Clinicians' views of formats of performance comparisons

Authors

  • Dominique Allwood MBBS BSc MSc MFPH,

    1. Honorary Research Fellow
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  • Zoe Hildon MA PhD,

    1. Lecturer in Social Research
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  • Nick Black MD FFPH

    Corresponding author
    1. Professor of Health Services Research, Department of Health Services Research & Policy, London School of Hygiene & Tropical Medicine, London, UK
      Prof Nick Black, Professor of Health Services Research, Department of Health Services Research & Policy, London School of Hygiene & Tropical Medicine, 15-17 Tavistock Place, London WC1H 9SH. E-mail: Nick.Black@lshtm.ac.uk
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Prof Nick Black, Professor of Health Services Research, Department of Health Services Research & Policy, London School of Hygiene & Tropical Medicine, 15-17 Tavistock Place, London WC1H 9SH. E-mail: Nick.Black@lshtm.ac.uk

Abstract

Rationale, aims and objectives  Comparisons of the performance of health care providers are increasingly being used. Despite one key audience being clinicians, there has been little research on the format and content of such comparisons. Our aim was to explore clinicians' comprehension and preferences of format and content in displaying provider outcomes using comparisons of patient reported outcome measures data.

Method  A qualitative study, based on seven meetings involving 107 clinicians (mostly consultant and junior doctors, and nurses), revealed their views on nine formats and five aspects of content.

Results  Key findings were the desire for data in more than one format, explicit display of comparative performance (rank order) and the need for explanations (e.g. of unfamiliar formats and of statistical uncertainty).

Conclusions  Several themes were identified that shaped clinicians' views. Results were sufficiently clear to permit recommendations for the form and content of standard reports for the National Health Service.

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