{"id":"https://openalex.org/W2925856444","doi":"https://doi.org/10.17638/03023033","title":"Changing primary care performance measurement by getting started","display_name":"Changing primary care performance measurement by getting started","publication_year":2018,"publication_date":"2018-01-01","ids":{"openalex":"https://openalex.org/W2925856444","doi":"https://doi.org/10.17638/03023033","mag":"2925856444"},"language":"en","primary_location":{"id":"doi:10.17638/03023033","doi":"https://doi.org/10.17638/03023033","is_oa":true,"landing_page_url":"https://doi.org/10.17638/03023033","pdf_url":null,"source":{"id":"https://openalex.org/S7407050768","display_name":"University of Liverpool","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I146655781","host_organization_name":"University of Liverpool","host_organization_lineage":["https://openalex.org/I146655781"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":null,"is_accepted":false,"is_published":false,"raw_source_name":null,"raw_type":"article-journal"},"volume":null,"type":"article","indexed_in":["datacite"],"open_access":{"is_oa":true,"oa_status":"green","oa_url":"https://doi.org/10.17638/03023033","any_repository_has_fulltext":true},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5059826285","display_name":"Carol Mulder","orcid":"https://orcid.org/0000-0002-0330-5438","observed_orcids":["https://orcid.org/0000-0002-0330-5438"]},"institutions":[],"countries":[],"is_corresponding":true,"raw_author_name":"Mulder, C","raw_affiliation_strings":[],"raw_orcid":null,"affiliations":[]}],"institutions":[],"countries_distinct_count":0,"institutions_distinct_count":0,"corresponding_author_ids":["https://openalex.org/A5059826285"],"corresponding_institution_ids":[],"apc_list":null,"apc_paid":null,"fwci":0.3585,"has_fulltext":false,"cited_by_count":1,"citation_normalized_percentile":{"value":0.72429189,"is_in_top_1_percent":false,"is_in_top_10_percent":false},"cited_by_percentile_year":{"min":88,"max":93},"biblio":{"volume":null,"issue":null,"first_page":null,"last_page":null},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T11590","display_name":"Primary Care and Health Outcomes","score":0.9897000193595886,"subfield":{"id":"https://openalex.org/subfields/3600","display_name":"General Health Professions"},"field":{"id":"https://openalex.org/fields/36","display_name":"Health Professions"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},"topics":[{"id":"https://openalex.org/T11590","display_name":"Primary Care and Health Outcomes","score":0.9897000193595886,"subfield":{"id":"https://openalex.org/subfields/3600","display_name":"General Health Professions"},"field":{"id":"https://openalex.org/fields/36","display_name":"Health Professions"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T12871","display_name":"Healthcare Quality and Management","score":0.006000000052154064,"subfield":{"id":"https://openalex.org/subfields/3605","display_name":"Health Information Management"},"field":{"id":"https://openalex.org/fields/36","display_name":"Health Professions"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T11722","display_name":"Patient Satisfaction in Healthcare","score":0.0007999999797903001,"subfield":{"id":"https://openalex.org/subfields/3600","display_name":"General Health Professions"},"field":{"id":"https://openalex.org/fields/36","display_name":"Health Professions"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/performance-measurement","display_name":"performance measurement","score":0.859000027179718},{"id":"https://openalex.org/keywords/primary-care","display_name":"primary care","score":0.9300000071525574},{"id":"https://openalex.org/keywords/quality-improvement","display_name":"quality improvement","score":0.652999997138977},{"id":"https://openalex.org/keywords/organizational-change","display_name":"organizational change","score":0.6029999852180481},{"id":"https://openalex.org/keywords/member-engagement","display_name":"member engagement","score":0.5540000200271606},{"id":"https://openalex.org/keywords/performance-reporting","display_name":"performance reporting","score":0.42800000309944153},{"id":"https://openalex.org/keywords/help-seeking","display_name":"help-seeking","score":0.7770000100135803},{"id":"https://openalex.org/keywords/stakeholder-engagement","display_name":"stakeholder engagement","score":0.6650000214576721},{"id":"https://openalex.org/keywords/reflexive-practice","display_name":"reflexive practice","score":0.5519999861717224},{"id":"https://openalex.org/keywords/scholar-practitioners","display_name":"scholar-practitioners","score":0.8899999856948853}],"concepts":[{"id":"https://openalex.org/C2779010991","wikidata":"https://www.wikidata.org/wiki/Q2720909","display_name":"Artifact (error)","level":2,"score":0.5752923488616943},{"id":"https://openalex.org/C2780791683","wikidata":"https://www.wikidata.org/wiki/Q846785","display_name":"Action (physics)","level":2,"score":0.5179752111434937},{"id":"https://openalex.org/C2775884135","wikidata":"https://www.wikidata.org/wiki/Q845436","display_name":"Mandate","level":2,"score":0.5120987892150879},{"id":"https://openalex.org/C53173841","wikidata":"https://www.wikidata.org/wiki/Q1897444","display_name":"Action research","level":2,"score":0.5042780637741089},{"id":"https://openalex.org/C39389867","wikidata":"https://www.wikidata.org/wiki/Q380767","display_name":"Corporate governance","level":2,"score":0.4194008708000183},{"id":"https://openalex.org/C2779530757","wikidata":"https://www.wikidata.org/wiki/Q1207505","display_name":"Quality (philosophy)","level":2,"score":0.41645199060440063},{"id":"https://openalex.org/C15744967","wikidata":"https://www.wikidata.org/wiki/Q9418","display_name":"Psychology","level":0,"score":0.3965306580066681},{"id":"https://openalex.org/C195094911","wikidata":"https://www.wikidata.org/wiki/Q14167904","display_name":"Process management","level":1,"score":0.39251214265823364},{"id":"https://openalex.org/C39549134","wikidata":"https://www.wikidata.org/wiki/Q133080","display_name":"Public relations","level":1,"score":0.3807070255279541},{"id":"https://openalex.org/C56739046","wikidata":"https://www.wikidata.org/wiki/Q192060","display_name":"Knowledge management","level":1,"score":0.35849693417549133},{"id":"https://openalex.org/C17744445","wikidata":"https://www.wikidata.org/wiki/Q36442","display_name":"Political science","level":0,"score":0.31720685958862305},{"id":"https://openalex.org/C41008148","wikidata":"https://www.wikidata.org/wiki/Q21198","display_name":"Computer science","level":0,"score":0.31336989998817444},{"id":"https://openalex.org/C127413603","wikidata":"https://www.wikidata.org/wiki/Q11023","display_name":"Engineering","level":0,"score":0.28668850660324097},{"id":"https://openalex.org/C187736073","wikidata":"https://www.wikidata.org/wiki/Q2920921","display_name":"Management","level":1,"score":0.20103240013122559},{"id":"https://openalex.org/C19417346","wikidata":"https://www.wikidata.org/wiki/Q7922","display_name":"Pedagogy","level":1,"score":0.1614309847354889},{"id":"https://openalex.org/C111472728","wikidata":"https://www.wikidata.org/wiki/Q9471","display_name":"Epistemology","level":1,"score":0.0},{"id":"https://openalex.org/C199539241","wikidata":"https://www.wikidata.org/wiki/Q7748","display_name":"Law","level":1,"score":0.0},{"id":"https://openalex.org/C162324750","wikidata":"https://www.wikidata.org/wiki/Q8134","display_name":"Economics","level":0,"score":0.0},{"id":"https://openalex.org/C62520636","wikidata":"https://www.wikidata.org/wiki/Q944","display_name":"Quantum mechanics","level":1,"score":0.0},{"id":"https://openalex.org/C169760540","wikidata":"https://www.wikidata.org/wiki/Q207011","display_name":"Neuroscience","level":1,"score":0.0},{"id":"https://openalex.org/C138885662","wikidata":"https://www.wikidata.org/wiki/Q5891","display_name":"Philosophy","level":0,"score":0.0},{"id":"https://openalex.org/C121332964","wikidata":"https://www.wikidata.org/wiki/Q413","display_name":"Physics","level":0,"score":0.0}],"mesh":[],"locations_count":2,"locations":[{"id":"doi:10.17638/03023033","doi":"https://doi.org/10.17638/03023033","is_oa":true,"landing_page_url":"https://doi.org/10.17638/03023033","pdf_url":null,"source":{"id":"https://openalex.org/S7407050768","display_name":"University of Liverpool","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I146655781","host_organization_name":"University of Liverpool","host_organization_lineage":["https://openalex.org/I146655781"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":null,"is_accepted":false,"is_published":null,"raw_source_name":null,"raw_type":"article-journal"},{"id":"mag:2925856444","doi":null,"is_oa":false,"landing_page_url":"https://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.755756","pdf_url":null,"source":null,"license":null,"license_id":null,"version":null,"is_accepted":false,"is_published":null,"raw_source_name":null,"raw_type":null}],"best_oa_location":{"id":"doi:10.17638/03023033","doi":"https://doi.org/10.17638/03023033","is_oa":true,"landing_page_url":"https://doi.org/10.17638/03023033","pdf_url":null,"source":{"id":"https://openalex.org/S7407050768","display_name":"University of Liverpool","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I146655781","host_organization_name":"University of Liverpool","host_organization_lineage":["https://openalex.org/I146655781"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":null,"is_accepted":false,"is_published":false,"raw_source_name":null,"raw_type":"article-journal"},"sustainable_development_goals":[{"id":"https://metadata.un.org/sdg/3","score":0.6240000128746033,"display_name":"Good health and well-being"}],"sustainable_development_goals_aurora":[],"study_designs":[],"awards":[],"funders":[],"has_content":{"pdf":false,"grobid_xml":false},"content_urls":null,"referenced_works_count":0,"referenced_works":[],"related_works":["https://openalex.org/W2546799966","https://openalex.org/W1966382526","https://openalex.org/W2796700989","https://openalex.org/W2606491358","https://openalex.org/W36614922","https://openalex.org/W1972324045","https://openalex.org/W2182457614","https://openalex.org/W2520519417","https://openalex.org/W576246016","https://openalex.org/W1767189391","https://openalex.org/W125082164","https://openalex.org/W2578511804","https://openalex.org/W2182930429","https://openalex.org/W2901410324","https://openalex.org/W2343488587","https://openalex.org/W1802539848","https://openalex.org/W2922549070","https://openalex.org/W2185794459","https://openalex.org/W2913368425","https://openalex.org/W2573154814"],"abstract_inverted_index":{"This":[0,69,104],"action":[1,61,105,332,355,427],"research":[2,37,62,106,333,356,428],"study":[3,138,234,255,362],"was":[4,27,107,235,261,267,321],"conducted":[5],"as":[6,65,76,83,174,346,433,442],"part":[7],"of":[8,17,30,92,99,148,194,209,289,296,298,319,330,336,353,374,422],"an":[9,15],"ongoing":[10,221,348,370],"performance":[11,34,216,250,386,402],"measurement":[12,222,349,371,387,403],"initiative":[13,242,266],"in":[14,21,33,54,59,101,140,232,259,326,383,385,404,414,425],"association":[16],"primary":[18,405],"care":[19],"teams":[20],"Ontario,":[22],"Canada.":[23],"The":[24,36,87,137,189,230,254,273,376,407],"problem":[25],"addressed":[26,39],"the":[28,90,97,129,146,149,151,154,159,166,170,187,210,220,265,278,317,327,331,337,344,347,361,365,389,418,440],"challenge":[29],"increasing":[31],"participation":[32,258,384],"measurement.":[35,310],"question":[38],"was:":[40],"What":[41],"happens":[42],"when":[43],"a":[44,66,77,84,93,110,123,141,240,249,283,287,294,301,395,411,434,443],"novel":[45],"approach":[46],"to":[47,95,161,237,270,306,364,368,398],"measuring":[48],"quality/":[49],"demonstrating":[50],"value":[51],"is":[52,70,394],"introduced":[53],"my":[55,73,80,212,426,431,437],"organization?":[56],"My":[57],"view":[58],"this":[60,102,233,354,359],"considered":[63,269],"change":[64],"continuous":[67],"phenomenon.":[68],"consistent":[71],"with":[72,145,153,168,186,280,309,410],"operational":[74],"mandate":[75],"scholar-practitioner":[78,435],"and":[79,119,177,180,197,207,215,252,263,291,300,304,323,372,420,429,436],"own":[81,213],"orientation":[82],"reluctant":[85],"constructionist.":[86],"literature":[88],"informed":[89],"development":[91],"framework":[94],"guide":[96],"analysis":[98],"data":[100,117,190,338],"study.":[103,334,357],"based":[108],"on":[109,158,285,312,325,439],"developmental":[111],"evaluation":[112],"using":[113,227],"qualitative":[114],"tools":[115],"for":[116,164,183,199,341],"capture":[118],"analysis.":[120,229],"It":[121],"ensured":[122],"critical":[124],"perspective":[125],"by":[126,219,343],"orienting":[127],"around":[128],"reflective":[130],"questions:":[131],"\u201cWhat,":[132],"So":[133],"What,":[134],"Now":[135],"What\u201d.":[136],"unfolded":[139],"cyclical":[142],"way":[143],"starting":[144],"launch":[147],"artifact,":[150],"experience":[152,160,167,279],"first":[155],"iterations,":[156],"reflection":[157],"generate":[162],"recommendations":[163],"action,":[165],"implementing":[169],"actions":[171],"(or":[172],"not,":[173],"events":[175],"unfolded)":[176],"finally":[178],"reflections":[179,438],"general":[181],"considerations":[182],"next":[184],"steps":[185],"initiative.":[188,223],"sources":[191],"included:":[192],"results":[193],"surveys,":[195],"minutes":[196],"materials":[198],"governance":[200],"committees,":[201],"email":[202],"conversations":[203],"between":[204],"staff,":[205],"members":[206],"stakeholders":[208],"organization,":[211],"observations":[214],"reports":[217],"generated":[218,315],"Data":[224,236],"were":[225,339],"analysed":[226],"template":[228],"artifact":[231],"Decisions":[238],"(D2D)":[239],"multifaceted":[241],"that":[243,257,264,378],"involves":[244],"member":[245],"engagement,":[246],"supporting":[247],"materials,":[248],"report":[251],"communication.":[253],"showed":[256],"D2D":[260,281],"high":[262],"generally":[268],"be":[271],"successful.":[272],"key":[274],"themes":[275,314],"emerging":[276],"from":[277],"were:":[282],"focus":[284],"relationships;":[286],"dynamic":[288],"help-seeking":[290],"self-reliant":[292],"behaviour,":[293],"range":[295],"perceptions":[297],"priority":[299],"clear":[302],"intent":[303],"ability":[305,367],"\u201cget":[307],"started\u201d":[308],"Reflections":[311],"these":[313],"actions,":[316],"fate":[318],"which":[320,415],"described":[322,417],"reflected":[324],"final":[328],"phases":[329],"Implications":[335],"presented":[340],"consideration":[342],"organization":[345],"work":[350],"continues,":[351],"independent":[352],"In":[358],"way,":[360],"contributed":[363],"organization\u2019s":[366],"support":[369],"improvement":[373],"performance.":[375],"observation":[377],"relationships":[379],"are":[380],"more":[381],"important":[382],"than":[388],"actual":[390],"indicators":[391],"being":[392],"measured":[393],"useful":[396],"contribution":[397],"professional":[399],"knowledge":[400],"regarding":[401],"care.":[406],"thesis":[408],"concludes":[409],"reflexive":[412],"moment":[413],"I":[416],"purpose":[419],"nature":[421],"reflexivity":[423],"involved":[424],"summarize":[430],"role":[432],"project":[441],"whole.":[444]},"counts_by_year":[{"year":2021,"cited_by_count":1}],"updated_date":"2026-10-08T09:06:37.294493","created_date":"2025-10-10T00:00:00"}