Should interventions to reduce variation in care quality target doctors or hospitals?

ABSTRACT: Interventions to reduce variation in care quality are increasingly targeted at both individual doctors and the organisations in which they work. Concerns remain about the scope and consequences for such performance management, the relative contribution of individuals and organisations to observed variation, and whether performance can be measured reliably. This study explores these issues in the context of the English National Health Service by analysing comprehensive administrative data for all patients treated for four clinical conditions (acute myocardial infarction, hip fracture, pneumonia, ischemic stroke) and two surgical procedures (coronary artery bypass, hip replacement) during April 2010-February 2013. Performance indicators are defined as 30-day mortality, 28-day emergency readm

SUBMITTER: Gutacker N 

PROVIDER: S-EPMC6022214 | biostudies-literature | 2018 Jun

REPOSITORIES: biostudies-literature