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Performance indicators. All quiet on the front line.

M Goddard1, R Mannion, P Smith

  • 1Centre for Health Economics, York University, UK.

The Health Service Journal
|April 20, 1998
PubMed
Summary
This summary is machine-generated.

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Performance indicators in healthcare are seen as helpful by managers but have limited impact. They mainly identify poor performance and can lead to data manipulation, with frontline staff often unaware of their existence.

Area of Science:

  • Healthcare Management
  • Health Services Research
  • Performance Measurement

Background:

  • Performance indicators are widely used in healthcare settings.
  • Previous perceptions suggest broad utility among healthcare managers.

Purpose of the Study:

  • To evaluate the actual role and impact of current performance indicators in hospital trusts.
  • To assess the awareness and utilization of performance indicators by frontline staff.

Main Methods:

  • Qualitative study involving interviews with managers in hospital trusts, health authorities, and regional offices.
  • Analysis of the perceived and actual use of performance indicators.

Main Results:

  • Managers generally perceive performance indicators as helpful.

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  • The study found limited effectiveness, with indicators primarily used for identifying poor performance.
  • Frontline staff, including junior doctors, often lack awareness of these indicators.
  • Evidence suggests performance indicators can lead to data misrepresentation and manipulation.
  • Conclusions:

    • Current performance indicators have a restricted role in healthcare settings.
    • Limited awareness and potential for data manipulation undermine the effectiveness of performance indicators.
    • Further research is needed to optimize the design and implementation of healthcare performance measures.