ArticleBMJ open2023
Exploring the development of a framework of social accountability standards for healthcare service delivery: a qualitative multipart, multimethods process.
Article in BMJ open, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 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
6 citing papers in PubMed.
- Cultural continuity: The product of socially accountable, culturally safe, and inclusive care.Canadian family physician Medecin de famille canadien · 2026Article
- Elements of social accountability in undergraduate health sciences curricula: A scoping review.The South African journal of physiotherapy · 2026Review
- Article
- How early-career family physicians integrate social accountability into practice: Findings from a multijurisdictional qualitative study.Canadian family physician Medecin de famille canadien · 2025Article
- Artificial intelligence and social accountability in the Canadian health care landscape: A rapid literature review.PLOS digital health · 2024Review
- Environmental accountability: why it matters in social accountability strategies: Rapid evidence narrative from the SAFE for Health Institutions project team.Canadian family physician Medecin de famille canadien · 2024Article
Corrections and comments
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Authors and funding
3 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectivesSocial accountability is an equity-oriented health policy strategy that requires institutions to focus on local population needs. This strategy is well established in health professional education, but there is limited understanding of its application in healthcare service delivery. Building on what is known in the education setting, this study aimed to explore the development of a framework of comprehensive, evidence-based social accountability standards for healthcare service delivery institutions.
designThis qualitative, multipart, multimethods study consisted of a modified Delphi process guided by an evidence-based social accountability tool for health professional education and complementary methods including developmental evaluation and a review of select literature to capture emerging evidence and contextual relevance.
settingThe study took place in Northern Ontario, Canada at a medical school and a tertiary, regional academic health sciences centre that are both grounded in social accountability.
participantsEight expert participants from diverse, multidisciplinary backgrounds, including a patient advocate, were purposefully recruited from both institutions, enrolled and seven completed the study. MAIN OUTCOME: The resulting framework of social accountability standards is organised into 4 major sections that capture broad and critical concepts; 17 key component reflective questions that address key themes; 39 aspirations that describe objective standards and 197 indicators linked to specific expectations.
resultsThree modified Delphi rounds were completed producing a framework of consensus derived standards. Developmental evaluation helped identify facilitators, barriers and provided real-time feedback to the study's processes and content. The literature reviewed identified 10 new concepts and 43 amendments.
conclusionThis study highlights the development of a comprehensive, evidence-based framework of social accountability standards for healthcare service delivery institutions. Future studies will aim to evaluate the application of these standards to guide equity-oriented social accountability health policy strategies in healthcare service delivery.
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Registered trials
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