[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"detail-sidebar-cat-1-en-105":3,"doc-seo-240741-105":53,"doc-detail-240741-en":126},{"code":4,"msg":5,"data":6},0,"success",[7,14,19,24,29,34,39,44,49],{"id":8,"doc_module":9,"doc_module_name":10,"category_name":11,"show_sort_weight":12,"slug":13},11,1,"Template","Presentations",90,"presentations",{"id":15,"doc_module":9,"doc_module_name":10,"category_name":16,"show_sort_weight":17,"slug":18},12,"Resumes",80,"resumes",{"id":20,"doc_module":9,"doc_module_name":10,"category_name":21,"show_sort_weight":22,"slug":23},14,"Invoices",70,"invoices",{"id":25,"doc_module":9,"doc_module_name":10,"category_name":26,"show_sort_weight":27,"slug":28},15,"Posters",60,"posters",{"id":30,"doc_module":9,"doc_module_name":10,"category_name":31,"show_sort_weight":32,"slug":33},16,"Social Media",50,"social-media",{"id":35,"doc_module":9,"doc_module_name":10,"category_name":36,"show_sort_weight":37,"slug":38},17,"Forms",40,"forms",{"id":40,"doc_module":9,"doc_module_name":10,"category_name":41,"show_sort_weight":42,"slug":43},18,"Letters",30,"letters",{"id":45,"doc_module":9,"doc_module_name":10,"category_name":46,"show_sort_weight":47,"slug":48},21,"Paper Templates",5,"papers-templates",{"id":50,"doc_module":9,"doc_module_name":10,"category_name":51,"show_sort_weight":4,"slug":52},158,"General","general-158",{"code":4,"msg":54,"data":55},"ok",{"site_id":56,"language":57,"slug":58,"title":59,"keywords":60,"description":61,"schema_data":62,"social_meta":119,"head_meta":121,"extra_data":123,"updated_unix":125},105,"en","effects-of-public-reporting-programs-organizing-and-synthesizing-the-literature","Effects of Public Reporting Programs - Organizing and Synthesizing the Literature","","Public reporting of quality data is widely used in modern health care to support transparency, accountability, and quality improvement, yet evidence of its effectiveness remains inconclusive despite decades of adoption. This study presents a realist review of literature on the effects of public reporting, organizing research across paradigms and theories. Findings indicate that patients and providers rarely use reported data, though provider use is a more promising pathway for quality improvement. The review calls for research that addresses breadth, theories, and context across academia, policy, and practice.",{"@graph":63,"@context":118},[64,80,101],{"@type":65,"itemListElement":66},"BreadcrumbList",[67,71,74,77],{"item":68,"name":69,"@type":70,"position":9},"https://docshare.wps.com","Home","ListItem",{"item":72,"name":10,"@type":70,"position":73},"https://docshare.wps.com/template/",2,{"item":75,"name":51,"@type":70,"position":76},"https://docshare.wps.com/template/general/",3,{"item":78,"name":59,"@type":70,"position":79},"https://docshare.wps.com/template/effects-of-public-reporting-programs-organizing-and-synthesizing-the-literature/240741/",4,{"url":78,"name":59,"@type":81,"image":82,"author":87,"headline":59,"publisher":90,"fileFormat":93,"inLanguage":57,"description":61,"dateModified":94,"datePublished":95,"encodingFormat":93,"isAccessibleForFree":96,"interactionStatistic":97},"DigitalDocument",{"url":83,"@type":84,"width":85,"height":86},"https://docshare.wps.com/thumbnails/effects-of-public-reporting-programs-organizing-and-synthesizing-the-literature/240741.png","ImageObject",442,249,{"name":88,"@type":89},"Aran","Person",{"url":68,"name":91,"@type":92},"DocShare","Organization","application/pdf","2026-09-26","2026-09-11",true,{"@type":98,"interactionType":99,"userInteractionCount":79},"InteractionCounter",{"@type":100},"ViewAction",{"@type":102,"mainEntity":103},"FAQPage",[104,110,114],{"name":105,"@type":106,"acceptedAnswer":107},"What is the primary purpose of public reporting programs in health care systems?","Question",{"text":108,"@type":109},"Public reporting is used to support transparency, accountability, and quality improvement by stimulating the behavior of different stakeholders. It focuses on making quality and performance information publicly available.","Answer",{"name":111,"@type":106,"acceptedAnswer":112},"What does the review conclude about whether patients and providers use reported data?",{"text":113,"@type":109},"Patients rarely use the reported data, and providers show limited usage as well. However, provider use is identified as a more promising route toward quality improvement.",{"name":115,"@type":106,"acceptedAnswer":116},"Why does the review argue that traditional systematic approaches may be insufficient?",{"text":117,"@type":109},"Public reporting is embedded in a complex web of social interventions and context. 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Although, programs exist for 30 years, signals for its efficacy are inconclusive and new measurement schemes enjoy great popularity. The aim of this study was a realist view of the current literature dealing with effects of PR and finding answers on the broad and often unquestioned use by health authorities. This review considered literature from relevant databases and included all type of studies. In a kind of map, authors organized the research based on different paradigms and theories. Results indicate, first, patients rarely use the reported data. Second, providers show limited usage as well, but it is the more promising way which could lead to quality improvement. This review suggests that PR is a popular topic in different academic fields and health care policy. Despite of its high use, PR often does not show its full potential. Pure rational approaches to describe the effect of PR fall short. Further research should strive to do better by paying more attention to the breadth, theories, and context of the field as well as collective solutionfinding among academia, policy, and practice.  \nKeywords: quality improvement, delivery of health care, health policy, information dissemination, quality indicators, health care  \nIntroduction  \nIn nearly all developed health care systems, increasing costs, lack of effectiveness, and poor efficiency of health care provision is in constant public discussion. These improvement potentials are estimated by the OECD (2017) with a cost reduction of about 20%. So, it has become common that elements of the market economy are implemented to control rising costs. Although the evidence on the relationship between quality and cost is inconsistent (Jamalabadi et al. 2020), transparency initiatives of performance and quality are strongly promoted by health authorities. Public reporting (PR) is a commonly established quality strategy (OECD and WHO 2019), whereby the behavior of different stakeholders in the system should be stimulated.  \nPublic reporting is data, publicly available or available to a broad audience free of charge […], about a health care structure, process, or outcome at any provider level  \n*  \nDoctoral Student, Institute for Management and Economics in Health Care, UMIT – University for Health Sciences, Medical Informatics and Technology, Hall in Tirol, Austria.  \n±Professor, Institute for Management and Economics in Health Care, UMIT – University for Health Sciences, Medical Informatics and Technology, Hall in Tirol & Institute for Health Management and Innovation, University Seeburg Castle, Seekirchen/Wallersee, Austria.  \n[…]. […] public reporting is generally understood to involve comparative data across providers, […]. (Totten et al. 2012)  \nBerwick et al. (2003) described two main target groups of PR. On the one hand, patients could use reports to choose their health professionals or hospital before a therapy. On the other hand, providers could compare with others to start quality improvement.  \nWhile primal PR appeared at the end of the 1980s in the United States (Hannan et al. 1994), it is a relatively new topic within most European countries. But today, almost every country in Europe has a PR program, although evidence of its effectiveness lags behind the frequency of its use. Internationally, various reviews showed inconsistent findings to support or not support behavior change on the basis of PR, be it of patients or providers (Campanella et al. 2016, Ketelaar et al. 2011, Metcalfe et al. 2018, Vukovic et al. 2017). These reviews summarized the included studies methodologically in a classical systematic manner. Although the topic has been much researched in classical ways and the results are not ","cbCaiph6V7EZI2JX","https://ap.wps.com/l/cbCaiph6V7EZI2JX","pdf",122359,"English","# Introduction\n## Public reporting as a quality strategy\n## Target groups and evidence of effects\n## Rationale for a realist review format\n## Aim and scope of the review","[{\"question\":\"What is the primary purpose of public reporting programs in health care systems?\",\"answer\":\"Public reporting is used to support transparency, accountability, and quality improvement by stimulating the behavior of different stakeholders. It focuses on making quality and performance information publicly available.\"},{\"question\":\"What does the review conclude about whether patients and providers use reported data?\",\"answer\":\"Patients rarely use the reported data, and providers show limited usage as well. However, provider use is identified as a more promising route toward quality improvement.\"},{\"question\":\"Why does the review argue that traditional systematic approaches may be insufficient?\",\"answer\":\"Public reporting is embedded in a complex web of social interventions and context. The review notes that multitheoretic approaches and non-standardized keywords across disciplines require a different way to map and synthesize knowledge.\"}]","Effects of Public Reporting Programs - Organizing and Synthesizing the Literature | PDF"]