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Challenges and Supports for Knowledge Translation in the EMR

December 2, 2025
in Medicine
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In a groundbreaking scoping review, researchers Belrhiti, El Kirat, and Diallo have unveiled critical insights into the challenges and opportunities associated with the institutionalization and sustainability of knowledge translation platforms within the Eastern Mediterranean region. These platforms, often viewed as bridges between research evidence and practice, have increasingly become vital to enhancing healthcare delivery and policy formulation. The comprehensive analysis highlights not only the barriers that hinder their effectiveness but also the facilitators that can promote their longevity and success.

Understanding the contextual factors unique to the Eastern Mediterranean is key to grasping the complexities of knowledge translation. The region, with its diverse health systems, varied socio-cultural dynamics, and economic disparities, poses distinct challenges that can complicate the implementation of effective knowledge translation strategies. Factors such as political instability and insufficient infrastructural support have historically impeded progress, creating an environment where knowledge translation initiatives struggle to flourish.

The review surfaced a myriad of barriers that researchers and policymakers must confront. Among these, a significant hurdle is the lack of awareness regarding the value of knowledge translation among healthcare practitioners and stakeholders. Many individuals operating within the health system are unfamiliar with how scientific research can inform their decisions and practices, leading to a disconnect between research outputs and real-world application. Education and outreach are essential to bridging this gap, fostering an environment where knowledge translation is seen as integral to healthcare improvement.

Moreover, the review emphasizes the perennial issue of funding. Financial support remains one of the most significant constraints preventing knowledge translation platforms from achieving sustainability. In many Eastern Mediterranean countries, resources are often allocated to immediate healthcare needs rather than long-term initiatives aimed at knowledge dissemination and application. Establishing secure funding streams from government, non-governmental organizations, or public-private partnerships is crucial for the survival of these platforms.

Technology also plays a double-edged role in the context of knowledge translation platforms. On one hand, digital tools and platforms can facilitate greater access to information, enabling quicker dissemination and application of research findings. However, the review noted that technological infrastructure is often lacking in the region, and disparities in access to technology can exacerbate existing inequalities in healthcare. Addressing these digital divides will be critical in leveraging technology for effective knowledge translation.

Training and capacity-building emerged as essential facilitators identified in the review. By fostering skills among healthcare professionals in understanding and utilizing research evidence, initiatives can significantly enhance their impact. Workshops, seminars, and ongoing professional development are indispensable in creating a culture of evidence-based practice. Investing in human capital will empower local practitioners and researchers, equipping them with the knowledge and tools necessary to engage with and promote knowledge translation.

Collaboration among stakeholders is another facilitator explored in the review. Successful knowledge translation platforms often operate within a network of partnerships that include academia, healthcare institutions, policymakers, and community organizations. These collaborations not only enhance the relevance of research but also encourage the sharing of resources and expertise, ultimately leading to more impactful outcomes. Building strong relationships is key; fostering dialogue among different sectors ensures the alignment of goals and interests.

The cultural context also deserves significant attention, as it influences how knowledge is perceived and utilized across different populations. The review revealed that culturally sensitive approaches to knowledge translation can yield better acceptance and implementation of research findings. Understanding local customs, language, and communication styles is paramount when attempting to integrate evidence into practice. Tailoring knowledge translation efforts to suit cultural nuances ensures that research is not only accessible but relevant to the communities it aims to serve.

Furthermore, the review points out the role of policy in shaping the landscape of knowledge translation. Effective policy frameworks can create an enabling environment for these platforms, providing the necessary support and resources for their establishment and sustained operation. Policymakers must be educated on the benefits of knowledge translation to ensure that supportive measures are prioritized within health agendas. Advocacy efforts are crucial in influencing policy change and mobilizing resources for knowledge translation initiatives.

Despite these challenges, the review underscores the potential for progress in institutionalizing knowledge translation platforms. Recognizing the facilitators that exist within the region can inform strategies to overcome barriers and enhance the sustainability of these initiatives. For instance, successful case studies from other contexts provide valuable lessons that can be adapted and replicated in the Eastern Mediterranean. Learning from past experiences can spur innovative approaches to knowledge translation.

The repository of evidence gathered in this review presents a call to action for stakeholders in the Eastern Mediterranean. By addressing the identified barriers and amplifying facilitators, there is immense potential for improving health outcomes through the effective use of research. Policymakers, practitioners, and researchers must unite to foster an ecosystem where knowledge translation can thrive, benefiting not just individuals but communities at large.

In conclusion, the scoping review conducted by Belrhiti and colleagues serves as a pivotal resource in the ongoing dialogue surrounding health system improvements in the Eastern Mediterranean. By shining a light on both obstacles and opportunities, this research provides actionable insights that can inform future efforts to promote knowledge translation, ultimately leading to better healthcare delivery and outcomes in the region.

As stakeholders move forward, the insights gleaned from this review could play a crucial role in shaping initiatives that prioritize knowledge translation and embed evidence into everyday healthcare practice. The findings not only underscore the importance of knowledge translation platforms but also invite a collaborative and strategic approach to maximize their impact across the Eastern Mediterranean.


Subject of Research: Barriers and facilitators to the institutionalization and sustainability of knowledge translation platforms in the Eastern Mediterranean.

Article Title: Barriers and facilitators to the institutionalization and sustainability of knowledge translation platforms in the eastern Mediterranean: a scoping review

Article References: Belrhiti, Z., El Kirat, H., Diallo, D. et al. Barriers and facilitators to the institutionalization and sustainability of knowledge translation platforms in the eastern Mediterranean: a scoping review.
Health Res Policy Sys 23, 114 (2025). https://doi.org/10.1186/s12961-025-01363-3

Image Credits: AI Generated

DOI: https://doi.org/10.1186/s12961-025-01363-3

Keywords: Knowledge translation, Eastern Mediterranean, healthcare delivery, policy formulation, barriers, facilitators, sustainability, collaboration, capacity-building, funding.

Tags: awareness in healthcare practicesbarriers to healthcare implementationEastern Mediterranean healthcare deliveryevidence-based policy formulationfacilitators of knowledge translation successhealthcare stakeholder engagementinfrastructural support for researchinstitutionalization of knowledge translationknowledge translation challengespolitical instability in healthcaresocio-cultural dynamics in health systemssustainability of research platforms
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