Examines the nature of performance measurement in the NHS in itsrelation to the principal objectives of a public health service. Arguesthat existing measures bed and theatre utilization, budget deficits,and so on can give rise to situations which are in conflict with suchobjectives. Suggests performance measures should reflect the purpose ofa public health services. One way this may be achieved is by use of anadjusted or weighted throughout measure which provides an indication ofthe level of utilization of largely fixed resources. Once adopted as aperformance measure, throughput efficiency, established in the contextof clinical objectives and available resources at unit level gives riseto quite different conclusions as to the effectiveness of existinghealth care delivery than has traditionally been the case.
Journal of Management in Medicine – Emerald Publishing
Published: Feb 1, 1992
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