{"id":"https://openalex.org/W2124994105","doi":null,"title":"Barriers of clinical practice guidelines development and implementation in developing countries: a case study in iran.","display_name":"Barriers of clinical practice guidelines development and implementation in developing countries: a case study in iran.","publication_year":2013,"publication_date":"2013-03-01","ids":{"openalex":"https://openalex.org/W2124994105","mag":"2124994105","pmid":"https://pubmed.ncbi.nlm.nih.gov/23626892","pmcid":"https://www.ncbi.nlm.nih.gov/pmc/articles/3634174"},"language":"en","primary_location":{"id":"pmh:oai:pubmedcentral.nih.gov:3634174","doi":null,"is_oa":true,"landing_page_url":"https://pmc.ncbi.nlm.nih.gov/articles/PMC3634174/","pdf_url":"https://pmc.ncbi.nlm.nih.gov/articles/PMC3634174/pdf/","source":{"id":"https://openalex.org/S2764455111","display_name":"PubMed Central","issn_l":null,"issn":null,"is_oa":true,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":"cc-by-nc-sa","license_id":"https://openalex.org/licenses/cc-by-nc-sa","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Int J Prev Med","raw_type":"Text"},"volume":null,"type":"article","is_traditional":true,"indexed_in":["doaj","pubmed"],"open_access":{"is_oa":true,"oa_status":"green","oa_url":"https://pmc.ncbi.nlm.nih.gov/articles/PMC3634174/pdf/","any_repository_has_fulltext":true},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5073421202","display_name":"Zahra Baradaran\u2010Seyed","orcid":"https://orcid.org/0000-0001-7959-4718","observed_orcids":["https://orcid.org/0000-0001-7959-4718"]},"institutions":[{"id":"https://openalex.org/I70640408","display_name":"Tehran University of Medical Sciences","ror":"https://ror.org/01c4pz451","country_code":"IR","type":"education","lineage":["https://openalex.org/I70640408"]}],"countries":["IR"],"is_corresponding":false,"raw_author_name":"Zahra Baradaran-Seyed","raw_affiliation_strings":["School of Public Health, Tehran University of Medical Sciences, Tehran, Iran"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"School of Public Health, Tehran University of Medical Sciences, Tehran, Iran","institution_ids":["https://openalex.org/I70640408"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5073786864","display_name":"Sima Nedjat","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I70640408","display_name":"Tehran University of Medical Sciences","ror":"https://ror.org/01c4pz451","country_code":"IR","type":"education","lineage":["https://openalex.org/I70640408"]}],"countries":["IR"],"is_corresponding":false,"raw_author_name":"Sima Nedjat","raw_affiliation_strings":["Knowledge Utilization Research Center, Tehran University of Medical Sciences, Tehran, Iran"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Knowledge Utilization Research Center, Tehran University of Medical Sciences, Tehran, Iran","institution_ids":["https://openalex.org/I70640408"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5077488961","display_name":"Bahareh Yazdizadeh","orcid":"https://orcid.org/0000-0003-4127-5986","observed_orcids":["https://orcid.org/0000-0003-4127-5986"]},"institutions":[{"id":"https://openalex.org/I70640408","display_name":"Tehran University of Medical Sciences","ror":"https://ror.org/01c4pz451","country_code":"IR","type":"education","lineage":["https://openalex.org/I70640408"]}],"countries":["IR"],"is_corresponding":false,"raw_author_name":"Bahareh Yazdizadeh","raw_affiliation_strings":["Knowledge Utilization Research Center, Tehran University of Medical Sciences, Tehran, Iran"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Knowledge Utilization Research Center, Tehran University of Medical Sciences, Tehran, Iran","institution_ids":["https://openalex.org/I70640408"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5072749931","display_name":"Saharnaz Nedjat","orcid":"https://orcid.org/0000-0002-0966-727X","observed_orcids":["https://orcid.org/0000-0002-0966-727X"]},"institutions":[{"id":"https://openalex.org/I70640408","display_name":"Tehran University of Medical Sciences","ror":"https://ror.org/01c4pz451","country_code":"IR","type":"education","lineage":["https://openalex.org/I70640408"]}],"countries":["IR"],"is_corresponding":false,"raw_author_name":"Saharnaz Nedjat","raw_affiliation_strings":["School of Public Health and Knowledge Utilization Research Center, Tehran University of Medical Sciences, Tehran, Iran"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"School of Public Health and Knowledge Utilization Research Center, Tehran University of Medical Sciences, Tehran, Iran","institution_ids":["https://openalex.org/I70640408"]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5019525533","display_name":"Reza Majdzadeh","orcid":"https://orcid.org/0000-0001-8429-5261","observed_orcids":["https://orcid.org/0000-0001-8429-5261","https://orcid.org/0000-0003-3989-4470"]},"institutions":[{"id":"https://openalex.org/I70640408","display_name":"Tehran University of Medical Sciences","ror":"https://ror.org/01c4pz451","country_code":"IR","type":"education","lineage":["https://openalex.org/I70640408"]}],"countries":["IR"],"is_corresponding":false,"raw_author_name":"Reza Majdzadeh","raw_affiliation_strings":["School of Public Health and Knowledge Utilization Research Center, Tehran University of Medical Sciences, Tehran, Iran"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"School of Public Health and Knowledge Utilization Research Center, Tehran University of Medical Sciences, Tehran, Iran","institution_ids":["https://openalex.org/I70640408"]}]}],"institutions":[],"countries_distinct_count":1,"institutions_distinct_count":1,"corresponding_author_ids":[],"corresponding_institution_ids":["https://openalex.org/I70640408"],"apc_list":null,"apc_paid":null,"fwci":4.5601,"has_fulltext":true,"cited_by_count":48,"citation_normalized_percentile":{"value":0.94102847,"is_in_top_1_percent":false,"is_in_top_10_percent":true},"cited_by_percentile_year":{"min":93,"max":98},"biblio":{"volume":"4","issue":"3","first_page":"340","last_page":"8"},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T12664","display_name":"Clinical practice guidelines implementation","score":0.9994999766349792,"subfield":{"id":"https://openalex.org/subfields/2739","display_name":"Public Health, Environmental and Occupational Health"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},"topics":[{"id":"https://openalex.org/T12664","display_name":"Clinical practice guidelines implementation","score":0.9994999766349792,"subfield":{"id":"https://openalex.org/subfields/2739","display_name":"Public Health, Environmental and Occupational Health"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T11744","display_name":"Health Sciences Research and Education","score":0.00019999999494757503,"subfield":{"id":"https://openalex.org/subfields/3600","display_name":"General Health Professions"},"field":{"id":"https://openalex.org/fields/36","display_name":"Health Professions"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T10629","display_name":"Health Policy Implementation Science","score":9.999999747378752e-05,"subfield":{"id":"https://openalex.org/subfields/3600","display_name":"General Health Professions"},"field":{"id":"https://openalex.org/fields/36","display_name":"Health Professions"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/guideline-implementation-barriers","display_name":"barriers to guideline implementation","score":0.8989999890327454},{"id":"https://openalex.org/keywords/evidence-based-medicine","display_name":"evidence-based medicine","score":0.9829999804496765},{"id":"https://openalex.org/keywords/political-context","display_name":"political context","score":0.8420000076293945},{"id":"https://openalex.org/keywords/health-policy","display_name":"health policy","score":0.8130000233650208},{"id":"https://openalex.org/keywords/developing-countries","display_name":"developing countries","score":0.6549999713897705},{"id":"https://openalex.org/keywords/iran","display_name":"Iran","score":0.9020000100135803}],"concepts":[{"id":"https://openalex.org/C74196892","wikidata":"https://www.wikidata.org/wiki/Q7781188","display_name":"Thematic analysis","level":3,"score":0.7274372577667236},{"id":"https://openalex.org/C2779343474","wikidata":"https://www.wikidata.org/wiki/Q3109175","display_name":"Context (archaeology)","level":2,"score":0.6801421046257019},{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.6486117839813232},{"id":"https://openalex.org/C56995899","wikidata":"https://www.wikidata.org/wiki/Q1126687","display_name":"Focus group","level":2,"score":0.5752140283584595},{"id":"https://openalex.org/C160735492","wikidata":"https://www.wikidata.org/wiki/Q31207","display_name":"Health care","level":2,"score":0.5166926383972168},{"id":"https://openalex.org/C190248442","wikidata":"https://www.wikidata.org/wiki/Q839486","display_name":"Qualitative research","level":2,"score":0.5054740905761719},{"id":"https://openalex.org/C139268390","wikidata":"https://www.wikidata.org/wiki/Q1850904","display_name":"Opinion leadership","level":2,"score":0.4830761253833771},{"id":"https://openalex.org/C509550671","wikidata":"https://www.wikidata.org/wiki/Q126945","display_name":"Medical education","level":1,"score":0.48090362548828125},{"id":"https://openalex.org/C39549134","wikidata":"https://www.wikidata.org/wiki/Q133080","display_name":"Public relations","level":1,"score":0.4291396737098694},{"id":"https://openalex.org/C139807058","wikidata":"https://www.wikidata.org/wiki/Q352374","display_name":"Adaptation (eye)","level":2,"score":0.41563063859939575},{"id":"https://openalex.org/C56739046","wikidata":"https://www.wikidata.org/wiki/Q192060","display_name":"Knowledge management","level":1,"score":0.3537972569465637},{"id":"https://openalex.org/C17744445","wikidata":"https://www.wikidata.org/wiki/Q36442","display_name":"Political science","level":0,"score":0.1780722737312317},{"id":"https://openalex.org/C15744967","wikidata":"https://www.wikidata.org/wiki/Q9418","display_name":"Psychology","level":0,"score":0.17348021268844604},{"id":"https://openalex.org/C144024400","wikidata":"https://www.wikidata.org/wiki/Q21201","display_name":"Sociology","level":0,"score":0.12140867114067078},{"id":"https://openalex.org/C36289849","wikidata":"https://www.wikidata.org/wiki/Q34749","display_name":"Social science","level":1,"score":0.10425251722335815},{"id":"https://openalex.org/C162853370","wikidata":"https://www.wikidata.org/wiki/Q39809","display_name":"Marketing","level":1,"score":0.10023650527000427},{"id":"https://openalex.org/C144133560","wikidata":"https://www.wikidata.org/wiki/Q4830453","display_name":"Business","level":0,"score":0.09443038702011108},{"id":"https://openalex.org/C169760540","wikidata":"https://www.wikidata.org/wiki/Q207011","display_name":"Neuroscience","level":1,"score":0.0},{"id":"https://openalex.org/C86803240","wikidata":"https://www.wikidata.org/wiki/Q420","display_name":"Biology","level":0,"score":0.0},{"id":"https://openalex.org/C41008148","wikidata":"https://www.wikidata.org/wiki/Q21198","display_name":"Computer science","level":0,"score":0.0},{"id":"https://openalex.org/C151730666","wikidata":"https://www.wikidata.org/wiki/Q7205","display_name":"Paleontology","level":1,"score":0.0},{"id":"https://openalex.org/C199539241","wikidata":"https://www.wikidata.org/wiki/Q7748","display_name":"Law","level":1,"score":0.0}],"mesh":[],"locations_count":5,"locations":[{"id":"pmh:oai:pubmedcentral.nih.gov:3634174","doi":null,"is_oa":true,"landing_page_url":"https://pmc.ncbi.nlm.nih.gov/articles/PMC3634174/","pdf_url":"https://pmc.ncbi.nlm.nih.gov/articles/PMC3634174/pdf/","source":{"id":"https://openalex.org/S2764455111","display_name":"PubMed Central","issn_l":null,"issn":null,"is_oa":true,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":"cc-by-nc-sa","license_id":"https://openalex.org/licenses/cc-by-nc-sa","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Int J Prev Med","raw_type":"Text"},{"id":"pmh:oai:europepmc.org:2632459","doi":null,"is_oa":true,"landing_page_url":"https://www.ncbi.nlm.nih.gov/pmc/articles/3634174","pdf_url":null,"source":{"id":"https://openalex.org/S4306400806","display_name":"Europe PMC (PubMed Central)","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1303153112","host_organization_name":"European Bioinformatics Institute","host_organization_lineage":["https://openalex.org/I1303153112"],"host_organization_lineage_names":[],"type":"repository"},"license":"cc-by-nc-sa","license_id":"https://openalex.org/licenses/cc-by-nc-sa","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":null,"raw_type":"Text"},{"id":"pmid:23626892","doi":null,"is_oa":false,"landing_page_url":"https://pubmed.ncbi.nlm.nih.gov/23626892","pdf_url":null,"source":{"id":"https://openalex.org/S4306525036","display_name":"PubMed","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"International journal of preventive medicine","raw_type":"Journal Article"},{"id":"pmh:oai:doaj.org/article:45fc536232a245a9ae792b4d47f9521a","doi":null,"is_oa":true,"landing_page_url":"https://doaj.org/article/45fc536232a245a9ae792b4d47f9521a","pdf_url":null,"source":{"id":"https://openalex.org/S4306401280","display_name":"DOAJ (DOAJ: Directory of Open Access Journals)","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":null,"host_organization_name":null,"host_organization_lineage":[],"host_organization_lineage_names":[],"type":"repository"},"license":"cc-by-sa","license_id":"https://openalex.org/licenses/cc-by-sa","version":"submittedVersion","is_accepted":false,"is_published":false,"raw_source_name":"International Journal of Preventive Medicine, Vol 4, Iss 3, Pp 340-348 (2013)","raw_type":"article"},{"id":"mag:2124994105","doi":null,"is_oa":false,"landing_page_url":"https://pubmed.ncbi.nlm.nih.gov/23626892","pdf_url":null,"source":{"id":"https://openalex.org/S4306525036","display_name":"PubMed","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":null,"is_accepted":false,"is_published":false,"raw_source_name":"PubMed","raw_type":null}],"best_oa_location":{"id":"pmh:oai:pubmedcentral.nih.gov:3634174","doi":null,"is_oa":true,"landing_page_url":"https://pmc.ncbi.nlm.nih.gov/articles/PMC3634174/","pdf_url":"https://pmc.ncbi.nlm.nih.gov/articles/PMC3634174/pdf/","source":{"id":"https://openalex.org/S2764455111","display_name":"PubMed Central","issn_l":null,"issn":null,"is_oa":true,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":"cc-by-nc-sa","license_id":"https://openalex.org/licenses/cc-by-nc-sa","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Int J Prev Med","raw_type":"Text"},"sustainable_development_goals":[{"display_name":"Good health and well-being","id":"https://metadata.un.org/sdg/3","score":0.9537000060081482}],"study_designs":[],"awards":[],"funders":[],"has_content":{"grobid_xml":true,"pdf":true},"content_urls":{"pdf":"https://content.openalex.org/works/W2124994105.pdf","grobid_xml":"https://content.openalex.org/works/W2124994105.grobid-xml"},"referenced_works_count":31,"referenced_works":["https://openalex.org/W616758758","https://openalex.org/W1157799489","https://openalex.org/W1490359185","https://openalex.org/W1496549882","https://openalex.org/W1504403914","https://openalex.org/W1537823303","https://openalex.org/W1543576708","https://openalex.org/W1569832791","https://openalex.org/W1658043608","https://openalex.org/W1773105809","https://openalex.org/W1957817087","https://openalex.org/W1977097842","https://openalex.org/W1994307831","https://openalex.org/W2065326185","https://openalex.org/W2066316063","https://openalex.org/W2075690060","https://openalex.org/W2106707960","https://openalex.org/W2108130623","https://openalex.org/W2122543210","https://openalex.org/W2131575393","https://openalex.org/W2137053217","https://openalex.org/W2143981995","https://openalex.org/W2152556444","https://openalex.org/W2154171183","https://openalex.org/W2163793578","https://openalex.org/W2218223214","https://openalex.org/W2246716681","https://openalex.org/W2312421261","https://openalex.org/W2404723230","https://openalex.org/W2417314194","https://openalex.org/W2693240447"],"related_works":["https://openalex.org/W4400966194","https://openalex.org/W2167421573","https://openalex.org/W4382402343","https://openalex.org/W3037023615","https://openalex.org/W4391932814","https://openalex.org/W4297891293","https://openalex.org/W2613950948","https://openalex.org/W1016771215","https://openalex.org/W2947276153","https://openalex.org/W4386303580"],"abstract_inverted_index":{"BACKGROUND:":[0],"Knowledge":[1],"products":[2],"such":[3,152],"as":[4,154,223,229,244],"clinical":[5],"practice":[6,126,247],"guidelines":[7],"(CPG)":[8,139],"are":[9,221,256],"vitally":[10],"required":[11],"for":[12],"evidence-based":[13,128,199,213,246],"medicine":[14],"(EBM).":[15],"Although":[16],"the":[17,41,70,80,95,107,144,147,166,170,178,198,224,245,254],"EBM,":[18],"to":[19,39,43,169,197],"some":[20],"extent,":[21],"has":[22,30,194],"been":[23,185,195],"attended":[24],"during":[25],"recent":[26],"years,":[27],"no":[28],"result":[29],"achieved":[31],"thus":[32],"far.":[33],"The":[34,104,209,233],"current":[35],"qualitative":[36],"study":[37,108],"is":[38],"identify":[40],"barriers":[42,167,226,255],"establishing":[44],"development":[45,73,239],"system":[46,97,202,215,237],"and":[47,67,74,79,85,92,135,140,156,162,177,182,203,205,216,240],"implementation":[48,241],"of":[49,64,72,77,82,94,106,122,143,172,180,211,235,238,242],"CPGs":[50,243],"in":[51,99,120,146,188,227],"Iran.":[52],"METHODS:":[53],"Twelve":[54],"semi-structured,":[55],"in-depth":[56],"interviews":[57],"were":[58],"conducted":[59],"with":[60],"a":[61,100,217,230,236],"purposive":[62],"sample":[63],"health":[65,96,129,200],"policy":[66],"decision":[68],"makers,":[69],"experts":[71,81],"or":[75],"adaptation":[76],"CPGs,":[78],"EBM":[83],"education":[84],"development.":[86],"In":[87],"addition,":[88],"11":[89],"policy-makers,":[90],"decision-makers,":[91],"managers":[93],"participated":[98],"focus":[101],"group":[102],"discussion.":[103],"analysis":[105],"data":[109],"was":[110],"undertaken":[111],"by":[112],"thematic":[113],"framework":[114],"approach.":[115],"RESULT:":[116],"Six":[117],"themes":[118],"emerged":[119],"order":[121],"their":[123],"frequency":[124],"include":[125],"environment,":[127,174],"care":[130,201],"system,":[131],"individual":[132],"professional,":[133],"politician":[134,204],"political":[136,206,218],"context,":[137,161],"innovation":[138,181],"patients.":[141],"Most":[142],"indications":[145],"treatment":[148,173],"environment":[149],"focused":[150],"on":[151],"sub-themes":[153],"regulations":[155],"rules,":[157],"economical":[158],"factors,":[159],"organizational":[160],"social":[163],"context.":[164,207],"While":[165],"related":[168],"conditions":[171],"service":[175],"provider":[176],"features":[179],"patients":[183],"had":[184],"identified":[186],"before":[187],"other":[189],"studies,":[190],"very":[191],"little":[192],"attention":[193],"paid":[196],"CONCLUSION:":[208],"lack":[210],"an":[212],"healthcare":[214],"macro":[219],"support":[220],"mentioned":[222],"key":[225],"Iran":[228],"developing":[231],"country.":[232],"establishment":[234],"tools":[248],"will":[249],"not":[250],"be":[251],"possible,":[252],"unless":[253],"removed.":[257]},"counts_by_year":[{"year":2025,"cited_by_count":2},{"year":2024,"cited_by_count":3},{"year":2023,"cited_by_count":3},{"year":2022,"cited_by_count":4},{"year":2021,"cited_by_count":5},{"year":2020,"cited_by_count":4},{"year":2019,"cited_by_count":5},{"year":2018,"cited_by_count":3},{"year":2017,"cited_by_count":5},{"year":2016,"cited_by_count":4},{"year":2015,"cited_by_count":3},{"year":2014,"cited_by_count":5},{"year":2013,"cited_by_count":2}],"updated_date":"2026-11-11T12:16:26.678958","created_date":"2016-06-24T00:00:00"}