Department of Public Health, Section for Health Services Research, University of Copenhagen, Copenhagen, Denmark.
Centre for Research in Assessment and Digital Learning (CRADLE), Deakin University, Melbourne, Victoria, Australia.
Sociol Health Illn. 2024 Jun;46(5):948-965. doi: 10.1111/1467-9566.13743. Epub 2023 Dec 29.
In contemporary policy discourses, data are presented as key assets for improving health-care quality: policymakers want health care to become 'data driven'. In this article, we focus on a particular example of this ambition, namely a new Danish national quality development program for general practitioners (GPs) where doctors are placed in so-called 'clusters'. In these clusters, GPs are obliged to assess their own and colleagues' clinical quality with data derived from their own clinics-using comparisons, averages and benchmarks. Based on semi-structured interviews with Danish GPs and drawing on Science and Technology Studies, we explore how GPs understand these data, and what makes them trust-or question-a data analysis. The GPs describe how they change clinical practices based on these discussions of data. So, when and how do data for quality assurance come to influence their perceptions of quality? By exploring these issues, we carve out a role for a sociological engagement with evidence in everyday medical practices. In conclusion, we suggest a need to move from the aim of being data driven to one of being data informed.
在当代政策话语中,数据被视为改善医疗质量的关键资产:政策制定者希望医疗保健变得“数据驱动”。在本文中,我们关注这一目标的一个特定例子,即丹麦针对全科医生(GP)的新国家质量发展计划,该计划要求医生在所谓的“集群”中使用来自自己诊所的数据评估自己和同事的临床质量——使用比较、平均值和基准。基于对丹麦全科医生的半结构化访谈,并借鉴科学技术研究,我们探讨了全科医生如何理解这些数据,以及是什么让他们信任或质疑数据分析。全科医生描述了他们如何根据这些数据讨论来改变临床实践。那么,数据何时以及如何影响他们对质量的看法?通过探讨这些问题,我们在日常医疗实践中为社会学参与证据开辟了一个角色。总之,我们建议需要从数据驱动的目标转变为数据知情的目标。