[Factors affecting the development of evidence-based health policy papers at the Ministry of Health Care and Medical Education]

Introduction: successful reduction in the gap between applied knowledge and pure knowledge, depends on the identification of factors affecting it .The objective of the study was to identify the barriers and facilitators to the development of evidence-based papers from the perspective of their producers at the Ministry of Health Care and Medical Education headquarter office

Methods: qualitative approach and framework analysis were used in this study. Semi-structured interviews were conducted with a purposive sample of producers of evidence-based policy papers. MAXQDA10 Software was used to applying the codes and managing the data

Results: three themes of behavioral beliefs, normative beliefs and control beliefs and 18 subthemes were identified. Behavioral beliefs included: knowledge and innovation, quality of policy papers, use of resources, contextualization and time-consuming; normative beliefs consisted of policymakers, policy authorities, policy administrators, and co-workers; and control beliefs involved: access to evidence, recruitment policy, management and policy stability, performance management, empowerment, policy making process, physical environment, and competing factors

Conclusion: most of the barriers were related to control beliefs. This finding corresponds to 85/15 rule in TQM [Total Quality Management]. This theory-based study identified the factors influencing the development of evidence-based policy papers in terms of all the components of theory of planned behavior, but the factors identified in the exploratory studies were related to one component of the theory. This finding advocates the theoretical approach to identify affecting factors on a behavior

[Quality assessment of the reporting of cohort studies before STROBE statement]

Observational studies are not often reported in detail and clear enough, so that assessment of the strengths and weaknesses of these studies is not straightforward. To improve the reporting of observational studies, a checklist of items called 'Strengthening the Reporting of Observational Studies in Epidemiology' [STROBE] was developed by some experts in October 2007. The aim of this study was to assess the quality of reporting of observational studies before STROBE statement. We included randomly sixty cohort studies published in six important international journals until October 2007. Then, we used STROBE checklist to assess the strengths and weaknesses of these included studies. On average, more than 81% [95% Cl: 77%-87%] of included studies pointed to 43 items of aim of this study. The most reported [100%] items were "scientific background" and "rationale for the investigation" and the less reported [30%] item was "flow chart". Although, the quality of reported cohort studies' results was acceptable, the type of study, journal and date of publication could influence on the quality of observational studies

Effect of Ministry of Health and Medical Education structure on application of medical research

Integration of health services and medical education the brief manifest of Iran's Ministry of Health and Medical Education [MOHME]- has been studied mainly from the perspective of health service and medical education quality so far. The objective of present study however, is to examine the impact of integrated structure of MOHME on domestic research utilization. Macro-level policy makers in charge of designing the national research and innovation system are expected to benefit from the results of this study. The study was conducted inform of Grounded Theory and through interview's with a wide range of persons ranging from policy makers to healthcare providers in medical and non-medical groups. Integration' has not fully evolved yet. Beyond the structural changes that have been created at the higher levels of MOHME and medical universities, a set of processes should have been defined for attainment of the desired goals. Neither the created structural changes have covered the level of educational and research groups, nor the set of needed processes has been defined. The issue of inadequate research utilization is not limited to health sector, but is also present in other pillars of the national research and innovation system. From the perspective of health research, the national research and innovation system should be defined at the macro level before making any decisions about changing the current structures. The reason is that the main problems of the research system in Iran are not confined to medical sciences or the 'integration', but more general and drastic issues are existent. Any putative structural changes in the 'integration 'and medical sciences should be viewed only as secondary to these main issues