title: A framework to improve evidence-informed decision-making in health service management.
abstract: OBJECTIVE
  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?
  
  
  METHODS
  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.
  
  
  CONCLUSIONS
  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.
authors.affiliation: School of Public Health, La Trobe University, Bundoora, VIC 3086, Australia. z.liang@latrobe.edu.au
authors.forename: Zhanming
authors.initials: Z
authors.lastname: Liang
authors.forename: Peter F
authors.initials: PF
authors.lastname: Howard
authors.forename: Sandra G
authors.initials: SG
authors.lastname: Leggat
authors.forename: Gregory
authors.initials: G
authors.lastname: Murphy
mesh_terms: D001315:Australia; D003659:Decision Making, Organizational; D019317:Evidence-Based Medicine; D006270:Health Facility Administrators; D006801:Humans; D009313:National Health Programs; D058996:Quality Improvement / Q000458:organization & administration*; D012308:Risk Management