A randomized controlled trial of league tables and control charts as aids to health service decision-making

International Journal for Quality in Health Care : Journal of the International Society for Quality in Health Care
Tom MarshallAndrew M Rouse

Abstract

Health service managers and other decision-makers are required to act on the basis of data. Little attention has been paid to the effects of data presentation on the decisions taken. This study uses a randomized controlled trial design to investigate the effects of two forms of data presentation--league tables and control charts--on health service decision-makers. Directors of public health in 122 health authorities in the UK were mailed three case studies and a questionnaire. The case studies showed data on variations in mortality by health service provider. The questionnaire asked them to indicate whether they would take action as a result of the data and to identify the health service providers on whom they would take action. Participants were randomly allocated to receive the same data in the form of ranked histograms (league tables) or control charts. The percentage of participants who would take action on health service providers. Fifty-seven questionnaires were returned. For each case study, respondents receiving data as league tables stated they would take action on significantly more health service providers than those receiving data as control charts: for the first case study, the percentages were 3.3% versus 1.8% (P ...Continue Reading

Citations

Mar 22, 2012·European Journal of Public Health·Alessandro AgostinelliGiuseppe La Torre
Dec 15, 2011·International Journal for Quality in Health Care : Journal of the International Society for Quality in Health Care·Zoe HildonNick Black
Feb 28, 2009·Annals of Surgery·Erik K MayerThanos Athanasiou
May 1, 2012·Colorectal Disease : the Official Journal of the Association of Coloproctology of Great Britain and Ireland·P T RajasekharC J Rees
Apr 17, 2008·Journal for Healthcare Quality : Official Publication of the National Association for Healthcare Quality·Nicholas G CastleJohn Engberg
Oct 6, 2007·Postgraduate Medical Journal·Edward D MoloneyBernard Silke
Jul 3, 2013·Journal of Neurosurgery. Pediatrics·Roddy O'KanePaul Chumas
Nov 15, 2011·Population Health Metrics·Douglas C Dover, Donald P Schopflocher
May 12, 2009·World Journal of Surgery·Erik K MayerThanos Athanasiou
May 25, 2010·Annals of Emergency Medicine·Robert L Wears, Sharon-Lise Normand
Nov 22, 2011·Journal of Evaluation in Clinical Practice·Dominique AllwoodNick Black
Jan 23, 2013·The British Journal of Surgery·A M van DishoeckH F Lingsma
Mar 26, 2014·International Journal of Radiation Oncology, Biology, Physics·Glenn Bauman
Apr 20, 2016·ANZ Journal of Surgery·Patrick Ely TelokenUNKNOWN BCCA Operations Committee
Apr 16, 2014·Preventive Medicine·Andrew James WilliamsWilliam E Henley
Mar 31, 2016·The Quarterly Journal of Experimental Psychology : QJEP·K A SchmidtkeI Vlaev
Mar 28, 2018·Anaesthesia·D Z H Levett, M P W Grocott
Apr 20, 2018·European Journal of Cancer Prevention : the Official Journal of the European Cancer Prevention Organisation (ECP)·Karla Geiss, Martin Meyer
Nov 10, 2006·International Journal for Quality in Health Care : Journal of the International Society for Quality in Health Care·Thomas Perneger
May 12, 2018·BMC Health Services Research·Christine KirungaTashobyaBart Criel
Sep 30, 2006·Human Fertility : Journal of the British Fertility Society·Mohammed A Mohammed, Christine Leary
Apr 20, 2017·International Journal for Quality in Health Care : Journal of the International Society for Quality in Health Care·Anders AnellStefan Ryden
Oct 7, 2018·British Journal of Hospital Medicine·Charles GodavitarneBenedict A Rogers

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