Mitchell Sarkies, Emilie Francis-Auton, Janet Long, Natalie Roberts, Johanna Westbrook, Jean-Frederic Levesque, Diane E Watson, Rebecca Hardwick, Kim Sutherland, Gary Disher, Peter Hibbert, Jeffrey Braithwaite
BACKGROUND: Unwarranted clinical variation in hospital care includes the underuse, overuse, or misuse of services. Audit and feedback is a common strategy to reduce unwarranted variation, but its effectiveness varies widely across contexts. We aimed to identify implementation strategies, mechanisms, and contextual circumstances contributing to the impact of audit and feedback on unwarranted clinical variation. METHODS: Realist study examining a state-wide value-based healthcare program implemented between 2017 and 2021 in New South Wales, Australia...
December 11, 2023: Implementation Science: IS