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Towards an acceptance of performance assessment
P M Finucane1, S R Barron, H A Davies
1Medical Council of Ireland, Dublin, Ireland, University of British Columbia, Vancouver, Canada. paulfinucane@mcirl.ie
Medical Education
|October 23, 2002
Summary
Ensuring acceptance of performance assessments requires understanding and addressing the needs of patients, doctors, and employers. Implementing a structured change management model can foster stakeholder buy-in for assessment tools.
Area of Science:
- Healthcare Management
- Organizational Psychology
- Medical Education
Background:
- The effectiveness of performance assessment tools is contingent upon their acceptance by all stakeholders.
- Key stakeholders include patients, healthcare providers (doctors), and employers, who may hold divergent expectations.
- Conflicting beliefs necessitate a strategy to ensure universal acceptance of performance assessment processes.
Purpose of the Study:
- To explore stakeholder beliefs and expectations regarding performance assessment.
- To present a change management model for increasing the acceptance of performance assessment.
- To outline practical strategies for implementing and sustaining performance assessment acceptance.
Main Methods:
- Drawing upon psychological literature on change management.
- Identifying key stakeholders in performance assessment: patients, doctors, and employers.
- Developing a phased approach to change management: initiation, transition, and consolidation.
Main Results:
- Stakeholder acceptance is crucial for the utility of performance assessment tools.
- Understanding and addressing stakeholder beliefs, expectations, rewards, and costs is essential.
- A structured change management model provides a practical framework for fostering acceptance.
Conclusions:
- Performance assessment tools require universal stakeholder acceptance for optimal utility.
- A systematic approach to change management, informed by psychological principles, can facilitate this acceptance.
- Implementing strategies for initiation, transition, and consolidation will foster widespread adoption of performance assessment structures.