ArticleBMJ open2017
What role does performance information play in securing improvement in healthcare? a conceptual framework for levers of change.
Article in BMJ open, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers.
What it found
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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.
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Who cites it
19 citing papers in PubMed.
- Contextual determinants of implementation of stakeholder-selected quality indicators in Indian intensive care units: a mixed-methods evaluation within a national registry network.Frontiers in health services · 2026Article
- Four System Enablers of Large-System Transformation in Health Care: A Mixed Methods Realist Evaluation.The Milbank quarterly · 2024Review
- Nurturing an organizational context that supports team-based primary mental health care: A grounded theory study.PloS one · 2024Article
- Audit and feedback to reduce unwarranted clinical variation at scale: a realist study of implementation strategy mechanisms.Implementation science : IS · 2023Article
- Article
- From data to practice change - exploring new territory for atlases of clinical variation.Research in health services & regions · 2022Article
- Article
- Developing key performance indicators for the Canadian chiropractic profession: a modified Delphi study.Chiropractic & manual therapies · 2022Article
- Developing a tool to monitor knowledge translation in the health system: results from an international Delphi study.European journal of public health · 2021Article
- Publication of inspection frameworks: a qualitative study exploring the impact on quality improvement and regulation in three healthcare settings.BMJ quality & safety · 2021Article
- Harnessing electronic clinical data to report adult and prenatal immunization quality measures.Journal of the American Medical Informatics Association : JAMIA · 2021Article
- How can we monitor the impact of national health information systems? Results from a scoping review.European journal of public health · 2020Article
- Observational
- Combining patient, clinical and system perspectives in assessing performance in healthcare: an integrated measurement framework.BMC health services research · 2020Review
- How to implement patient experience surveys and use their findings for service improvement: a qualitative expert consultation study in Australian general practice.Integrated healthcare journal · 2020Article
- The unpredictable journeys of spreading, sustaining and scaling healthcare innovations: a scoping review.Health research policy and systems · 2019Article
- Are we prepared? The development of performance indicators for public health emergency preparedness using a modified Delphi approach.PloS one · 2019Article
- Performance-based financing in low-income and middle-income countries: isn't it time for a rethink?BMJ global health · 2018Review
- Changing Invisible Landscapes - Financial Reform of Health and Care Systems: Ten Issues to Consider.International journal of integrated careArticle
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
No grant is acknowledged in the PubMed record.
Abstract
objectiveAcross healthcare systems, there is consensus on the need for independent and impartial assessment of performance. There is less agreement about how measurement and reporting performance improves healthcare. This paper draws on academic theories to develop a conceptual framework-one that classifies in an integrated manner the ways in which change can be leveraged by healthcare performance information.
methodsA synthesis of published frameworks.
resultsThe framework identifies eight levers for change enabled by performance information, spanning internal and external drivers, and emergent and planned processes: (1) cognitive levers provide awareness and understanding; (2) mimetic levers inform about the performance of others to encourage emulation; (3) supportive levers provide facilitation, implementation tools or models of care to actively support change; (4) formative levers develop capabilities and skills through teaching, mentoring and feedback; (5) normative levers set performance against guidelines, standards, certification and accreditation processes; (6) coercive levers use policies, regulations incentives and disincentives to force change; (7) structural levers modify the physical environment or professional cultures and routines; (8) competitive levers attract patients or funders.
conclusionThis framework highlights how performance measurement and reporting can contribute to eight different levers for change. It provides guidance into how to align performance measurement and reporting into quality improvement programme.
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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.