“…A. Barriers : Some of the challenges reported in many of the studies reviewed in the present work are infrastructure (technological) constraints, lack of motivation of employees to share knowledge ( 12 , 15 , 33 ), system unreliability, lack of senior management support, organizational politics patients' privacy issues ( 12 , 33 ), reluctance of clinicians to use ICT tools on daily basis-mainly due to lack of time ( 5 )-, lack of attention to results and use of evidence, lack of incentives for documentation and dissemination, limited document and use of good practices, inadequate awareness about KM systems ( 16 ), expensive initial investment, poor quality of patient data or information ( 18 , 30 , 34 ), inequity in status among practitioners (i.e., inhibitor of knowledge sharing), organizational culture, missing a centralized knowledge-base system and lack of trust ( 19 , 36 ). With respect to EBMP, the existing challenges include lack of fund to implement evidence-based medicine, limited access to modern technologies and up-to-date medical research, the complexity of shared decision making ( 14 , 27 ), perception of low expectation to bring change in target audience, lack of communication between researchers and policy makers, lack of applied research ( 29 , 33 ), difficulty of locating specific information, poor interface usability and problems with access to the health IT applications ( 28 , 34 ).…”