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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. Peter Smith, 2005. "Performance Measurement in Health Care: History, Challenges and Prospects," Public Money & Management, Taylor & Francis Journals, vol. 25(4), pages 213-220.
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    6. Oliver, Adam, 2015. "Incentivising improvements in health care delivery," Health Economics, Policy and Law, Cambridge University Press, vol. 10(3), pages 327-343, July.
    7. Nils Gutacker & Chris Bojke & Silvio Daidone & Nancy Devlin & Andrew Street, 2013. "Hospital Variation in Patient-Reported Outcomes at the Level of EQ-5D Dimensions," Medical Decision Making, , vol. 33(6), pages 804-818, August.
    8. Corallo, Ashley N. & Croxford, Ruth & Goodman, David C. & Bryan, Elisabeth L. & Srivastava, Divya & Stukel, Therese A., 2014. "A systematic review of medical practice variation in OECD countries," Health Policy, Elsevier, vol. 114(1), pages 5-14.
    9. Luigi Siciliani & Peter Sivey & Andrew Street, 2013. "Differences In Length Of Stay For Hip Replacement Between Public Hospitals, Specialised Treatment Centres And Private Providers: Selection Or Efficiency?," Health Economics, John Wiley & Sons, Ltd., vol. 22(2), pages 234-242, February.
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    Cited by:

    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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