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