z-logo
open-access-imgOpen Access
Citizen perspectives on the use of publicly reported primary care performance information: Results from citizen‐patient dialogues in three Canadian provinces
Author(s) -
Johnston Sharon,
Abelson Julia,
Wong Sabrina T.,
Langton Julia,
Hogel Mathew,
Burge Fred,
Hogg William
Publication year - 2019
Publication title -
health expectations
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.314
H-Index - 74
eISSN - 1369-7625
pISSN - 1369-6513
DOI - 10.1111/hex.12902
Subject(s) - context (archaeology) , thematic analysis , public relations , public health , primary care , health care , nursing , psychology , medicine , qualitative research , family medicine , political science , sociology , geography , social science , archaeology , law
Objective Performance measurement and reporting is proliferating in all sectors of the healthcare system, including primary care, despite a dearth of evidence on how the public uses reports on primary care performance. We explored how the public might use this information, to guide the development of effective reporting systems for primary care. Methods We conducted six full‐day deliberative dialogue sessions with a purposive sample of 56 citizen‐patients across three Canadian provinces (British Columbia, Ontario and Nova Scotia). Participants identified how they would use publicly reported performance data. We conducted a thematic analysis of the data by region. Results Common uses for primary care performance information emerged across all sessions. Participants most often discussed the utility of this information for community advocacy and participation in health system decision making. Similar barriers for using performance information to choose a primary care provider were identified in each region including the perceived lack of choice of providers and the high value placed on relationships with current providers. Finally, the value of public performance reporting in enhancing trust that people would receive good care was also a common theme. Conclusions Citizen‐patient perspectives highlight that public reporting on primary care performance could promote the health system's responsiveness by enabling public engagement in decision making at the community level. The role of public reporting in promoting trust rather than empowering patient choice may reflect unique elements of the Canadian health system's context.

The content you want is available to Zendy users.

Already have an account? Click here to sign in.
Having issues? You can contact us here