ArticleSocial science & medicine (1982)2017
Changing health care provider performance through measurement.
Article in Social science & medicine (1982), 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers, 1 of them a synthesis 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.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
13 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Defining and evaluating the Hawthorne effect in primary care, a systematic review and meta-analysis.Frontiers in medicine · 2022Pooled it
- Contextual factors associated with successful alcohol screening and brief intervention implementation and sustainment in adult primary care.Journal of substance use and addiction treatment · 2025Article
- Article
- Reviewing the evidence on health financing for effective coverage: do financial incentives work?BMJ global health · 2022Review
- "If the Big Fish are Doing It Then Why Not Me Down Here?": Informal Fee Payments and Reproductive Health Care Provider Motivation in Kenya.Studies in family planning · 2020Article
- Towards improved health service quality in Tanzania: contribution of a supportive supervision approach to increased quality of primary healthcare.BMC health services research · 2019Observational
- Influence of patient race on administration of analgesia by student paramedics.BMC emergency medicine · 2019Article
- A Reduction in Time with Electronic Monitoring In Stroke (ARTEMIS): study protocol for a randomised multicentre trial.BMJ open · 2018Article
- Does quality influence utilization of primary health care? Evidence from Haiti.Globalization and health · 2018Article
- Characterizing performance improvement in primary care systems in Mesoamerica: A realist evaluation protocol.Gates open research · 2018Article
- Evidence gap map of performance measurement and management in primary care delivery systems in low- and middle-income countries - Study protocol.Gates open research · 2018Article
- Large-Scale Evaluation of Quality of Care in 6 Countries of Eastern Europe and Central Asia Using Clinical Performance and Value Vignettes.Global health, science and practice · 2017Article
- Improving Blood Product Transfusion Premedication Plan Documentation: A Single-institution Quality Improvement Effort.Pediatric quality & safetyArticle
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
2 authors.
Funding
Abstract
Can the quality of care be improved by repeated measurement? We show that measuring protocol adherence repeatedly over ten weeks leads to significant improvements in quality immediately and up to 18 months later without any additional training, equipment, supplies or material incentives. 96 clinicians took part in a study which included information, encouragement, scrutiny and repeated contact with the research team measuring quality. We examine protocol adherence over the course of the study and for 45 of the original clinicians 18 months after the conclusion of the project. Health workers change their behavior significantly over the course of the study, and even eighteen months later demonstrate a five percentage point improvement in quality. The dynamics of clinicians' reactions to this intervention suggest that quality can be improved by the repeated measurement by external peers in a way that provides reminders of expectations.
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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.