Evaluating Institutional Performance in Hospitals

Abstract

Purpose: To elaborate on the current debate on performance within healthcare institutions, aimed at increasing understanding of institutional dimensions that may be part of evaluation. The analysis endeavors to update the reader regarding the database and national results.

Design/Methodology/Approach: Analysis of the dataset and results of new measures are introduced, providing a concise overview of the findings.

Findings: Findings have revealed that organizational performance is, in the majority of cases, poor. Non-parametric tests provide a base on which to make comparisons. Very few institutions perform well, suggesting that these remain significant to policymakers due to their apparent extensive success.

Implications: Implications for present and future healthcare management and policy are discussed.

Originality: Serves to contribute to the debate on the importance of measurement, public reporting of performance, benchmarking, and patient choice, and regarding various aspects of the healthcare system, including investment, pricing, managerialism, and devolution.