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Record W2336969957

Accountability in Health Care and the Use of Performance Measures

2010· article· en· W2336969957 on OpenAlexaffabout
Seija Kromm

Bibliographic record

VenueSSRN Electronic Journal · 2010
Typearticle
Languageen
FieldHealth Professions
TopicHealthcare Quality and Management
Canadian institutionsAlberta Health Services
Fundersnot available
KeywordsAccountabilityHealth carePromotion (chess)PopulationBusinessPopulation healthHealth policyPerformance measurementMedicinePublic healthPublic relationsPolitical scienceEconomicsEnvironmental healthNursingMarketingEconomic growth
DOInot available

Abstract

fetched live from OpenAlex

Accountability is being stressed in the Canadian health care environment. This paper uses a framework that considers both the production characteristics of services provided and the type of accountability sought, and how they may impact a policy tools’ ability to achieve accountability. The production characteristic focused on is 'measurability,' or more specifically, the performance measures currently being used in the province of Ontario to achieve accountability. These measures are considered alongside the criteria of a high performing health system and policy tools, and are compiled into an inventory. Whether these accountability or performance measures align with the criteria of a high-performing health system may influence the likelihood that accountability for these criteria is achieved using the available policy tools. The inventory of available measures helps identify criteria, such as patient satisfaction and health promotion/population health, which are challenging to assess. In the case of patient satisfaction, a large number of measures were used to deal with the challenge of assessing performance. Conversely, health promotion/population health has only one corresponding measure. Health system efforts to achieve accountability are commendable, even if imperfect. These results indicate the opportunity for further research around accountability and the creation of measures.

Fetched live from OpenAlex and de-inverted. Abstracts are not stored in this database: the inverted indexes are 8.6 GB of the frame’s 9.3 GB of text, and the host has 13 GB free.

How this classification was reachedexpand

Full frame distilled prediction

Teacher imitation

Not calibrated prevalence, not ground truth. Human validation pending. Learned from the 10,348 direct Codex labels and 10,348 direct Gemma labels. Candidate is the union of thresholded teacher heads; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels or direct frontier model labels.

metaresearch head score (Codex)0.012
metaresearch head score (Gemma)0.000
Version: codex-gemma-dda1882f352aValidation status: machine_predicted_unvalidated
Candidate categoriesResearch integrity
Consensus categoriesnone
DomainCandidate signal: none · Consensus signal: none
Study designCandidate signal: Not applicable · Consensus signal: none
GenreCandidate signal: Empirical · Consensus signal: Empirical
Teacher disagreement score0.512
Threshold uncertainty score0.999

Codex and Gemma teacher scores by category

CategoryCodexGemma
Metaresearch0.0120.000
Meta-epidemiology (narrow)0.0000.000
Meta-epidemiology (broad)0.0000.000
Bibliometrics0.0000.000
Science and technology studies0.0010.000
Scholarly communication0.0000.000
Open science0.0000.000
Research integrity0.0000.005
Insufficient payload (model declined to judge)0.0000.000

Machine scores (provisional)

The two teacher heads of the student model, read on this work. A score orders the frame for review; it never asserts a category, and the validation status ships verbatim with every row.

Baseline scores from an immature model (maturity gate not passed, 7 training rounds). Scores rank; they never assert a category.

Opus teacher head0.088
GPT teacher head0.424
Teacher spread0.336 · how far apart the two teachers sit on this one work
Validation statusscore_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from it

Classification

machine, unvalidated

Machine predicted; a candidate call from one teacher head, not a consensus.

Study designNot applicable
Domainnot available
GenreEmpirical

How this classification was reached, model by model and score by score, is at the end of the page under "How this classification was reached".

Quick stats

Citations1
Published2010
Admission routes2
Has abstractyes

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