Rethinking Performance evaluation in Health Care

Publication: Research - peer-reviewJournal article – Annual report year: 2013


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Purpose: The objective is to develop a framework for healthcare performance evaluation, enabling decision-makers to identify areas indicative of corrective actions. The framework should provide information on strategic pro-/regress in an operational context, justifying the need for organizational adjustments. Design/methodology/approach: The study adopts qualitative methods in constructing the framework, subsequently implementing the framework in a Danish MRI unit. Workshops and interviews are used for the qualitative construction phase, and two internal and five external databases are used for a quantitative analysis. Findings: By aggregating performance outcomes, collective measures of performance are achieved. This enables easy and intuitive identification of areas not strategically aligned. In general the framework proved helpful to operational decision-makers struggling with extensive amounts of performance information. Practical implications: The framework’s strength lies in the identification of performance problems prior to decision making. The quality of decisions is bound to the individual decision maker. The framework only functions to support these decisions. Scientific implications: The implementation of the framework on a single case in a public and highly political environment restricts the generalizing potential. The authors acknowledge that there may be more suitable approaches in organizations with different settings. Originality/value: The study challenges the traditional use of performance reporting by combining strategic weight assignment and performance aggregation in hierarchies. This way, the framework accentuates performance as a function of strategic pro- or regress, which assists decision-makers in placing operational effort in pursuit strategic alignment.
Original languageEnglish
JournalJournal of Health, Organization and Management
Publication date2013


  • Performance measurement, Decision support, Health Services Sector, Holistic performance, Strategic alignment.
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ID: 6443278