Opening the black box of health systems performance management using the behaviour change techniques taxonomy: implications for health research and practice.

ABSTRACT:

Background

Performance management (PM) systems in healthcare consist of many interacting interventions, such as contracts, scorecards and incentives. The diversity, complexity and poor description of PM interventions hampers replication in research, standardized comparative analysis and accumulation of evidence. Specifying PM systems and interventions in terms of their behaviour change techniques (BCTs) using standardized language can address these challenges and clarify the mechanisms linking system-level PM with individual behaviours.

Methods

We conducted an analysis of BCTs in a PM system in Ontario, Canada using a modified behaviour change technique taxonomy (BCTT). We reviewed 64 documents, observed 15 meetings and conducted 4 semi-structured interviews with key informa

SUBMITTER: Evans JM 

PROVIDER: S-EPMC11792694 | biostudies-literature | 2025 Feb

REPOSITORIES: biostudies-literature