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Related Experiment Video

Updated: Jul 16, 2026

Development of a Virtual Reality Assessment of Everyday Living Skills

Development of a Virtual Reality Assessment of Everyday Living Skills

Published on: April 23, 2014

Clinical concerns about clinical performance measurement.

Rachel M Werner¹, David A Asch

¹Center for Health Equity Research and Promotion, Philadelphia Veterans Affairs Medical Center, Philadelphia, PA 19104, USA. rwerner@mail.med.upenn.edu

Annals of Family Medicine

|March 29, 2007

Summary

Performance measurement improves healthcare quality but can hinder patient care. Physicians worry it distracts from crucial, unmeasured aspects of health, potentially sacrificing patient needs for compliance.

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Area of Science:

Health Services Research
Medical Quality Improvement

Background:

Performance measurement is a cornerstone of healthcare quality improvement initiatives.
Physicians express apprehension, feeling performance measurement interferes with optimal patient care delivery.

Purpose of the Study:

To explore physician concerns regarding performance measurement.
To analyze how performance measurement may impact the quality of individual patient care.

Main Methods:

The study discusses the conceptual and practical challenges of performance measurement in healthcare.
Analysis of how performance metrics influence physician attention and resource allocation.

Main Results:

Performance measures may focus on low-impact areas, diverting attention from more critical, unmeasured aspects of care.
Current systems often lack prioritization for high-impact clinical guidelines.
Measures can lead to narrow physician focus on compliance, potentially overlooking broader patient needs and unmeasurable quality aspects.

Conclusions:

While vital for quality improvement, performance measurement is not a complete solution.
Pressure to meet performance metrics can compromise genuine patient care.
Current performance measurement is better at improving measured aspects of care than the holistic care of individual patients.