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Table 4 Potential barriers to implementing program features (table adapted from Wilson et al. 2014) [12]

From: Developing a rapid-response program for health system decision-makers in Canada: findings from an issue brief and stakeholder dialogue

Levels

Potential barriers

Individual

No barriers identified at the citizen or patient level for any of the program features

Service provider

Program feature 1 - organizing a rapid-response program

Existing providers of rapid-response programs may overlap to some extent with the scope of a new program focused on producing rapid syntheses for health system decision-makers about problems, options and/or implementation considerations related to a specific health system challenge

Program feature 2 - deciding what can be done in what timelines

None identified

Program feature 3 - defining success and measuring it

None identified

Organization

Program feature 1 - organizing a rapid-response program

Organizations may still lack the skills, structures, processes and a culture to promote and use research findings in decision-making

Program feature 2 - deciding what can be done in what timelines

None identified

Program feature 3 - defining success and measuring it

None identified

System

Program feature 1 - organizing a rapid-response program

Decision-makers may be reluctant to rely on a rapid-response program established in another jurisdiction

Decision-makers may be reluctant to make requests to an external rapid-response program for politically sensitive issues or to publicly disclose that they made a request

Decision-makers may face difficulties in developing a shared vision for a rapid-response program given their constraints and competing priorities

Program feature 2 - deciding what can be done in what timelines

Decision-makers may not be inclined to make requests to an external rapid-response program for very short timeframes (e.g. 3 days) given that this may already be done internally on a routine basis

Program feature 3 - defining success and measuring it

Decision-makers may be reluctant to fully disclose the impact of the rapid-response program, especially on politically sensitive issues