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Abstract
[...]the factors behind system underperformance were (1) an unstructured system and the lack of a research culture as well as of a governing body or policies; (2) health research was seen as individualistic, non-development driven and unutilised in policy decisions; and (3) considerably deficient coordination and essential resources. [...]varied perspectives on topics, such as satisfaction with system performance or political support to HR, allow the system to be understood from multiple angles, where actors suggest innovative ideas and strategies for application and strengthening interventions [24, 25]. [...]to be fair there are many types of research that are effective but generally we face the problem of lacking a quality control and the translation process which is not applied efficiently. [...]there is no country in the Middle East reporting systematic efforts to feed research results into decision-making in the health sector [35].
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