Cover: Role of Data in Improving Care within a Health System

Role of Data in Improving Care within a Health System

A Case Study of the Australian Health System

Published Aug 2, 2017

by Lopamudra Das

Download eBook for Free

FormatFile SizeNotes
PDF file 5.3 MB

Use Adobe Acrobat Reader version 10 or higher for the best experience.

Health information technology (HIT) has been an emerging solution to reducing some gaps in care. Several nations have implemented expensive, large-scale, HIT projects; most have struggled with poor uptake, interoperability, and low sharing and reuse of data. Lack of understanding of complex "multilevel tensions" was a common reason for failure.

This study aims to understand how organizational context and interfaces affect the collection, management, and use of data for care improvement (CI).

The case study consisted of 33 hour-long semi-structured interviews with 38 informants from 27 organizations from 2 states. Primary data collected using snowball sampling in 2007-08 and elicited information on the use of data for improving quality of colorectal cancer care. Data were supplemented using publicly available organizational information. Data analysis included coding to identify themes and converting data into thematic matrices to enable the detection of patterns and comparative analysis.

Research conducted by

This document was submitted as a dissertation in May 2017 in partial fulfillment of the requirements of the doctoral degree in public policy analysis at the Pardee RAND Graduate School. The faculty committee that supervised and approved the dissertation consisted of Gery W. Ryan (Chair), Karl A. Lorenz, and Brian S. Mittman.

This publication is part of the RAND dissertation series. Pardee RAND dissertations are produced by graduate fellows of the Pardee RAND Graduate School, the world's leading producer of Ph.D.'s in policy analysis. The dissertations are supervised, reviewed, and approved by a Pardee RAND faculty committee overseeing each dissertation.

This document and trademark(s) contained herein are protected by law. This representation of RAND intellectual property is provided for noncommercial use only. Unauthorized posting of this publication online is prohibited; linking directly to this product page is encouraged. Permission is required from RAND to reproduce, or reuse in another form, any of its research documents for commercial purposes. For information on reprint and reuse permissions, please visit

RAND is a nonprofit institution that helps improve policy and decisionmaking through research and analysis. RAND's publications do not necessarily reflect the opinions of its research clients and sponsors.