Liang Zhanming, Howard Peter F, Leggat Sandra G, Murphy Gregory
School of Public Health, La Trobe University, Bundoora, VIC 3086, Australia.
Aust Health Rev. 2012 Aug;36(3):284-9. doi: 10.1071/AH11051.
The objective of this paper is to present and provide justification for a framework to improve evidence-informed management decision-making among health service managers. Three research questions informed the study: How have different perspectives influenced how evidence has been defined? What are the barriers to the practice of evidence-informed decision-making (EIDM)? What are the factors that may encourage the application of evidence to guide management decision-making processes?
A literature review was conducted to identify studies that examined the practice of EIDM among health service managers. Information relevant to the three research questions was collectively analysed, compared and contrasted based on their relevance to the EIDM process.
Several factors have played different but significant roles in affecting the practice of EIDM among health service managers. Although interaction between these factors is complex, the framework developed in this paper may guide the development of strategies to encourage and improve the utilisation of evidence in management decision-making process.
本文的目的是提出并论证一个框架，以改善卫生服务管理者基于证据的管理决策。本研究有三个研究问题：不同的观点如何影响证据的定义？基于证据的决策（EIDM）实践的障碍有哪些？哪些因素可能会鼓励应用证据来指导管理决策过程？
进行了一项文献综述，以确定研究卫生服务管理者中EIDM实践的研究。根据与EIDM过程的相关性，对与这三个研究问题相关的信息进行了综合分析、比较和对比。
几个因素在影响卫生服务管理者的EIDM实践方面发挥了不同但重要的作用。尽管这些因素之间的相互作用很复杂，但本文开发的框架可能会指导制定战略，以鼓励和改善管理决策过程中证据的利用。
