Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
. 2022 Aug 1;30(1):31.
doi: 10.1186/s12998-022-00439-z.

Developing key performance indicators for the Canadian chiropractic profession: a modified Delphi study

Affiliations

Developing key performance indicators for the Canadian chiropractic profession: a modified Delphi study

Marc-André Blanchette et al. Chiropr Man Therap. .

Abstract

Background: The purpose of this study is to develop a list of performance indicators to assess the status of the chiropractic profession in Canada.

Method: We conducted a 4-round modified Delphi technique (March 2018-January 2020) to reach consensus among experts and stakeholders on key status indicators for the chiropractic profession using online questionnaires. During the first round, experts suggested indicators for preidentified themes. Through the following two rounds, the importance and feasibility of each indicator was rated on an 11-point Likert scale, and their related potential sources of data identified. In the final round, provincial stakeholders were recruited to rate the importance of the indicators within the 90th percentile and identified those most important to their organisation.

Results: The first round generated 307 preliminary indicators of which 42 were selected for the remaining rounds, and eleven were preferentially selected by most of the provincial stakeholders. Experts agreed the feasibility of all indicators was high, and that data could be collected through a combination of data obtained from professional liability insurance records and survey(s) of the general population, patients, and chiropractors.

Conclusions: A set of performance indicators to assess the status of the Canadian chiropractic profession emerged from a scientific and stakeholder consensus.

Keywords: Chiropractic; Delphi study; Performance assessment; Profession: allied health; Quality assessment; Quality of care.

PubMed Disclaimer

Conflict of interest statement

The authors have no conflicts of interest to report.

Similar articles

Cited by

References

    1. Levesque J-F, Sutherland K. What role does performance information play in securing improvement in healthcare? A conceptual framework for levers of change. BMJ Open. 2017;7(8):e014825. doi: 10.1136/bmjopen-2016-014825. - DOI - PMC - PubMed
    1. Papanicolas I, Smith P. Health system performance comparison: an agenda for policy, information and research: an agenda for policy, information and research. London: McGraw-Hill Education; 2013.
    1. Campanella P, Vukovic V, Parente P, Sulejmani A, Ricciardi W, Specchia ML. The impact of public reporting on clinical outcomes: a systematic review and meta-analysis. BMC Health Serv Res. 2016;16(1):1–14. doi: 10.1186/s12913-016-1543-y. - DOI - PMC - PubMed
    1. Metcalfe D, Rios Diaz AJ, Olufajo OA, Massa MS, Ketelaar N, Flottorp SA, Perry DC. Impact of public release of performance data on the behaviour of healthcare consumers and providers. Cochrane Database Syst Rev. 2018(9). - PMC - PubMed
    1. Arah OA, Westert GP. Correlates of health and healthcare performance: applying the Canadian health indicators framework at the provincial-territorial level. BMC Health Serv Res. 2005;5(1):1–13. doi: 10.1186/1472-6963-5-76. - DOI - PMC - PubMed

Publication types