Notes from the Editor-in-Chief.
نویسنده
چکیده
Over the past 10 years, there has been a proliferation of healthcare performance reports both nationally and internationally. This trend seems to be driven by the need for accountability to governments as well as the general public. The need for greater evidence-based care and management of health systems has pushed us to produce and examine data in ways that were not expected in the past. The question still remains open, however, on the extent to which such reporting influences the delivery of healthcare and or the health of populations. The lead paper Making Performance Reports Work, by Brown, Bhimani and MacLeod of the Ontario Ministry of Health and Long-Term Care, begins to address some of these questions. In the paper, the authors present the results of a systematic review of the societal impact of public reporting in healthcare. They use the concept of societal impact of public performance reporting to include how consumers and providers understand their healthcare system and how performance reporting impacts the outcomes of services. To assist in their analysis they use the KAB model from health promotion with the addition of performance a dependent variable or outcome measure. Over 60 articles were included in the review, and the papers were classified in four ways: impact of performance reporting on individual consumers; impact on groups of consumers; impact on individual providers; and impact on groups of providers. The conclusions from the review suggest positive impact of public performance reporting on provider groups, but little or no impact on consumers and individual providers. The authors outline the limitations of their work, including the facts that most of the literature is from the US and that data reported in the performance reports (often secondary data) may be flawed. They point out that performance reporting has to be viewed within the context with which activity takes place. The direct effect of performance reporting is limited, and they speculate that this may be because the healthcare system in Canada is not market-driven. Also, performance reporting must be articulate with a clear set of goals and strategies for achieving those goals. We are grateful to the many and thoughtful individuals from both Canada and elsewhere who were able to provide comments
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عنوان ژورنال:
- HealthcarePapers
دوره 10 4 شماره
صفحات -
تاریخ انتشار 2004