Next Article in Journal
The Relationship between Locomotive Syndrome Risk, Gait Pattern, and Standing Posture in Young Japanese Women: A Cross-Sectional Study
Previous Article in Journal
Doctors’ Perceptions of E-Prescribing upon Its Mandatory Adoption in Poland, Using the Unified Theory of Acceptance and Use of Technology Method
Review

Barriers to and Facilitators of Adherence to Clinical Practice Guidelines in the Middle East and North Africa Region: A Systematic Review

1
Clinical Pharmacy Department, College of Pharmacy, King Saud University, Riyadh 14511, Saudi Arabia
2
College of Pharmacy, Jazan University, Jazan 45142, Saudi Arabia
*
Author to whom correspondence should be addressed.
Healthcare 2020, 8(4), 564; https://doi.org/10.3390/healthcare8040564
Received: 1 October 2020 / Revised: 19 November 2020 / Accepted: 8 December 2020 / Published: 15 December 2020
(This article belongs to the Section Healthcare Quality and Patient Safety)
The current review aims to investigate the barriers to and facilitators of the adherence to clinical practice guidelines (CPGs) in the Middle East and North Africa (MENA) region. English language studies published between January 2010 and May 2019 were searched on PubMed, Embase, and EBSCO. The barriers were categorized as clinician-related factors, such as lack of awareness of familiarity with the CPGs, and external factors, such as patients, guidelines, and environmental factors. The search identified 295 titles, out of which 15 were included. Environmental factors, specifically lack of time, resources, incentives, availability, and costs of treatment or diagnostic tests, training, and dissemination plans were the most commonly identified barriers. The familiarity with or awareness of healthcare professionals about the guideline, guideline characteristics, lack of agreement with the guidelines and preference in clinical judgment, physician self-efficacy, and motivation were reported to a lesser extent. Few studies reported on the compliance of facilitators with the guidelines including disseminating and advertising guideline materials, education and training on the guidelines, regulatory and financial incentives, and support from institutions. The review highlights that the studies on barriers to and facilitators of compliance with CPGs in the MENA region are limited in number and quality. View Full-Text
Keywords: clinical practice guidelines; dissemination; implementation clinical practice guidelines; dissemination; implementation
Show Figures

Figure 1

MDPI and ACS Style

Almazrou, S.H.; Alfaifi, S.I.; Alfaifi, S.H.; Hakami, L.E.; Al-Aqeel, S.A. Barriers to and Facilitators of Adherence to Clinical Practice Guidelines in the Middle East and North Africa Region: A Systematic Review. Healthcare 2020, 8, 564. https://doi.org/10.3390/healthcare8040564

AMA Style

Almazrou SH, Alfaifi SI, Alfaifi SH, Hakami LE, Al-Aqeel SA. Barriers to and Facilitators of Adherence to Clinical Practice Guidelines in the Middle East and North Africa Region: A Systematic Review. Healthcare. 2020; 8(4):564. https://doi.org/10.3390/healthcare8040564

Chicago/Turabian Style

Almazrou, Saja H., Sarah I. Alfaifi, Sumayyah H. Alfaifi, Lamees E. Hakami, and Sinaa A. Al-Aqeel. 2020. "Barriers to and Facilitators of Adherence to Clinical Practice Guidelines in the Middle East and North Africa Region: A Systematic Review" Healthcare 8, no. 4: 564. https://doi.org/10.3390/healthcare8040564

Find Other Styles
Note that from the first issue of 2016, MDPI journals use article numbers instead of page numbers. See further details here.

Article Access Map by Country/Region

1
Back to TopTop