Evidence map›Paper›PMID 30129436›Full record

ArticleHealthcare policy = Politiques de sante2018

Stakeholder Views on Solutions to Improve Health System Performance.

Astrid Brousselle, Damien Contandriopoulos, Jeannie Haggerty, Mylaine Breton, Michèle Rivard, Marie-Dominique Beaulieu, Geneviève Champagne, Mélanie Perroux

Abstract read
In one paragraph

Article in Healthcare policy = Politiques de sante, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from 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.

2 · The registry

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.

3 · Its place in the literature

Who cites it

4 citing papers in PubMed.

  1. Economic Evaluation in Physiotherapy or How to Get the Best Value for Money.Physiotherapy Canada. Physiotherapie Canada · 2025
    Article
  2. Article
  3. Article
  4. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors.

Astrid BrousselleProfessor, School of Public Administration, University of Victoria, Victoria BC; Researcher, Charles LeMoyne Hospital Research Center, Longueuil, QC.
Damien ContandriopoulosProfessor, School of Nursing, University of Victoria, Victoria, BC.
Jeannie HaggertyProfessor, Department of Family Medicine, McGill University; Researcher, St. Mary's Hospital Research Center, Montreal, QC.
Mylaine BretonProfessor, Department of Community Health Sciences, Université de Sherbrooke; Researcher, Charles LeMoyne Hospital Research Center, Longueuil, QC.
Michèle RivardProfessor, University of Montreal School of Public Health; Researcher, University of Montreal Public Health Research Institute (IRSPUM), Montreal, QC.
Marie-Dominique BeaulieuProfessor, Department of Family and Emergency Medicine, University of Montreal; Researcher, University of Montreal Hospital Research Center (CRCHUM), Montreal, QC.
Geneviève ChampagneCoordinator, Charles LeMoyne Hospital Research Center, Longueuil, QC.
Mélanie PerrouxCoordinator, University of Montreal Public Health Research Institute (IRSPUM), Montreal, QC.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Context: Significant reforms are needed to improve healthcare system performance in Quebec. Even though the characteristics of high-performing healthcare systems are well-known, Quebec's reforms have not succeeded in implementing many critical elements. Converging evidence from political science models suggests stakeholders' preferences are central in determining policy content, adoption, and implementation. Objective: To analyze whether doctors', nurses', pharmacists' and health administrators' preferences could explain the observed inability to implement known characteristics of high-performing healthcare systems. Design: A questionnaire on various propositions identified in the scientific literature was sent to 2,491 potential respondents. Results: Overall response rate was 37%. There was considerable consensus on identified solutions to improve the healthcare system. Resistance was observed in two major areas: information systems and changes directly affecting doctors' practice. The groups' positions cannot explain the inability to implement important characteristics of high-performing systems. The findings raise new questions on the actual sources of resistance.

Indexed as

Attitude of Health PersonnelStakeholder ParticipationDelivery of Health CareHumansQuebecSurveys and Questionnaires

Identifiers

PMID30129436
PMCPMC6147368

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
Read underepoch 390

Registered trials

None linked

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.