Performance management in healthcare : performance indicator development, task uncertainty, and types of performance indicators

E. Geer-Rutten-Rijswijk, van der, H.F.J.M. Tuijl, van, C.G. Rutte

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In healthcare, performance indicators are increasingly used to measure and control quality and efficiency of care-providing teams. This article demonstrates that when controllability is emphasized during indicator development, the level of task uncertainty influences the type of resulting performance indicators. We report findings from a field study in a medical rehabilitation centre in The Netherlands, where four low task uncertain teams (‘hand trauma’, ‘heart failure’, ‘amputation’, ‘chronic pain’), and four high task uncertain teams (‘children with developmental coordination disorders (DCD)’, ‘parkinson's disease’, ‘young children (0–4 years) with developmental disorders’, and ‘acquired brain injuries’) participated in the development of performance indicators using the Productivity Measurement and Enhancement System (ProMES) method. Results show that teams higher on task uncertainty developed relatively more process indicators compared to outcome indicators, whereas the reverse was true for teams lower on task uncertainty. Additionally, process indicators developed by high task uncertain teams were more of a problem solving nature than process indicators developed by low task uncertain teams, which had a more procedural character. The study expands existing knowledge by providing a framework which explicates the task processes to be executed under different levels of task uncertainty, and in line with that appropriate performance indicators for healthcare teams.
Originele taal-2Engels
Pagina's (van-tot)1523-1530
TijdschriftSocial Science and Medicine
Volume69
Nummer van het tijdschrift10
DOI's
StatusGepubliceerd - 2009

Vingerafdruk

Task Performance and Analysis
Uncertainty
uncertainty
Delivery of Health Care
management
performance
Motor Skills Disorders
Efficiency
Rehabilitation Centers
Patient Care Team
Quality of Health Care
Amputation
Chronic Pain
Netherlands
Brain Injuries
Parkinson Disease
Heart Failure
Hand
medical rehabilitation
rehabilitation center

Citeer dit

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title = "Performance management in healthcare : performance indicator development, task uncertainty, and types of performance indicators",
abstract = "In healthcare, performance indicators are increasingly used to measure and control quality and efficiency of care-providing teams. This article demonstrates that when controllability is emphasized during indicator development, the level of task uncertainty influences the type of resulting performance indicators. We report findings from a field study in a medical rehabilitation centre in The Netherlands, where four low task uncertain teams (‘hand trauma’, ‘heart failure’, ‘amputation’, ‘chronic pain’), and four high task uncertain teams (‘children with developmental coordination disorders (DCD)’, ‘parkinson's disease’, ‘young children (0–4 years) with developmental disorders’, and ‘acquired brain injuries’) participated in the development of performance indicators using the Productivity Measurement and Enhancement System (ProMES) method. Results show that teams higher on task uncertainty developed relatively more process indicators compared to outcome indicators, whereas the reverse was true for teams lower on task uncertainty. Additionally, process indicators developed by high task uncertain teams were more of a problem solving nature than process indicators developed by low task uncertain teams, which had a more procedural character. The study expands existing knowledge by providing a framework which explicates the task processes to be executed under different levels of task uncertainty, and in line with that appropriate performance indicators for healthcare teams.",
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Performance management in healthcare : performance indicator development, task uncertainty, and types of performance indicators. / Geer-Rutten-Rijswijk, van der, E.; Tuijl, van, H.F.J.M.; Rutte, C.G.

In: Social Science and Medicine, Vol. 69, Nr. 10, 2009, blz. 1523-1530.

Onderzoeksoutput: Bijdrage aan tijdschriftTijdschriftartikelAcademicpeer review

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