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Table 2 Aspects of A&F affecting feedback acceptance, action and impact

From: Model depicting aspects of audit and feedback that impact physicians’ acceptance of clinical performance feedback

Topic

Number of Providers that Discussed Topic (Theme Groundedness) N (%)

N Times Topic Discussed in a Single Interview † (Min - Max)

External Locus-of-Control

 Financial Incentives (+)

11 (92)

1–3

 Non-Compliant Patients (-)

8 (67)

1–5

 Competition (+)

6 (50)

1–5

 Lack of Consequences (-)

6 (50)

1–3

 No Recognition of “Job Well Done” (-)

4 (33)

1–7

 Management Style / Style of Delivery (+,-)

3 (25)

1–16

Emotion

 Frustration / Irritation (-)

8 (67)

1–9

 Apathy (-)

6 (50)

2–5

 Resentment (-)

4 (33)

1–3

 Contentment / Pride (+,-)

4 (33)

1–5

 Discouragement / Humility (+,-)

3 (25)

1–2

 Embarrassment / Shame (+)

2 (17)

1–2

Procedural Justice of Assessment Process

 Unfairly Penalized (-)

10 (83)

1–14

 Small Sample Charts Reviewed (-)

6 (50)

1–6

 Unaware of Measures Being Tracked (-)

4 (33)

1–6

Feedback Features

 Feedback Content (+,-)

 Aggregated vs. Personalized Data

8 (67)

1–16

 Feedback Temporality (+,-)

 Timely vs. Untimely Delivery

7 (58)

1–13

 Feedback Source (+,-)

 Respected vs. Not Respected Individual

3 (25)

1–6

Environment

 Time Constraints / Patient Volume (-)

10 (83)

2–8

 Inadequate Resources (-)

4 (33)

1–4

 Quality Clinical Team (+)

1 (17)

1–2

 Stress / Cognitive Overload / Burn-out (-)

2 (25)

1–3

Core Values

 Desire to Help Patients (+)

8 (67)

1–4

 Performance Good Enough (-)

4 (33)

1–4

  1. + Positive Impact
  2. - Negative Impact
  3. † Counts include the initial mention of the topic and each subsequent mention (return to) the topic after discussion of a different topic