title: About context and systems.
abstract: This commentary on the paper of Adalsteinn Brown et al. addresses the various tensions between global evidence, general theories and local change processes. Following up on this analysis, the paper also discusses the impact of public performance data on both consumer behaviour and provider behaviour. The four lessons presented by Brown et al. are put in the context of considering the public release of performance data as a social process and an integral part of the Canadian health system design and functioning.
authors.affiliation: Academic Medical Centre, University of Amsterdam.
authors.forename: Niek
authors.initials: N
authors.lastname: Klazinga
mesh_terms: D002170:Canada; D006268:Health Facilities / Q000592:standards*; D033181:Information Dissemination; D019984:Quality Indicators, Health Care; D012922:Social Change