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Table 4 ROI concept perspectives

From: The development of the concept of return-on-investment from large-scale quality improvement programmes in healthcare: an integrative systematic literature review

Type of QI outcome: ROI-like concepts

Stakeholder perspective

Dominant logic

Philosophical perspective

Organisational outcomes:

Improvement, efficiency, productivity, effectiveness, profit, financial return, ROI, SROI, CBA, CEA, economic impact, cost saving, cost avoidance, cost reduction, market share, reputation, organisational development, performance (organisational), management (cost)

Managerial

Markets/

Economic

Realism

Patients, family, carer, and societal outcomes:

improvements, value, benefits, impacts

(SROI, CBA)

Managerial

Patients

Society

Medical

Societal

Relativism/Interpretivism

Staff outcomes:

improvements, value, benefits, impacts

Managerial

Staff

Medical

Societal

Relativism/Interpretivism