ReviewThe Milbank quarterly2007
Planning and studying improvement in patient care: the use of theoretical perspectives.
Review in The Milbank quarterly, 2007. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 2 registered trials, which are not on this map. Cited by 374 papers, 16 of them syntheses that pooled it.
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.
The Compassion Intervention: A Pilot Study of Enhanced Integrated Care for People With Severe Memory Problems
Population Health Management Approaches to Increase Lung Cancer Screening in Community Health Centers - UG3 Pilot Clinical Trial
Who cites it
374 citing papers in PubMed, 16 syntheses or guidelines pooled it, 971 citations in OpenAlex.
- Barriers and facilitators to the use of virtual wards: a systematic review of the qualitative evidence.International journal for quality in health care : journal of the International Society for Quality in Health Care · 2025Pooled it
- Clinical pathways for secondary care and the effects on professional practice, patient outcomes, length of stay and hospital costs.The Cochrane database of systematic reviews · 2025Pooled it
- Barriers and Facilitators for Bringing Model-Informed Precision Dosing to the Patient's Bedside: A Systematic Review.Clinical pharmacology and therapeutics · 2025Pooled it
- Applicability of the interventions recommended for patients at risk or with delirium in medical and post-acute settings: a systematic review and a Nominal Group Technique study.Aging clinical and experimental research · 2022Pooled it
- Barriers and facilitators to implementation of direct fruit and vegetables provision interventions in kindergartens and schools: a qualitative systematic review applying the consolidated framework for implementation research (CFIR).The international journal of behavioral nutrition and physical activity · 2022Pooled it
- Timely short-term specialized palliative care service intervention for older people with frailty and their family carers in primary care: Development and modelling of the frailty+ intervention using theory of change.Palliative medicine · 2021Pooled it
- Continuing education meetings and workshops: effects on professional practice and healthcare outcomes.The Cochrane database of systematic reviews · 2021Pooled it
- How well do critical care audit and feedback interventions adhere to best practice? Development and application of the REFLECT-52 evaluation tool.Implementation science : IS · 2021Pooled it
- A systematic review of evidence-based practice implementation in drug and alcohol settings: applying the consolidated framework for implementation research framework.Implementation science : IS · 2021Pooled it
- Tools to help healthcare professionals recognize palliative care needs in patients with advanced heart failure: A systematic review.Palliative medicine · 2021Pooled it
- Printed educational materials: effects on professional practice and healthcare outcomes.The Cochrane database of systematic reviews · 2020Pooled it
- Theory-based strategies for teaching evidence-based practice to undergraduate health students: a systematic review.BMC medical education · 2019Pooled it
- How to achieve the desired outcomes of advance care planning in nursing homes: a theory of change.BMC geriatrics · 2018Pooled it
- Implementation strategies for health systems in low-income countries: an overview of systematic reviews.The Cochrane database of systematic reviews · 2017Pooled it
- Systematic review of the effective components of psychosocial interventions delivered by care home staff to people with dementia.BMJ open · 2017Pooled it
- Multilevel Mechanisms of Implementation Strategies in Mental Health: Integrating Theory, Research, and Practice.Administration and policy in mental health · 2016Pooled it
- Capabilities, opportunities and motivations in implementing guideline-oriented biopsychosocial low back pain management: perceptions of occupational healthcare professionals after an educational intervention.BMC health services research · 2025Trial
- Major influencing factors on routine implementation of shared decision-making in cancer care: qualitative process evaluation of a stepped-wedge cluster randomized trial.BMC health services research · 2023Trial
- Qualitative evaluation of the implementation of "Tuning in to Kids" in Norwegian Kindergartens.BMC psychology · 2023Trial
- Evaluation of a program for routine implementation of shared decision-making in cancer care: results of a stepped wedge cluster randomized trial.Implementation science : IS · 2021Trial
314 more citing papers are in PubMed but not listed here.
Corrections and comments
- Commented on by
Authors and funding
5 authors at 3 institutions in 2 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
A consistent finding in articles on quality improvement in health care is that change is difficult to achieve. According to the research literature, the majority of interventions are targeted at health care professionals. But success in achieving change may be influenced by factors other than those relating to individual professionals, and theories may help explain whether change is possible. This article argues for a more systematic use of theories in planning and evaluating quality-improvement interventions in clinical practice. It demonstrates how different theories can be used to generate testable hypotheses regarding factors that influence the implementation of change, and it shows how different theoretical assumptions lead to different quality-improvement strategies.
Indexed as
Identifiers
What OpenQuestion 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 OpenQuestion graph.