|
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
|
