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Should interventions to reduce variation in care quality target doctors or hospitals?

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  • Gutacker, Nils
  • Bloor, Karen
  • Bojke, Chris
  • Walshe, Kieran

Abstract

Interventions to reduce variation in care quality are increasingly targeted at both individual doctors and the organisations in which they work. Concerns remain about the scope and consequences for such performance management, the relative contribution of individuals and organisations to observed variation, and whether performance can be measured reliably.

Suggested Citation

  • Gutacker, Nils & Bloor, Karen & Bojke, Chris & Walshe, Kieran, 2018. "Should interventions to reduce variation in care quality target doctors or hospitals?," Health Policy, Elsevier, vol. 122(6), pages 660-666.
    • Handle: RePEc:eee:hepoli:v:122:y:2018:i:6:p:660-666
    DOI: 10.1016/j.healthpol.2018.04.004
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    References listed on IDEAS

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    1. W. J. Browne & S. V. Subramanian & K. Jones & H. Goldstein, 2005. "Variance partitioning in multilevel logistic models that exhibit overdispersion," Journal of the Royal Statistical Society Series A, Royal Statistical Society, vol. 168(3), pages 599-613, July.
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    1. Avdic, Daniel & Ivets, Maryna & Lagerqvist, Bo & Sriubaite, Ieva, 2023. "Providers, peers and patients. How do physicians’ practice environments affect patient outcomes?," Journal of Health Economics, Elsevier, vol. 89(C).

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