International Journal for Quality in Health Care Advance Access published online on June 14, 2007
International Journal for Quality in Health Care, doi:10.1093/intqhc/mzm024
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© The Author 2007. Published by Oxford University Press on behalf of International Society for Quality in Health Care; all rights reserved
Editorial |
Publishing quality measures: how it works and when it does not?
| The first 10% of the full text of this article appears below. |
Although efforts to measure the quality of healthcare are longstanding, over the past 10 years, there have been increasing efforts to both measure the quality of healthcare and publish the resulting data in many industrialized countries. This may simply be the part of a broad trend in western societies towards greater openness and accountability that seems particularly evident in the realm of human services such as health and education. However, publication is also expected to encourage improvements in the quality of care.
Improved quality is expected to happen in one of two ways. Having performance information easily available may encourage greater consumerism among patients so that they seek out the best providers, a premise which underlies the stated policy of both US and UK governments. As yet the evidence for this happening is generally scanty and equivocal [1, 2]. In
2006/07 Harkness Fellow, Group Health Cooperative of Puget Sound, E-mail: hamblinsusa@yahoo.com