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Qual Saf Health Care 2005;14:77-78
© 2005 BMJ Publishing Group Ltd.


COMMENTARY

Hospital performance

Impact of reporting hospital performance

M N Marshall1, P S Romano2

1 National Primary Care Research and Development Centre, University of Manchester, Manchester, UK
2 Centre for Health Services Research in Primary Care, University of California Davis, School of Medicine, Sacramento, CA, USA

Correspondence to:
Professor M N Marshall
National Primary Care Research and Development Centre, University of Manchester, Manchester, UK; martin.marshall@man.ac.uk


Is public disclosure a cost effective way to improve the quality of patient care?

Keywords: accreditation; public disclosure

The first 150 words of the full text of this article appear below.

It doesn’t seem long ago that many health professionals and managers were voicing passionate opposition to the public release of comparative information about provider performance. By and large, these voices have now gone quiet. In their place we hear more thoughtful discussions about how best to publish information in a way that engages the various audiences, maximises the benefits of disclosure, and minimises the potential for adverse consequences.

Why such a dramatic change? The argument in favour of publishing information about performance has been won in policy terms principally because of the contribution that disclosure can make to increasing the accountability of provider organisations. In more philosophical terms, many of the opponents of disclosure have been won over by arguments about the "right to know" of citizens in a democratic society.

Those who look for more instrumental reasons to justify the costly and complex task of publishing performance . . . [Full text of this article]




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