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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