they received recommendation from the previously conducted researches while Only 12.4% indicated that there were previous researches conducted in their institution. Moreover, 23.3% pointed that they find solutions for their problems in the received recommendations. It was noted that 51.9% of the respondents shared in previous researches, and equal percentage reported that they conducted researches. Although 95.7% of the respondents believe that conduction of researches is important, nevertheless, a lower percentage (83.8%) of them expressed that they wish to conduct researches. The top three barriers reported by the respondents included pile of situations pertinent to the staff working in the institute such as lack of their awareness to researches, being isolated from knowledgeable colleagues with whom they wish to discuss the research and lack of support from other staff in implementation. On the other side, it was remarked that the least potential barriers for conducting researches perceived by the respondents were related to difficulty to understand statistical analyses, methodological design and inability to justify conclusion drawn from the research.

Conclusion Among the interviewed health policy-makers there is a gap between the perceived importance of the researches from one side and its conduction and utilization of its recommendations on the other side.
The reported barriers are mainly remediable as being attributed chiefly to modifiable subjective factors driven from the lack of knowledge and experience about research methodology. In addition, the insufficient time perceived as a barrier reflects the vision of the studied institute which are not focusing in part of it on conduction of researches and incorporating it in its plan and regular routine work.


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