Organizing Healthcare Transparency
(2023) p.753-767- Abstract
Healthcare 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 healthcare. The driving forces differ between regions, but the trends are broad enough to result in similar developments across Europe. Market reforms and quality concerns create mounting demands for public transparency, but healthcare 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... (More)
Healthcare 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 healthcare. The driving forces differ between regions, but the trends are broad enough to result in similar developments across Europe. Market reforms and quality concerns create mounting demands for public transparency, but healthcare 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.
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- author
- Levay, Charlotta LU
- organization
- publishing date
- 2023-01-01
- type
- Chapter in Book/Report/Conference proceeding
- publication status
- published
- subject
- keywords
- healthcare professionals, healthcare quality, new public management, professional autonomy, public quality reporting, quality measurement, technologies of transparency, transparency
- host publication
- The Oxford Handbook of Governance and Public Management for Social Policy
- pages
- 15 pages
- publisher
- Taylor & Francis
- external identifiers
-
- scopus:85174104205
- ISBN
- 9780190916329
- 9780190916350
- language
- English
- LU publication?
- yes
- additional info
- Publisher Copyright: © Oxford University Press 2023 All rights reserved.
- id
- b5cc42cf-2d1c-40fc-adf6-396d714ea687
- date added to LUP
- 2023-12-20 11:45:50
- date last changed
- 2024-04-18 21:26:04
@inbook{b5cc42cf-2d1c-40fc-adf6-396d714ea687,
abstract = {{<p>Healthcare 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 healthcare. The driving forces differ between regions, but the trends are broad enough to result in similar developments across Europe. Market reforms and quality concerns create mounting demands for public transparency, but healthcare 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.</p>}},
author = {{Levay, Charlotta}},
booktitle = {{The Oxford Handbook of Governance and Public Management for Social Policy}},
isbn = {{9780190916329}},
keywords = {{healthcare professionals; healthcare quality; new public management; professional autonomy; public quality reporting; quality measurement; technologies of transparency; transparency}},
language = {{eng}},
month = {{01}},
pages = {{753--767}},
publisher = {{Taylor & Francis}},
title = {{Organizing Healthcare Transparency}},
year = {{2023}},
}