New Paper: What is the experience of national quality campaigns?

I liked the conclusion in this paper - "..may depend on.." as it summarised my experience of national quality campaigns - the results depend on a multitude of factors - and I would add depends on the perspective/s of the stakeholders involved.

 Health Serv Res. 2010 Dec;45(6 Pt 1):1651-69.

What is the experience of national quality campaigns? Views from the field.

Bradley EH, Nembhard IM, Yuan CT, Stern AF, Curtis JP, Nallamothu BK, Brush JE Jr, Krumholz HM.

OBJECTIVE: To identify key characteristics of a national quality campaign that participants viewed as effective, to understand mechanisms by which the campaign influenced hospital practices, and to elucidate contextual factors that modified the perceived influence of the campaign on hospital improvements.

CONCLUSIONS: The impact of national quality campaigns may depend on both campaign design features and on the internal environment of participating hospitals.