Factors influencing evidence-based practice by Iranian general practitioners

Abstract

Purpose: This study aims to fill the knowledge gap regarding general practitioners' (GPs) research utilization (RU) behavior in Iran. It also aims to find possible barriers to research use among GPs to inform organizational change processes. Design/methodology/approach: The authors modified the research utilization questionnaire developed by Estabrooks et al., to address physicians' views. The questionnaire was piloted and its validity and reliability was assessed before being sent to GPs. A 77 percent response rate was eventually achieved. Findings: Respondents were generally positive concerning research evidence use. Respondents' mean attitude score was 25.3 (SD=5.6, min. 13, max. 37). However, less than 25 percent of the GPs practiced any form of RU in the last year. Absent facilities and resources, little authority to change practices, expected increases in patient visit durations and the poor access to research information were found to be the main RU barriers for GPs. Practical implications: The borderline 77 percent response rate was reached despite sending questionnaires to non-responders two times. Considering the non-probability sampling used in this study, generalizing the results should be considered cautiously. Originality/value: Research utilization programs are new in Iran and there is little evidence to inform policies. This study focused attitudes concerning RU and GPs' knowledge concerning novel research and skills, and to some extent, GPs' behaviors toward RU. é Emerald Group Publishing Limited.