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Table 4 Perceived barriers to effective public reporting of hospital performance, Australia 2015

From: Perceived barriers to effective implementation of public reporting of hospital performance data in Australia: a qualitative study

Informant organisation type: Consumer Provider Purchaser Total
  n = 6 n = 12 n = 16 N = 34
Conceptual
Unclear objective/purpose or target audience 2 6 4 12
Flawed PR framework 1 4 4 9
Systems-level
Lack of true consumer choice in health care options 5 9 6 20
Lack of clinician buy-in, involvement & report back   9 4 13
Jurisdictional differences limiting PR   4 7 11
Lack of PR mandate/private hospital reporting 1 6 2 9
Consumers don’t know about it 4 1 2 7
Lack of consumer accessibility to data 3   2 5
Lack of consumer involvement in PR framework design 1   3 4
Lack of incentive to report (nothing happens to the data)   3   3
Technical & resource
Complexities of data & data collection 2 8 13 23
Lack of consumer relevance 4 7 7 18
Data inconsistency/questionable rigour 1 7 8 16
Lack of appropriate data translation 3 3 5 11
Inadequate resources/capacity 1 2 6 9
Lack of public reporting of clinician level data 2 3 2 7
Socio-cultural
Providers’ institutional cultures resistant to PR 2 6 4 12
Poor consumer health literacy 4 2 4 10
Lack of consumer empowerment or consumerist culture 1 1 4 6
Data reporters not understanding metrics or consumer needs 1 1 2 4
  1. PR Public reporting (of hospital performance data)
  2. Empty cell = Issue was not mentioned by that informant type
  3. Note: The data are drawn from semi-structured interviews. Missing responses do not necessarily mean that other informants did not share an opinion; rather, they might not have discussed the particular topic. Results are indicative of opinion, but not generalizable