Ontology type: schema:ScholarlyArticle Open Access: True
2012-04
AUTHORSAdam A. Powell, Katie M. White, Melissa R. Partin, Krysten Halek, Jon B. Christianson, Brian Neil, Sylvia J. Hysong, Edwin J. Zarling, Hanna E. Bloomfield
ABSTRACTBACKGROUND: Although benefits of performance measurement (PM) systems have been well documented, there is little research on negative unintended consequences of performance measurement systems in primary care. To optimize PM systems, a better understanding is needed of the types of negative unintended consequences that occur and of their causal antecedents. OBJECTIVES: (1) Identify unintended negative consequences of PM systems for patients. (2) Develop a conceptual framework of hypothesized relationships between PM systems, facility-level variables (local implementation strategies, primary care staff attitudes and behaviors), and unintended negative effects on patients. DESIGN, PARTICIPANTS, APPROACH: Qualitative study design using dissimilar cases sampling. A series of 59 in-person individual semi-structured interviews at four Veterans Health Administration (VHA) facilities was conducted between February and July 2009. Participants included members of primary care staff and facility leaders. Sites were selected to assure variability in the number of veterans served and facility scores on national VHA performance measures. Interviews were recorded, transcribed and content coded to identify thematic categories and relationships. RESULTS: Participants noted both positive effects and negative unintended consequences of PM. We report three negative unintended consequences for patients. Performance measurement can (1) lead to inappropriate clinical care, (2) decrease provider focus on patient concerns and patient service, and (3) compromise patient education and autonomy. We also illustrate examples of negative consequences on primary care team dynamics. In many instances these problems originate from local implementation strategies developed in response to national PM definitions and policies. CONCLUSIONS: Facility-level strategies undertaken to implement national PM systems may result in inappropriate clinical care, can distract providers from patient concerns, and may have a negative effect on patient education and autonomy. Further research is needed to ascertain how features of centralized PM systems influence whether measures are translated locally by facilities into more or less patient-centered policies and processes. More... »
PAGES405-412
http://scigraph.springernature.com/pub.10.1007/s11606-011-1906-3
DOIhttp://dx.doi.org/10.1007/s11606-011-1906-3
DIMENSIONShttps://app.dimensions.ai/details/publication/pub.1035236926
PUBMEDhttps://www.ncbi.nlm.nih.gov/pubmed/21993998
JSON-LD is the canonical representation for SciGraph data.
TIP: You can open this SciGraph record using an external JSON-LD service: JSON-LD Playground Google SDTT
[
{
"@context": "https://springernature.github.io/scigraph/jsonld/sgcontext.json",
"about": [
{
"id": "http://purl.org/au-research/vocabulary/anzsrc-for/2008/1117",
"inDefinedTermSet": "http://purl.org/au-research/vocabulary/anzsrc-for/2008/",
"name": "Public Health and Health Services",
"type": "DefinedTerm"
},
{
"id": "http://purl.org/au-research/vocabulary/anzsrc-for/2008/11",
"inDefinedTermSet": "http://purl.org/au-research/vocabulary/anzsrc-for/2008/",
"name": "Medical and Health Sciences",
"type": "DefinedTerm"
},
{
"inDefinedTermSet": "https://www.nlm.nih.gov/mesh/",
"name": "Benchmarking",
"type": "DefinedTerm"
},
{
"inDefinedTermSet": "https://www.nlm.nih.gov/mesh/",
"name": "Efficiency, Organizational",
"type": "DefinedTerm"
},
{
"inDefinedTermSet": "https://www.nlm.nih.gov/mesh/",
"name": "Health Care Surveys",
"type": "DefinedTerm"
},
{
"inDefinedTermSet": "https://www.nlm.nih.gov/mesh/",
"name": "Health Status Indicators",
"type": "DefinedTerm"
},
{
"inDefinedTermSet": "https://www.nlm.nih.gov/mesh/",
"name": "Humans",
"type": "DefinedTerm"
},
{
"inDefinedTermSet": "https://www.nlm.nih.gov/mesh/",
"name": "Primary Health Care",
"type": "DefinedTerm"
},
{
"inDefinedTermSet": "https://www.nlm.nih.gov/mesh/",
"name": "Professional-Patient Relations",
"type": "DefinedTerm"
},
{
"inDefinedTermSet": "https://www.nlm.nih.gov/mesh/",
"name": "Psychometrics",
"type": "DefinedTerm"
},
{
"inDefinedTermSet": "https://www.nlm.nih.gov/mesh/",
"name": "Qualitative Research",
"type": "DefinedTerm"
},
{
"inDefinedTermSet": "https://www.nlm.nih.gov/mesh/",
"name": "Quality of Health Care",
"type": "DefinedTerm"
},
{
"inDefinedTermSet": "https://www.nlm.nih.gov/mesh/",
"name": "Uncertainty",
"type": "DefinedTerm"
},
{
"inDefinedTermSet": "https://www.nlm.nih.gov/mesh/",
"name": "United States",
"type": "DefinedTerm"
},
{
"inDefinedTermSet": "https://www.nlm.nih.gov/mesh/",
"name": "United States Department of Veterans Affairs",
"type": "DefinedTerm"
}
],
"author": [
{
"affiliation": {
"alternateName": "University of Minnesota",
"id": "https://www.grid.ac/institutes/grid.17635.36",
"name": [
"Core Research Investigator, Center for Chronic Disease Outcomes Research (CCDOR), Minneapolis VA Health Care System, One Veterans Drive (111-0), 55417, Minneapolis, MN, USA",
"Department of Medicine, University of Minnesota, Minneapolis, MN, USA"
],
"type": "Organization"
},
"familyName": "Powell",
"givenName": "Adam A.",
"id": "sg:person.01206160570.54",
"sameAs": [
"https://app.dimensions.ai/discover/publication?and_facet_researcher=ur.01206160570.54"
],
"type": "Person"
},
{
"affiliation": {
"alternateName": "University of Minnesota",
"id": "https://www.grid.ac/institutes/grid.17635.36",
"name": [
"School of Public Health, University of Minnesota, Minneapolis, MN, USA"
],
"type": "Organization"
},
"familyName": "White",
"givenName": "Katie M.",
"id": "sg:person.01013470046.47",
"sameAs": [
"https://app.dimensions.ai/discover/publication?and_facet_researcher=ur.01013470046.47"
],
"type": "Person"
},
{
"affiliation": {
"alternateName": "University of Minnesota",
"id": "https://www.grid.ac/institutes/grid.17635.36",
"name": [
"Core Research Investigator, Center for Chronic Disease Outcomes Research (CCDOR), Minneapolis VA Health Care System, One Veterans Drive (111-0), 55417, Minneapolis, MN, USA",
"Department of Medicine, University of Minnesota, Minneapolis, MN, USA"
],
"type": "Organization"
},
"familyName": "Partin",
"givenName": "Melissa R.",
"id": "sg:person.01227570511.52",
"sameAs": [
"https://app.dimensions.ai/discover/publication?and_facet_researcher=ur.01227570511.52"
],
"type": "Person"
},
{
"affiliation": {
"alternateName": "Minneapolis VA Health Care System",
"id": "https://www.grid.ac/institutes/grid.410394.b",
"name": [
"Core Research Investigator, Center for Chronic Disease Outcomes Research (CCDOR), Minneapolis VA Health Care System, One Veterans Drive (111-0), 55417, Minneapolis, MN, USA"
],
"type": "Organization"
},
"familyName": "Halek",
"givenName": "Krysten",
"id": "sg:person.0623620645.14",
"sameAs": [
"https://app.dimensions.ai/discover/publication?and_facet_researcher=ur.0623620645.14"
],
"type": "Person"
},
{
"affiliation": {
"alternateName": "University of Minnesota",
"id": "https://www.grid.ac/institutes/grid.17635.36",
"name": [
"School of Public Health, University of Minnesota, Minneapolis, MN, USA"
],
"type": "Organization"
},
"familyName": "Christianson",
"givenName": "Jon B.",
"id": "sg:person.0575760316.79",
"sameAs": [
"https://app.dimensions.ai/discover/publication?and_facet_researcher=ur.0575760316.79"
],
"type": "Person"
},
{
"affiliation": {
"alternateName": "VA Midwest Health Care Network",
"id": "https://www.grid.ac/institutes/grid.484313.9",
"name": [
"VA Midwest Health Care Network, VISN 23, Minneapolis, VA, USA"
],
"type": "Organization"
},
"familyName": "Neil",
"givenName": "Brian",
"id": "sg:person.0576237627.90",
"sameAs": [
"https://app.dimensions.ai/discover/publication?and_facet_researcher=ur.0576237627.90"
],
"type": "Person"
},
{
"affiliation": {
"alternateName": "Baylor College of Medicine",
"id": "https://www.grid.ac/institutes/grid.39382.33",
"name": [
"Houston Center for Quality of Care and Utilization Studies, Michael E. DeBakey VA Medical Center, Houston, TX, USA",
"Baylor College of Medicine, Houston, TX, USA"
],
"type": "Organization"
},
"familyName": "Hysong",
"givenName": "Sylvia J.",
"id": "sg:person.0647445061.85",
"sameAs": [
"https://app.dimensions.ai/discover/publication?and_facet_researcher=ur.0647445061.85"
],
"type": "Person"
},
{
"affiliation": {
"alternateName": "Captain James A. Lovell Federal Health Care Center",
"id": "https://www.grid.ac/institutes/grid.417090.b",
"name": [
"North Chicago Captain James A. Lovell Federal Health Care Center, North Chicago, IL, USA"
],
"type": "Organization"
},
"familyName": "Zarling",
"givenName": "Edwin J.",
"id": "sg:person.0766410224.71",
"sameAs": [
"https://app.dimensions.ai/discover/publication?and_facet_researcher=ur.0766410224.71"
],
"type": "Person"
},
{
"affiliation": {
"alternateName": "University of Minnesota",
"id": "https://www.grid.ac/institutes/grid.17635.36",
"name": [
"Core Research Investigator, Center for Chronic Disease Outcomes Research (CCDOR), Minneapolis VA Health Care System, One Veterans Drive (111-0), 55417, Minneapolis, MN, USA",
"Department of Medicine, University of Minnesota, Minneapolis, MN, USA"
],
"type": "Organization"
},
"familyName": "Bloomfield",
"givenName": "Hanna E.",
"id": "sg:person.01047250223.85",
"sameAs": [
"https://app.dimensions.ai/discover/publication?and_facet_researcher=ur.01047250223.85"
],
"type": "Person"
}
],
"citation": [
{
"id": "https://doi.org/10.1056/nejmsa055505",
"sameAs": [
"https://app.dimensions.ai/details/publication/pub.1002083035"
],
"type": "CreativeWork"
},
{
"id": "https://doi.org/10.1056/nejme068131",
"sameAs": [
"https://app.dimensions.ai/details/publication/pub.1002304039"
],
"type": "CreativeWork"
},
{
"id": "https://doi.org/10.1001/jama.281.22.2142",
"sameAs": [
"https://app.dimensions.ai/details/publication/pub.1003506251"
],
"type": "CreativeWork"
},
{
"id": "https://doi.org/10.1097/00005650-199207000-00006",
"sameAs": [
"https://app.dimensions.ai/details/publication/pub.1005271847"
],
"type": "CreativeWork"
},
{
"id": "https://doi.org/10.1097/00005650-199207000-00006",
"sameAs": [
"https://app.dimensions.ai/details/publication/pub.1005271847"
],
"type": "CreativeWork"
},
{
"id": "https://doi.org/10.1111/1475-6773.00132",
"sameAs": [
"https://app.dimensions.ai/details/publication/pub.1006782463"
],
"type": "CreativeWork"
},
{
"id": "https://doi.org/10.1377/hlthaff.13.1.252",
"sameAs": [
"https://app.dimensions.ai/details/publication/pub.1006862765"
],
"type": "CreativeWork"
},
{
"id": "https://doi.org/10.1056/nejmsb1002320",
"sameAs": [
"https://app.dimensions.ai/details/publication/pub.1008567042"
],
"type": "CreativeWork"
},
{
"id": "https://doi.org/10.1161/01.cir.0000157729.59754.09",
"sameAs": [
"https://app.dimensions.ai/details/publication/pub.1009039979"
],
"type": "CreativeWork"
},
{
"id": "https://doi.org/10.1377/hlthaff.17.4.7",
"sameAs": [
"https://app.dimensions.ai/details/publication/pub.1010693685"
],
"type": "CreativeWork"
},
{
"id": "https://doi.org/10.1159/000090954",
"sameAs": [
"https://app.dimensions.ai/details/publication/pub.1016019111"
],
"type": "CreativeWork"
},
{
"id": "https://doi.org/10.1001/jama.294.6.716",
"sameAs": [
"https://app.dimensions.ai/details/publication/pub.1016368689"
],
"type": "CreativeWork"
},
{
"id": "https://doi.org/10.1001/jama.294.14.1788",
"sameAs": [
"https://app.dimensions.ai/details/publication/pub.1019277780"
],
"type": "CreativeWork"
},
{
"id": "https://doi.org/10.1056/nejmsa021899",
"sameAs": [
"https://app.dimensions.ai/details/publication/pub.1022158558"
],
"type": "CreativeWork"
},
{
"id": "https://doi.org/10.1056/nejmp068221",
"sameAs": [
"https://app.dimensions.ai/details/publication/pub.1025614550"
],
"type": "CreativeWork"
},
{
"id": "https://doi.org/10.1056/nejme068285",
"sameAs": [
"https://app.dimensions.ai/details/publication/pub.1029637644"
],
"type": "CreativeWork"
},
{
"id": "sg:pub.10.2165/11319530-000000000-00000",
"sameAs": [
"https://app.dimensions.ai/details/publication/pub.1030609496",
"https://doi.org/10.2165/11319530-000000000-00000"
],
"type": "CreativeWork"
},
{
"id": "sg:pub.10.2165/11319530-000000000-00000",
"sameAs": [
"https://app.dimensions.ai/details/publication/pub.1030609496",
"https://doi.org/10.2165/11319530-000000000-00000"
],
"type": "CreativeWork"
},
{
"id": "https://doi.org/10.1093/gerona/55.10.m554",
"sameAs": [
"https://app.dimensions.ai/details/publication/pub.1033694354"
],
"type": "CreativeWork"
},
{
"id": "https://doi.org/10.1056/nejm199910073411511",
"sameAs": [
"https://app.dimensions.ai/details/publication/pub.1038816582"
],
"type": "CreativeWork"
},
{
"id": "https://doi.org/10.1136/qhc.9.3.166",
"sameAs": [
"https://app.dimensions.ai/details/publication/pub.1039312730"
],
"type": "CreativeWork"
},
{
"id": "https://doi.org/10.1136/qhc.9.3.166",
"sameAs": [
"https://app.dimensions.ai/details/publication/pub.1039312730"
],
"type": "CreativeWork"
},
{
"id": "https://doi.org/10.1215/03616878-2009-024",
"sameAs": [
"https://app.dimensions.ai/details/publication/pub.1040019342"
],
"type": "CreativeWork"
},
{
"id": "https://doi.org/10.1056/nejmsa0807651",
"sameAs": [
"https://app.dimensions.ai/details/publication/pub.1040357159"
],
"type": "CreativeWork"
},
{
"id": "https://doi.org/10.1097/01.mlr.0000088453.57269.29",
"sameAs": [
"https://app.dimensions.ai/details/publication/pub.1040472744"
],
"type": "CreativeWork"
},
{
"id": "https://doi.org/10.1097/01.mlr.0000088453.57269.29",
"sameAs": [
"https://app.dimensions.ai/details/publication/pub.1040472744"
],
"type": "CreativeWork"
},
{
"id": "https://doi.org/10.1111/j.1475-6773.2006.00684.x",
"sameAs": [
"https://app.dimensions.ai/details/publication/pub.1040807370"
],
"type": "CreativeWork"
},
{
"id": "https://doi.org/10.1093/gerona/61.2.170",
"sameAs": [
"https://app.dimensions.ai/details/publication/pub.1042180506"
],
"type": "CreativeWork"
},
{
"id": "sg:pub.10.1186/1472-6947-6-6",
"sameAs": [
"https://app.dimensions.ai/details/publication/pub.1042936536",
"https://doi.org/10.1186/1472-6947-6-6"
],
"type": "CreativeWork"
},
{
"id": "https://doi.org/10.1056/nejmsa064964",
"sameAs": [
"https://app.dimensions.ai/details/publication/pub.1047305659"
],
"type": "CreativeWork"
},
{
"id": "https://doi.org/10.1177/1077558705283645",
"sameAs": [
"https://app.dimensions.ai/details/publication/pub.1053889501"
],
"type": "CreativeWork"
},
{
"id": "https://doi.org/10.1177/1077558705283645",
"sameAs": [
"https://app.dimensions.ai/details/publication/pub.1053889501"
],
"type": "CreativeWork"
},
{
"id": "https://doi.org/10.7326/0003-4819-141-12-200412210-00010",
"sameAs": [
"https://app.dimensions.ai/details/publication/pub.1073707506"
],
"type": "CreativeWork"
},
{
"id": "https://doi.org/10.7326/0003-4819-147-11-200712040-00011",
"sameAs": [
"https://app.dimensions.ai/details/publication/pub.1073709346"
],
"type": "CreativeWork"
},
{
"id": "https://doi.org/10.7326/0003-4819-149-1-200807010-00007",
"sameAs": [
"https://app.dimensions.ai/details/publication/pub.1073709902"
],
"type": "CreativeWork"
},
{
"id": "https://app.dimensions.ai/details/publication/pub.1074462796",
"type": "CreativeWork"
},
{
"id": "https://app.dimensions.ai/details/publication/pub.1074959527",
"type": "CreativeWork"
}
],
"datePublished": "2012-04",
"datePublishedReg": "2012-04-01",
"description": "BACKGROUND: Although benefits of performance measurement (PM) systems have been well documented, there is little research on negative unintended consequences of performance measurement systems in primary care. To optimize PM systems, a better understanding is needed of the types of negative unintended consequences that occur and of their causal antecedents.\nOBJECTIVES: (1) Identify unintended negative consequences of PM systems for patients. (2) Develop a conceptual framework of hypothesized relationships between PM systems, facility-level variables (local implementation strategies, primary care staff attitudes and behaviors), and unintended negative effects on patients. DESIGN, PARTICIPANTS, APPROACH: Qualitative study design using dissimilar cases sampling. A series of 59 in-person individual semi-structured interviews at four Veterans Health Administration (VHA) facilities was conducted between February and July 2009. Participants included members of primary care staff and facility leaders. Sites were selected to assure variability in the number of veterans served and facility scores on national VHA performance measures. Interviews were recorded, transcribed and content coded to identify thematic categories and relationships.\nRESULTS: Participants noted both positive effects and negative unintended consequences of PM. We report three negative unintended consequences for patients. Performance measurement can (1) lead to inappropriate clinical care, (2) decrease provider focus on patient concerns and patient service, and (3) compromise patient education and autonomy. We also illustrate examples of negative consequences on primary care team dynamics. In many instances these problems originate from local implementation strategies developed in response to national PM definitions and policies.\nCONCLUSIONS: Facility-level strategies undertaken to implement national PM systems may result in inappropriate clinical care, can distract providers from patient concerns, and may have a negative effect on patient education and autonomy. Further research is needed to ascertain how features of centralized PM systems influence whether measures are translated locally by facilities into more or less patient-centered policies and processes.",
"genre": "research_article",
"id": "sg:pub.10.1007/s11606-011-1906-3",
"inLanguage": [
"en"
],
"isAccessibleForFree": true,
"isPartOf": [
{
"id": "sg:journal.1096256",
"issn": [
"0884-8734",
"1525-1497"
],
"name": "Journal of General Internal Medicine",
"type": "Periodical"
},
{
"issueNumber": "4",
"type": "PublicationIssue"
},
{
"type": "PublicationVolume",
"volumeNumber": "27"
}
],
"name": "Unintended Consequences of Implementing a National Performance Measurement System into Local Practice",
"pagination": "405-412",
"productId": [
{
"name": "readcube_id",
"type": "PropertyValue",
"value": [
"a7da282e3d0fcebafb387ac511f2eb8b3549de04168a345ffdbed3a65ccd80f0"
]
},
{
"name": "pubmed_id",
"type": "PropertyValue",
"value": [
"21993998"
]
},
{
"name": "nlm_unique_id",
"type": "PropertyValue",
"value": [
"8605834"
]
},
{
"name": "doi",
"type": "PropertyValue",
"value": [
"10.1007/s11606-011-1906-3"
]
},
{
"name": "dimensions_id",
"type": "PropertyValue",
"value": [
"pub.1035236926"
]
}
],
"sameAs": [
"https://doi.org/10.1007/s11606-011-1906-3",
"https://app.dimensions.ai/details/publication/pub.1035236926"
],
"sdDataset": "articles",
"sdDatePublished": "2019-04-11T01:10",
"sdLicense": "https://scigraph.springernature.com/explorer/license/",
"sdPublisher": {
"name": "Springer Nature - SN SciGraph project",
"type": "Organization"
},
"sdSource": "s3://com-uberresearch-data-dimensions-target-20181106-alternative/cleanup/v134/2549eaecd7973599484d7c17b260dba0a4ecb94b/merge/v9/a6c9fde33151104705d4d7ff012ea9563521a3ce/jats-lookup/v90/0000000001_0000000264/records_8697_00000523.jsonl",
"type": "ScholarlyArticle",
"url": "http://link.springer.com/10.1007%2Fs11606-011-1906-3"
}
]Download the RDF metadata as: json-ld nt turtle xml License info
JSON-LD is a popular format for linked data which is fully compatible with JSON.
curl -H 'Accept: application/ld+json' 'https://scigraph.springernature.com/pub.10.1007/s11606-011-1906-3'
N-Triples is a line-based linked data format ideal for batch operations.
curl -H 'Accept: application/n-triples' 'https://scigraph.springernature.com/pub.10.1007/s11606-011-1906-3'
Turtle is a human-readable linked data format.
curl -H 'Accept: text/turtle' 'https://scigraph.springernature.com/pub.10.1007/s11606-011-1906-3'
RDF/XML is a standard XML format for linked data.
curl -H 'Accept: application/rdf+xml' 'https://scigraph.springernature.com/pub.10.1007/s11606-011-1906-3'
This table displays all metadata directly associated to this object as RDF triples.
288 TRIPLES
21 PREDICATES
74 URIs
34 LITERALS
22 BLANK NODES