Evidence map›Paper›PMID 35177457›Full record

ArticleBMJ open2022

Barriers and facilitators of use of analytics for strategic health and care decision-making: a qualitative study of senior health and care leaders' perspectives.

Elizabeth Ingram, Silvie Cooper, Sarah Beardon, Katherine Körner, Helen I McDonald, Sue Hogarth, Manuel Gomes, Jessica Sheringham

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Article in BMJ open, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing 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

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3 · Its place in the literature

Who cites it

6 citing papers in PubMed.

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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.

Elizabeth IngramDepartment of Applied Health Research, University College London, London, UK e.ingram.17@ucl.ac.uk.ORCID 0000-0002-0354-4551
Silvie CooperDepartment of Applied Health Research, University College London, London, UK.
Sarah BeardonDepartment of Applied Health Research, University College London, London, UK.
Katherine KörnerRoyal Free London NHS Foundation Trust, London, UK.
Helen I McDonaldDepartment of Infectious Disease Epidemiology, London School of Hygiene and Tropical Medicine, London, UK.ORCID 0000-0003-0576-2015
Sue HogarthLondon Boroughs of Camden and Islington, London, UK.
Manuel GomesDepartment of Applied Health Research, University College London, London, UK.ORCID 0000-0002-1428-1232
Jessica SheringhamDepartment of Applied Health Research, University College London, London, UK.ORCID 0000-0003-3468-129X

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveThis study investigated the barriers and facilitators that senior leaders' experience when using knowledge generated from the analysis of administrative health or care records ('analytics') to inform strategic health and care decision-making.

settingOne London-based sustainability and transformation partnership (STP) in England, as it was on the cusp of forming an integrated care system (ICS).

participants20 senior leaders, including health and social care commissioners, public health leads and health providers. Participants were eligible for inclusion if they were a senior leader of a constituent organisation of the STP and involved in using analytics to make decisions for their own organisations or health and care systems.

designSemi-structured interviews conducted between January 2020 and March 2020 and analysed using the framework method to generate common themes.

resultsOrganisational fragmentation hindered use of analytics by creating siloed data systems, barriers to data sharing and different organisational priorities. Where trusted and collaborative relationships existed between leaders and analysts, organisational barriers were circumvented and access to and support for analytics facilitated. Trusted and collaborative relationships between individual leaders of different organisations also aided cross-organisational priority setting, which was a key facilitator of strategic health and care decision-making and use of analytics. Data linked across health and care settings were viewed as an enabler of use of analytics for decision-making, while concerns around data quality often stopped analytics use as a part of decision-making, with participants relying more so on expert opinion or intuition.

conclusionsThe UK Governments' 2021 White Paper set out aspirations for data to transform care. While necessary, policy changes to facilitate data sharing across organisations will be insufficient to realise this aim. Better integration of organisations with aligned priorities could support and sustain cross-organisational relationships between leaders and analysts, and leaders of different organisations, to facilitate use of analytics in decision-making.

Indexed as

Health ServicesOrganizationsEnglandHumansLondonQualitative Researchhealth informaticshealth services administration & managementorganisational developmentorganisation of health servicesqualitative research

Identifiers

PMID35177457
PMCPMC8860022

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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.