Applying an implementation science lens to understand physician-level variation in patient length of stay in internal medicine
This study highlights the complex interplay between physician actions and factors influencing physician-level variation in LoS. Interventions that target physicians but do not attend to team and hospital factors are likely insufficient to achieve sustained improvements in LoS. Aligning individual-level feedback and environmental restructuring with organizational values and needs of the patient population may offer a more promising approach to sustained improvement.
Authors
- Fahad A. Razak (ORCID: https://orcid.org/0000-0001-9195-7286)
- Amol A. Verma (ORCID: https://orcid.org/0000-0001-6857-931X)
- Alexandra Harris (ORCID: https://orcid.org/0000-0001-6693-3856)
- Terence Tang (ORCID: https://orcid.org/0000-0002-1735-7298)
- Simona C. Minotti
- Sarah A. Birken (ORCID: https://orcid.org/0000-0002-0591-4800)
- Laura Desveaux (ORCID: https://orcid.org/0000-0003-3429-1865)
- Fabiana Lorencatto (ORCID: https://orcid.org/0000-0003-4418-7957)
- Nicola McCleary (ORCID: https://orcid.org/0000-0002-4394-703X)
- Mina Tadrous (ORCID: https://orcid.org/0000-0003-1911-6129)
- Justin Presseau (ORCID: https://orcid.org/0000-0002-2132-0703)
- Diya Srinivasan (ORCID: https://orcid.org/0000-0002-3115-9167)
- Noah Ivers (ORCID: https://orcid.org/0000-0003-2500-2435)
- Lauren Lapointe‐Shaw (ORCID: https://orcid.org/0000-0003-4485-6719)
- Geneviève Rouleau (ORCID: https://orcid.org/0000-0003-1093-6577)
- Surain B. Roberts (ORCID: https://orcid.org/0000-0001-8792-2240)
- Ruoxi Wang (ORCID: https://orcid.org/0000-0002-9695-0582)
Institutions
- St. Michael's Hospital (CA)
- University Health Network (CA)
- University of Ottawa (CA)
- University of Toronto (CA)
- Trillium Health Centre (CA)
- Ottawa Hospital (CA)
- Women's College Hospital (CA)
- Université du Québec en Outaouais (CA)
- Public Health Ontario (CA)
- Institute for Work & Health (CA)
- Institut du Savoir Montfort (CA)
- Ottawa Hospital Research Institute (CA)
- Wake Forest University (US)
Publication Details
- Journal
- BMC Health Services Research
- Published
- 2025-10-03
- DOI
- https://doi.org/10.1186/s12913-025-13304-5
- Primary Topic
- Healthcare cost, quality, practices
- Type
- article
- Field-Weighted Citation Impact
- 0.00
Funders
- Canadian Institutes of Health Research