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Made to measure: the ethics of routine measurement for healthcare improvement

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Made to measure: the ethics of routine measurement for healthcare improvement. / Mitchell, Polly; Cribb, Alan; Entwistle, Vikki A.

In: Health Care Analysis, 20.12.2020.

Research output: Contribution to journalArticlepeer-review

Harvard

Mitchell, P, Cribb, A & Entwistle, VA 2020, 'Made to measure: the ethics of routine measurement for healthcare improvement', Health Care Analysis. https://doi.org/10.1007/s10728-020-00421-x

APA

Mitchell, P., Cribb, A., & Entwistle, V. A. (2020). Made to measure: the ethics of routine measurement for healthcare improvement. Health Care Analysis. https://doi.org/10.1007/s10728-020-00421-x

Vancouver

Mitchell P, Cribb A, Entwistle VA. Made to measure: the ethics of routine measurement for healthcare improvement. Health Care Analysis. 2020 Dec 20. https://doi.org/10.1007/s10728-020-00421-x

Author

Mitchell, Polly ; Cribb, Alan ; Entwistle, Vikki A. / Made to measure: the ethics of routine measurement for healthcare improvement. In: Health Care Analysis. 2020.

Bibtex Download

@article{e6172592bef2479bb764f703fedef9a6,
title = "Made to measure: the ethics of routine measurement for healthcare improvement",
abstract = "This paper analyses the ethics of routine measurement for healthcare improvement. Routine measurement is an increasingly central part of healthcare system design and is taken to be necessary for successful healthcare improvement efforts. It is widely recognised that the effectiveness of routine measurement in bringing about improvement is limited—it often produces only modest effects or fails to generate anticipated improvements at all. We seek to show that these concerns do not exhaust the ethics of routine measurement. Even if routine measurement does lead to healthcare improvements, it has associated ethical costs which are not necessarily justified by its benefits. We argue that the practice of routine measurement changes the function of the healthcare system, resulting in an unintended and ethically significant transformation of the sector. It is difficult to determine whether such changes are justified or offset by the benefits of routine measurement because there may be no shared understanding of what is {\textquoteleft}good{\textquoteright} in healthcare by which to compare the benefits of routine measurement with the goods that are precluded by it. We counsel that the practice of routine measurement should proceed with caution and should be recognised to be an ethically significant choice, rather than an inevitability.",
author = "Polly Mitchell and Alan Cribb and Entwistle, {Vikki A.}",
year = "2020",
month = dec,
day = "20",
doi = "10.1007/s10728-020-00421-x",
language = "English",
journal = "Health Care Analysis",
issn = "1065-3058",
publisher = "Springer Netherlands",

}

RIS (suitable for import to EndNote) Download

TY - JOUR

T1 - Made to measure: the ethics of routine measurement for healthcare improvement

AU - Mitchell, Polly

AU - Cribb, Alan

AU - Entwistle, Vikki A.

PY - 2020/12/20

Y1 - 2020/12/20

N2 - This paper analyses the ethics of routine measurement for healthcare improvement. Routine measurement is an increasingly central part of healthcare system design and is taken to be necessary for successful healthcare improvement efforts. It is widely recognised that the effectiveness of routine measurement in bringing about improvement is limited—it often produces only modest effects or fails to generate anticipated improvements at all. We seek to show that these concerns do not exhaust the ethics of routine measurement. Even if routine measurement does lead to healthcare improvements, it has associated ethical costs which are not necessarily justified by its benefits. We argue that the practice of routine measurement changes the function of the healthcare system, resulting in an unintended and ethically significant transformation of the sector. It is difficult to determine whether such changes are justified or offset by the benefits of routine measurement because there may be no shared understanding of what is ‘good’ in healthcare by which to compare the benefits of routine measurement with the goods that are precluded by it. We counsel that the practice of routine measurement should proceed with caution and should be recognised to be an ethically significant choice, rather than an inevitability.

AB - This paper analyses the ethics of routine measurement for healthcare improvement. Routine measurement is an increasingly central part of healthcare system design and is taken to be necessary for successful healthcare improvement efforts. It is widely recognised that the effectiveness of routine measurement in bringing about improvement is limited—it often produces only modest effects or fails to generate anticipated improvements at all. We seek to show that these concerns do not exhaust the ethics of routine measurement. Even if routine measurement does lead to healthcare improvements, it has associated ethical costs which are not necessarily justified by its benefits. We argue that the practice of routine measurement changes the function of the healthcare system, resulting in an unintended and ethically significant transformation of the sector. It is difficult to determine whether such changes are justified or offset by the benefits of routine measurement because there may be no shared understanding of what is ‘good’ in healthcare by which to compare the benefits of routine measurement with the goods that are precluded by it. We counsel that the practice of routine measurement should proceed with caution and should be recognised to be an ethically significant choice, rather than an inevitability.

UR - http://www.scopus.com/inward/record.url?scp=85097731821&partnerID=8YFLogxK

U2 - 10.1007/s10728-020-00421-x

DO - 10.1007/s10728-020-00421-x

M3 - Article

JO - Health Care Analysis

JF - Health Care Analysis

SN - 1065-3058

ER -

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