Exploring differences in performance management across public and private providers in primary care: Evidence from Finland and Sweden
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View abstract on PubMed
Summary
This summary is machine-generated.Performance measurement systems in primary care vary based on governance and payment structures. Contextual factors significantly influence differences between public and private providers, impacting goal clarity and management controls.
Area Of Science
- Healthcare Management
- Public Administration
- Organizational Behavior
Background
- Primary care performance measurement systems are crucial for quality and efficiency.
- Understanding differences between public and private providers is key in decentralized healthcare.
- Swedish and Finnish primary care offer a comparative context due to similar decentralization but differing organizational structures.
Purpose Of The Study
- To explore differences in performance measurement systems between public and private primary care providers in Sweden and Finland.
- To analyze how organizational and governance principles influence the use of these systems.
- To identify factors facilitating effective performance management at the provider level.
Main Methods
- Qualitative research approach.
- Data collected from primary care centre managers' perspectives.
- Comparative analysis of Swedish and Finnish primary care settings.
Main Results
- Payment separation from provision enhances goal clarity and management control use.
- Similar governance principles lead to comparable control practices between public and private providers.
- Divergent "rules of the game" result in distinct control practices.
Conclusions
- Contextual factors are critical for interpreting performance measurement differences.
- Clear communication of service scope by purchasers/owners improves provider goal clarity.
- National-level data access and experience sharing enhance performance management.
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