Systematic quality improvement in healthcare: clinical performance measurement and registry-based feedback

The work in this thesis showed that some aspects of care quality cannot be fully captured by one measure, that the positive impact of registry-based feedback on clinical performance is not self-evident, and that it is difficult to build a strong evidence base on how this impact can be increased. Yet, based on our work, we can also conclude that it is feasible to validly measure part of a complex concept like patient experience, and that extending a registry-based feedback strategy can motivate and support clinicians to systematically improve their practice. These promising results merit further investigation on how to apply these tools more effectively, so that clinical performance measurement and feedback can become reliable approaches to improve the quality of healthcare.