Improving quality of care through the OECD Patient Reported Indicator Surveys (PaRIS)

Annex D. Interview analysis framework

The interview guide was structured around the Knowledge‑to‑Action Framework (Graham et al., 2006[8]) to assess how PaRIS evidence was disseminated, interpreted and used in policy and practice. The framework recognises that knowledge translation is not linear: its stages are dynamic, interconnected and may occur in any order depending on national context.

Table A D.1. Knowledge to Action stages applied to the interview guide

Stage on Cycle	Question Asked
Adapt knowledge to local context	Explores how PaRIS (Patient-Reported Indicator Surveys) findings were interpreted and tailored for national audiences, aligning messages and formats with domestic health-system priorities and communication needs
Identify problem	Explores how PaRIS results surfaced priority policy issues and evidence needs, informing agenda-setting for policymakers and practitioners
Assess barriers to knowledge use	Examines the conditions that facilitated or impeded dissemination and implementation
Select tailor implement interventions	Explores how PaRIS insights were translated into concrete policy and service‑delivery actions, including use by policymakers, practitioners and regions, and early implementation decisions (e.g. digital health, planning, service redesign)
Monitor knowledge use	Identifies the outcome measures and additional metrics needed to appraise the effects of PaRIS-informed actions on policy and practice
Evaluate outcomes	Additional information on what was missing or what could be added into Cycle 1
Sustain knowledge use	Explores steps taken or planned to embed PaRIS in routine operations, including performance indicators, accreditation and continuing professional development

Source: Adapted from Graham et al. (2006[8]), “Lost in knowledge translation: Time for a map?”, https://doi.org/10.1002/chp.47.