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Health care transparency in organizational perspective

Levay, Charlotta LU (2016) In The Oxford Handbook of Health Care Management p.393-412
Abstract
Health care organizations are under increasing pressure to account for their performance to outside constituencies. This chapter reviews the background, nature, and consequences of organized efforts to enhance transparency in health care. Market reforms and quality concerns create mounting demands for public transparency, but health care quality is difficult to assess in a way that is both fair and accessible to a general audience. Public quality reporting has not been shown to improve quality of care, and there is a risk that it produces nominal rather than effective transparency. Especially when combined with economic incentives, transparency regimes tend to breed gaming, which is repeatedly ignored by systems designers. Health... (More)
Health care organizations are under increasing pressure to account for their performance to outside constituencies. This chapter reviews the background, nature, and consequences of organized efforts to enhance transparency in health care. Market reforms and quality concerns create mounting demands for public transparency, but health care quality is difficult to assess in a way that is both fair and accessible to a general audience. Public quality reporting has not been shown to improve quality of care, and there is a risk that it produces nominal rather than effective transparency. Especially when combined with economic incentives, transparency regimes tend to breed gaming, which is repeatedly ignored by systems designers. Health professionals typically react negatively, even if they also participate in and derive some benefits from transparency efforts. Future research needs to explore systematically the strategies that professionals, patients, and organizations engage in when creating and receiving public quality information. (Less)
Please use this url to cite or link to this publication:
author
organization
publishing date
type
Chapter in Book/Report/Conference proceeding
publication status
published
subject
keywords
transparency, technologies of transparency, new public management, health care quality, public quality reporting, quality measurement, health care professionals, professional autonomy
in
The Oxford Handbook of Health Care Management
editor
Ferlie, Ewan; Montgomery, Kathleen ; Reff Pedersen, Anne; ; and
pages
393 - 412
publisher
Oxford University Press
ISBN
9780198705109
language
English
LU publication?
yes
id
87dede6c-de02-4418-b4bf-53ee13d52554
alternative location
http://www.oxfordhandbooks.com/view/10.1093/oxfordhb/9780198705109.001.0001/oxfordhb-9780198705109-e-12
date added to LUP
2016-09-12 11:11:49
date last changed
2016-09-12 14:38:46
@inbook{87dede6c-de02-4418-b4bf-53ee13d52554,
  abstract     = {Health care organizations are under increasing pressure to account for their performance to outside constituencies. This chapter reviews the background, nature, and consequences of organized efforts to enhance transparency in health care. Market reforms and quality concerns create mounting demands for public transparency, but health care quality is difficult to assess in a way that is both fair and accessible to a general audience. Public quality reporting has not been shown to improve quality of care, and there is a risk that it produces nominal rather than effective transparency. Especially when combined with economic incentives, transparency regimes tend to breed gaming, which is repeatedly ignored by systems designers. Health professionals typically react negatively, even if they also participate in and derive some benefits from transparency efforts. Future research needs to explore systematically the strategies that professionals, patients, and organizations engage in when creating and receiving public quality information.},
  author       = {Levay, Charlotta},
  editor       = {Ferlie, Ewan and Montgomery, Kathleen  and Reff Pedersen, Anne},
  isbn         = {9780198705109},
  keyword      = {transparency, technologies of transparency, new public management, health care quality, public quality reporting, quality measurement, health care professionals, professional autonomy},
  language     = {eng},
  pages        = {393--412},
  publisher    = {Oxford University Press},
  series       = {The Oxford Handbook of Health Care Management},
  title        = {Health care transparency in organizational perspective},
  year         = {2016},
}