Can performance measurement make health care systems more sustainable? Or at least more efficient?:
In light of the many discussions advocating the use of pay-for-performance and performance budgeting, this paper argues that discouraging experience with both approaches should temper expectations that performance measurement can be a reform that will make health care systems more "sustainable&...
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Format: | Elektronisch Buchkapitel |
Sprache: | English |
Veröffentlicht: |
Paris
OECD Publishing
2019
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Schlagworte: | |
Online-Zugang: | DE-384 DE-473 DE-824 DE-29 DE-739 DE-355 DE-20 DE-1028 DE-1049 DE-521 DE-861 DE-898 DE-92 DE-91 DE-573 DE-19 Volltext |
Zusammenfassung: | In light of the many discussions advocating the use of pay-for-performance and performance budgeting, this paper argues that discouraging experience with both approaches should temper expectations that performance measurement can be a reform that will make health care systems more "sustainable" or even more efficient. The link between sustainability and efficiency is tenuous, and attention to performance is not new. Measurement's accuracy tends to be overstated and its costs understated or ignored. Nor does it easily lead to changed behaviour. Yet some measurement is useful for managing any complex activity. In particular, there are situations in which measures are more accurate and the proper responses to shortfalls are generally agreed. Policymakers should look for those conditions and encourage the more limited, targeted improvement that measures then can make possible |
Beschreibung: | 1 Online-Ressource (17 Seiten) |
DOI: | 10.1787/2b3d3059-en |
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spelling | White, Joseph Verfasser aut Can performance measurement make health care systems more sustainable? Or at least more efficient? Joseph White Paris OECD Publishing 2019 1 Online-Ressource (17 Seiten) txt rdacontent c rdamedia cr rdacarrier In light of the many discussions advocating the use of pay-for-performance and performance budgeting, this paper argues that discouraging experience with both approaches should temper expectations that performance measurement can be a reform that will make health care systems more "sustainable" or even more efficient. The link between sustainability and efficiency is tenuous, and attention to performance is not new. Measurement's accuracy tends to be overstated and its costs understated or ignored. Nor does it easily lead to changed behaviour. Yet some measurement is useful for managing any complex activity. In particular, there are situations in which measures are more accurate and the proper responses to shortfalls are generally agreed. Policymakers should look for those conditions and encourage the more limited, targeted improvement that measures then can make possible Finance and Investment Governance Social Issues/Migration/Health Economics https://doi.org/10.1787/2b3d3059-en Verlag URL des Erstveröffentlichers Volltext |
spellingShingle | White, Joseph Can performance measurement make health care systems more sustainable? Or at least more efficient? Finance and Investment Governance Social Issues/Migration/Health Economics |
title | Can performance measurement make health care systems more sustainable? Or at least more efficient? |
title_auth | Can performance measurement make health care systems more sustainable? Or at least more efficient? |
title_exact_search | Can performance measurement make health care systems more sustainable? Or at least more efficient? |
title_exact_search_txtP | Can performance measurement make health care systems more sustainable? Or at least more efficient? |
title_full | Can performance measurement make health care systems more sustainable? Or at least more efficient? Joseph White |
title_fullStr | Can performance measurement make health care systems more sustainable? Or at least more efficient? Joseph White |
title_full_unstemmed | Can performance measurement make health care systems more sustainable? Or at least more efficient? Joseph White |
title_short | Can performance measurement make health care systems more sustainable? Or at least more efficient? |
title_sort | can performance measurement make health care systems more sustainable or at least more efficient |
topic | Finance and Investment Governance Social Issues/Migration/Health Economics |
topic_facet | Finance and Investment Governance Social Issues/Migration/Health Economics |
url | https://doi.org/10.1787/2b3d3059-en |
work_keys_str_mv | AT whitejoseph canperformancemeasurementmakehealthcaresystemsmoresustainableoratleastmoreefficient |