ArticleBMC health services research2026
Why evidence struggles to shape musculoskeletal health care and surgical practice in Australia: insights from an Australian clinician survey.
Article in BMC health services research, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
0 citing papers in PubMed.
No citing paper in PubMed yet.
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
7 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundEvidence based medicine is a critical cornerstone in contemporary medicine, yet uptake and adoption of evidence remain suboptimal. This is prominent in many fields of healthcare, including musculoskeletal health and surgery. Understanding the drivers of this translational lag is critical to ensure high-quality care and improved patient outcomes.
methodsA survey questionnaire, informed by the Theoretical Domains Framework was distributed to musculoskeletal clinicians and healthcare professionals, including surgeons, physiotherapists and nurses, around Australia. We assessed the barriers and enablers to translating evidence into practice, preferred sources of evidence for clinical decision-making, and the main drivers of change and improving implementation. Quantitative data were analysed using descriptive statistics and qualitative data were assessed using inductive thematic analysis.
results771 clinicians were invited to participate, of whom 82 completed the survey. Participants were from Australia and covered a range of disciplines, including surgeons, nurses and physiotherapists. In general, participants were supportive of evidence-based medicine and more than 90% agreed that engagement with literature was essential for determining the best treatment options. All respondents also considered delivery of evidence-based care to be a professional responsibility. Nonetheless, multiple barriers to translating evidence into practice were identified: poor support from leadership and professional culture (n=33, >40%), policy reform (n=18, >20%), improving access to research and the prioritisation of clinically relevant and practical evidence (n=25, >30%).
conclusionThis survey study highlights the barriers surrounding the translation of research evidence into musculoskeletal care. Improving implementation will require multifaceted strategies including building stronger clinical and executive leadership, fostering supportive professional cultures and updating policy frameworks. Future research should evaluate these approaches to determine the most effective method for embedding evidence-based medicine into routine musculoskeletal care.
Indexed as
Identifiers
What Socratic holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.