Use of Performance Measurement Systems among Clinical Managers: Implications for Waiting Time Reduction

This exploratory study investigates how clinical unit managers' use of Performance Measurement Systems (PMS) relates to patient waiting times (WT) within Spanish public hospitals. The research examines whether managers who value PMS tools achieve better performance outcomes. The study analysed survey data from 67 clinical units across public hospitals in Galicia, Spain. To explore the relationship between PMS use and performance, the researchers utilised contingency tables and exact bivariate tests specifically designed for small samples. The results indicate a positive association between the use of specific managerial PMS tools and reduced waiting times. However, due to the limited sample size, these findings are considered exploratory rather than causal. Improving healthcare performance requires more than just implementing formal systems; it necessitates fostering managers' recognition of these tools' strategic value. Ultimately, the active engagement of clinical leaders is crucial for translating PMS into tangible service improvements. Strengthening managerial training and promoting a clearer understanding of PMS may help clinical unit managers use these tools more effectively. Policymakers and hospital administrators should support initiatives that enhance managers’ engagement with performance measurement, while recognizing the need for further research using larger samples and more robust empirical designs.