Research suggests a strong association between evidence-based
management and improved effectiveness and efficiency in health
service provision. The ability to identify and use evidence to
guide management practice has been accepted as a core competency
for healthcare managers. However, studies in the UK, Canada and the
USA have shown that managers make little use of evidence-based
approaches to decision making. This recently completed study
collected quantitative and qualitative data from members of the
Australian College of Health Service Executives (ACHSE) in
Victoria, Australia. It clarifies what constitutes evidence in the
view of healthcare managers and confirms whether evidence was
commonly and effectively sourced, appraised and used. A number of
key factors that influence the practice of evidence- based decision
making in health management have been identified. The project
concludes that the responsibility of improving the practice of
evidence- based decision making among healthcare managers is shared
by managers, their healthcare organisations, professional bodies,
educators and researchers. Recommendations to improve the practice
are also made.
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