2020
DOI: 10.1007/s10728-020-00421-x
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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 m… Show more

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Cited by 5 publications
(7 citation statements)
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“…Healthcare professionals like doctors, nurses, public health workers, and health educators are expected to have a high degree of health literacy due to their education and training [52]. Healthcare professionals with a solid grasp of ethics are better able to assist their patients and create enduring relationships with them [53]. For those working in manual labour industries, access to healthcare facilities and a lack of health insurance are obstacles to successful illness treatment [54].…”
Section: Discussionmentioning
confidence: 99%
See 1 more Smart Citation
“…Healthcare professionals like doctors, nurses, public health workers, and health educators are expected to have a high degree of health literacy due to their education and training [52]. Healthcare professionals with a solid grasp of ethics are better able to assist their patients and create enduring relationships with them [53]. For those working in manual labour industries, access to healthcare facilities and a lack of health insurance are obstacles to successful illness treatment [54].…”
Section: Discussionmentioning
confidence: 99%
“…One of the most crucial elements that contributes to better patient outcomes, enhanced faith and con dence in the healthcare system, and improved general health and wellbeing for people and communities is the observation of ethics in healthcare. They have high levels of health literacy because they can deliver better treatment and build greater relationships with their patients by having knowledge, skills, and expertise in ethics [53]. The ability of manual labourers to manage their health concerns can be hampered by limited access to healthcare services and a lack of health insurance [54].…”
Section: Discussionmentioning
confidence: 99%
“…PROMs-PC, as part of routine measurement, raise ethical and moral implications, whereby certain objectives and practices are valued and others are concealed. (Mitchell et al 2021)…”
Section: Red-tape or Value-add?mentioning
confidence: 99%
“…to make health services better. That is, PROMS-PC needs to have teleological value (Mitchell et al 2021). The somewhat "taken for granted" benefits of PROMs-PC are mostly articulated in the health and medical literature, as a positive focus on the individual and associated improvements of clinician-patient communication and health care.…”
Section: Are We Measuring What We Think We Are Measuring?mentioning
confidence: 99%
“…Furthermore, safety programmes are frequently planned with insufficient consideration of the social and cultural contexts in which they will be introduced 7 8. In addition, while measurement is important in assessing impact, the complexities in achieving meaningful measurements and the important processes and impacts that existing measurements fail to capture constrain progress 9–12. Given such learnings over the past 20 years, new strategies that address these gaps and reframe safety efforts deserve attention.…”
Section: Introductionmentioning
confidence: 99%