Performance Comparison And Organizational Service Provision

Exploring the mechanisms underlying performance comparisons, Performance Comparison and Organizational Service Provision investigates how such assessments shape hospitals’ service provision and medical professionals’ work. With a focus on U.S. health care, this study outlines how medical quality was defined and compared in the hospital sector from the late 19th century to the present. Developing a novel theoretical framework to investigate performance comparisons, several different forms of internal and external performance assessments are contrasted throughout this period. The transformative effects of these comparisons on hospitals’ relationships to patients, insurers, regulators, and staff are analyzed and their ramifications for current hospital care are explored. Drawing on this analysis, the book examines the controversial nature of these measures and the struggles among hospital managers, patients, physicians, and policy makers to determine hospital quality. Affording a deeper understanding of how performance comparisons influence organizational service provision, the book will be of interest to researchers in a broad range of fields including organization studies, accountability and evaluation, health care, and policy research as well as practitioners in hospital care and management.

International comparison of health system performance has become increasingly popular, made possible by the rapidly expanding availability of health data. It has become one of the most important levers for prompting health system reform. Yet, as the demand for transparency and accountability in healthcare increases, so too does the need to compare data from different health systems both accurately and meaningfully. This timely and authoritative book offers an important summary of the current developments in health system performance comparison. It summarises the current state of efforts to compare systems, and identifies and explores the practical and conceptual challenges that occur. It discusses data and methodological challenges, as well as broader issues such as the interface between evidence and practice. The book draws out the priorities for future work on performance comparison, in the development of data sources and measurement instruments, analytic methodology, and assessment of evidence on performance. It concludes by presenting the key lessons and future priorities, and in doing so offers a rich source of material for policy-makers, their analytic advisors, international agencies, academics and students of health systems.

"The book focuses on application of performance analysis tools, not the theory of performance management. This text is an effective learning tool for students in analytical technique courses in public administration and policy programs. With other texts, students may learn about a statistical concept and calculation, but still don't understand the managerial context where the statistical tool applies. Consequently, they often fail to understand the managerial importance of statistical tools they learn, and worse, fail to recognize the correct tool to use when a managerial issue rises. This book corrects this problem by providing a managerial context that bridges statistical concepts and the managerial reality. The managerial context is performance management, in which performance data are presented, monitored, and analyzed. It is in this performance management context that the usefulness and applicability of statistical tools are illuminated for the learner."--BOOK JACKET.

This Handbook examines the study of failure in social sciences, its manifestations in the contemporary world, and the modalities of dealing with it – both in theory and in practice. It draws together a comprehensive approach to failing, and invisible forms of cancelling out and denial of future perspectives. Underlining critical mechanisms for challenging and reimagining norms of success in contemporary society, it allows readers to understand how contemporary regimes of failure are being formed and institutionalized in relation to policy and economic models, such as neo-liberalism. While capturing the diversity of approaches in framing failure, it assesses the conflations and shifts which have occurred in the study of failure over time. Intended for scholars who research processes of inequality and invisibility, this Handbook aims to formulate a critical manifesto and activism agenda for contemporary society. Presenting an integrated view about failure, the Handbook will be an essential reading for students in sociology, social theory, anthropology, international relations and development research, organization theory, public policy, management studies, queer theory, disability studies, sports, and performance research.

Drawing on anthropology, historical sociology and social-epidemiology, this multidisciplinary book investigates how pharmaceuticals are produced, distributed, prescribed, (and) consumed, and regulated in order to construct a comprehensive understanding of the issues that drive (medicine) pharmaceutical markets in the Global South today. Based on primary research conducted in Benin and Ghana, and additional data collected in Cambodia and the Ivory Coast, this volume uses artemisinin-based combination therapies (ACTs) against malaria as a central case study. It highlights the influence of the countries colonial and post-colonial history on their models for state regulation, production, and distribution, explores the determining role transnational actors as well as industries from the North but also and increasingly from the South play in influencing local pharmaceutical markets and looks at the behaviour of health care professionals and individuals. Stepping back, the authors then unpick the pharmaceuticalization process and the multiple regulations at stake by looking at the workings of, and linkages between, (biomedical health) pharmaceutical systems, (representatives of companies) industries, actors in private distribution, and consumer practices. Providing a thorough comparative analysis of the advantages and disadvantages of different pharmaceutical systems, it is an important contribution to the literature on pharmaceutalization and the governance of medication. It is of interest to students, researchers and policy-makers interested in medical anthropology, the sociology of health and illness, global health, healthcare management and pharmacy. The Open Access version of this book, available at http://www.taylorfrancis.com/books/9780429329517, has been made available under a Creative Commons Attribution-Non Commercial-No Derivatives 4.0 license.

Increasingly, pharmaceuticals are available as the solutions to a wide range of human health problems and health risks, minor and major. This book portrays how pharmaceutical use is, at once, a solution to, and a difficulty for, everyday life. Exploring lived experiences of people at different stages of the life course and from different countries around the world, this collection highlights the benefits as well as the challenges of using medicines on an everyday basis. It raises questions about the expectations associated with the use of medications, the uncertainty about a condition or about the duration of a medicine regimen for it, the need to negotiate the stigma associated with a condition or a type of medicine, the need to access and pay for medicines and the need to schedule medicine use appropriately, and the need to manage medicines’ effects and side effects. The chapters include original empirical research, literature review and theoretical analysis, and convey the sociological and phenomenological complexity of ‘living pharmaceutical lives’. This book is of interest to all those studying and researching social pharmacy and the sociology of health and illness.

In the context of a growing criticism on the influence of the pharmaceutical industry on physicians, scientists, or politicians, Conflict of Interest and Medicine offers a comprehensive analysis of the conflict of interest in medicine anchored in the social sciences, with perspectives from sociology, history, political science, and law. Based on in-depth empirical investigations conducted within different territories (France, the European Union, and the United States) the contributions analyze the development of conflict of interest as a social issue and how it impacts the production of medical knowledge and expertise, physicians’ work and their prescriptions, and also the framing of health crises and controversies. In doing so, they bring a new understanding of the transformations in the political economy of pharmaceutical knowledge, the politicization of public health risks, and the promotion of transparency in science and public life. Complementing the more normative and quantitative understandings of conflict of interest issues that dominate today, this book will be of interest to researchers in a broad range of areas including social studies of sciences and technology, sociology of health and illness, and political sociology and ethics. It will be also a valuable resource for health professionals, medical scientists, or regulators facing the question of corporate influence.

Weight stigma is so pervasive in our culture that it is often unnoticed, along with the harm that it causes. Health care is rife with anti-fat bias and discrimination against fat people, which compromises care and influences the training of new practitioners. This book explores how this happens and how we can change it. This interdisciplinary volume is grounded in a framework that challenges the dominant discourse that health in fat individuals must be improved through weight loss. The first part explores the negative impacts of bias, discrimination, and other harms by health care providers against fat individuals. The second part addresses how we can ‘fatten’ pedagogy for current and future health care providers, discussing how we can address anti-fat bias in education for health professionals and how alternative frameworks, such as Health at Every Size, can be successfully incorporated into training so that health outcomes for fat people improve. Examining what works and what fails in teaching health care providers to truly care for the health of fat individuals without further stigmatizing them or harming them, this book is for scholars and practitioners with an interest in fat studies and health education from a range of backgrounds, including medicine, nursing, social work, nutrition, physiotherapy, psychology, sociology, education and gender studies.