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Performance Measurement in Health Care: History, Challenges and Prospects

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  • Peter Smith

Abstract

A confluence of forces has resulted in massive changes to the collection and use of performance data in the UK health system over the past 25 years. Performance measurement offers major potential benefits for clinical professionals, managers, regulators, politicians, researchers, patients and citizens. However, uncritical reliance on performance data can lead to a number of unintended and adverse consequences. The National Health Service has pioneered the assembly and dissemination of performance data from the early 1980s. This article summarizes the history of performance measurement in the NHS, assesses its effectiveness to date, discusses the major challenges in deploying performance measures, and highlights priorities for policy-makers.

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  • Peter Smith, 2005. "Performance Measurement in Health Care: History, Challenges and Prospects," Public Money & Management, Taylor & Francis Journals, vol. 25(4), pages 213-220.
    • Handle: RePEc:taf:pubmmg:v:25:y:2005:i:4:p:213-220
    DOI: 10.1080/09540962.2005.10600096
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    Citations

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    Cited by:

    1. 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.
    2. Iwona Markowicz & Iga Rudawska, 2021. "Struggling with COVID-19—A Framework for Assessing Health System Performance," Sustainability, MDPI, vol. 13(20), pages 1-13, October.
    3. Besley, Timothy & Burchardi, Konrad B. & Bevan, Gwen, 2009. "Naming and shaming: the impacts of different regimes on hospital waiting times in England and Wales," LSE Research Online Documents on Economics 33775, London School of Economics and Political Science, LSE Library.
    4. Diane Dawson & Hugh Gravelle & Rowena Jacobs & Stephen Martin & Peter C. Smith, 2007. "The effects of expanding patient choice of provider on waiting times: evidence from a policy experiment," Health Economics, John Wiley & Sons, Ltd., vol. 16(2), pages 113-128, February.
    5. Marijani Ramadhani & Manase Richard, 2020. "Analysis of Performance Information Use in Tanzania: Insights from Tanzania Public Service College, Tabora," HOLISTICA – Journal of Business and Public Administration, Sciendo, vol. 11(2), pages 115-139, August.
    6. Besley, Tim & Bevan, Gwyn & Burchardi, Konrad, 2009. "Naming & Shaming: The impacts of different regimes on hospital waiting times in England and Wales," CEPR Discussion Papers 7306, C.E.P.R. Discussion Papers.
    7. Laura Mariani & Marco Tieghi & Sabrina Gigli, 2016. "The efficacy of performance management system in healthcare. A literature review and research perspectives," MANAGEMENT CONTROL, FrancoAngeli Editore, vol. 2016(3), pages 97-116.
    8. Lucia Biondi & Salvatore Russo, 2022. "Integrating strategic planning and performance management in universities: a multiple case-study analysis," Journal of Management & Governance, Springer;Accademia Italiana di Economia Aziendale (AIDEA), vol. 26(2), pages 417-448, June.
    9. Garcia-Lacalle, Javier & Martin, Emilio, 2010. "Rural vs urban hospital performance in a 'competitive' public health service," Social Science & Medicine, Elsevier, vol. 71(6), pages 1131-1140, September.
    10. Gwyn Bevan & Richard Hamblin, 2009. "Hitting and missing targets by ambulance services for emergency calls: effects of different systems of performance measurement within the UK," Journal of the Royal Statistical Society Series A, Royal Statistical Society, vol. 172(1), pages 161-190, January.

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