9. Methods to identify determinants of change in healthcare

  1. Richard Grol,
  2. Michel Wensing,
  3. Martin Eccles and
  4. David Davis
  1. Michel Wensing1,
  2. Marije Bosch2 and
  3. Richard Grol1

Published Online: 28 JUN 2013

DOI: 10.1002/9781118525975.ch9

Improving Patient Care: The Implementation of Change in Health Care, Second Edition

Improving Patient Care: The Implementation of Change in Health Care, Second Edition

How to Cite

Wensing, M., Bosch, M. and Grol, R. (2013) Methods to identify determinants of change in healthcare, in Improving Patient Care: The Implementation of Change in Health Care, Second Edition (eds R. Grol, M. Wensing, M. Eccles and D. Davis), John Wiley & Sons, Ltd, Oxford, UK. doi: 10.1002/9781118525975.ch9

Author Information

  1. 1

    Department IQ healthcare, UMC St Radboud, Nijmegen, the Netherlands

  2. 2

    National Trauma Research Institute/Central Clinical School, Monash University, Melbourne, Victoria, Australia

Publication History

  1. Published Online: 28 JUN 2013
  2. Published Print: 20 MAY 2013

ISBN Information

Print ISBN: 9780470673386

Online ISBN: 9781118525975

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Keywords:

  • data collection;
  • determinants of change;
  • diagnostic analysis;
  • patient care

Summary

Determinants of change in healthcare are factors that oppose or enhance improvement in patient care. This chapter presents a range of methods for conducting diagnostic analysis aiming to provide insight into determinants of change. Many methods are mainly used in scientific research, but can also be used in improvement projects. The chapter first describes a variety of methods to collect data and next methods for data analysis and goal setting. It provides an overview of findings of different studies. In exploring this, investigators are normally interested in what might determine change in performance. Most people contributing as subjects to such a data collection process usually have little or no experience of change and report what determines their current performance. In this situation it is then up to the analyst to consider current performance and what might cause it to change. This chapter consistently talks about determinants of change in performance.