From: Are public health researchers designing for dissemination? Findings from a national survey in China
Barriers | Total (n = 428) | Work place a | Research setting | Experience of working in a practice/policy setting | |||||||
---|---|---|---|---|---|---|---|---|---|---|---|
University/research institution (n = 147) | CDC at national or regional level (n = 136) | Hospital (n = 124) | Other (n =21 ) | Community | Clinical | Yes (n = 270) | No (n = 158) | ||||
Yes (n = 257) | No (n = 171) | Yes (n = 174) | No (n = 254) | ||||||||
Organizational level | |||||||||||
Lack of financial resources for dissemination | 182 (42.5) | 68 (46.3) | 57 (41.9) | 52 (41.9) | 5 (23.8) | 115 (44.7) | 67 (39.2) | 73 (42.0) | 109 (42.9) | 116 (43.0) | 66 (41.8) |
Lack of platforms for dissemination | 176 (41.1) | 55 (37.4) | 62 (45.6) | 49 (39.5) | 10 (47.6) | 110 (42.8) | 66 (38.6) | 71 (40.8) | 105 (41.3) | 104 (38.5) | 72 (45.6) |
Lack of collaboration mechanisms | 139 (32.5) | 43 (29.3) | 50 (36.8) | 38 (30.6) | 8 (38.1) | 93 (36.2) | 46 (26.9)* | 50 (28.7) | 89 (35.0) | 93 (34.4) | 46 (29.1) |
Lack of incentives | 94 (22.0) | 41 (27.9) | 27 (19.9) | 21 (16.9) | 5 (23.8) | 67 (26.1) | 27 (15.8)* | 35 (20.1) | 59 (23.2) | 58 (21.5) | 36 (22.8) |
Lack of relationships with stakeholders | 77 (18.0) | 27 (18.4) | 26 (19.1) | 17 (13.7) | 7 (33.3) | 52 (20.2) | 25 (14.6) | 18 (10.3) | 59 (23.2)* | 48 (17.8) | 29 (18.4) |
Dissemination activities not in study timelines | 67 (15.7) | 19 (12.9) | 26 (19.1) | 18 (14.5) | 4 (19.0) | 46 (17.9) | 21 (12.3) | 26 (14.9) | 41 (16.1) | 47 (17.4) | 20 (12.7) |
Individual level | |||||||||||
Lack of time | 206 (48.1) | 74 (50.3) | 58 (42.6) | 68 (54.8) | 6 (28.6) | 122 (47.5) | 84 (49.1) | 95 (54.6) | 111 (43.7)* | 129 (47.8) | 77 (48.7) |
Uncertainty on how to disseminate beyond professional conferences/publications | 167 (39.0) | 70 (47.6) | 39 (28.7) | 54 (43.5)* | 4 (19.0) | 91 (35.4) | 76 (44.4) | 78 (44.8) | 89 (35.0)* | 93 (34.4) | 74 (46.8)* |
Lack of knowledge and skills to disseminate | 115 (26.9) | 34 (23.1) | 41 (30.1) | 36 (29.0) | 4 (19.0) | 69 (26.8) | 46 (26.9) | 51 (29.3) | 64 (25.2) | 79 (29.3) | 36 (22.8) |
Uncertainty about audience make-up | 96 (22.4) | 34 (23.1) | 19 (14.0) | 41 (33.1)* | 2 (9.5) | 44 (17.1) | 52 (30.4)* | 53 (30.5) | 43 (16.9)* | 49 (18.1) | 47 (29.7)* |
Uncertainty about the impact of dissemination | 90 (21.0) | 21 (14.3) | 31 (22.8) | 34 (27.4)* | 4 (19.0) | 52 (20.2) | 38 (22.2) | 42 (24.1) | 48 (18.9) | 55 (20.4) | 35 (22.2) |
Uncertainty about what to disseminate | 66 (15.4) | 20 (13.6) | 17 (12.5) | 28 (22.6) | 1 (4.8) | 37 (14.4) | 29 (17.0) | 34 (19.5) | 32 (12.6) | 35 (13.0) | 31 (19.6) |
Hesitation/resistance to disseminate findings from a single study | 39 (9.1) | 8 (5.4) | 20 (14.7) | 9 (7.3)* | 2 (9.5) | 27 (10.5) | 12 (7.0) | 13 (7.5) | 26 (10.2) | 25 (9.3) | 14 (8.9) |