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- W2602000433 abstract "There has been much emphasis on accountability in health care in all jurisdictions across Canada. Using document analysis and key informant interviews, we assessed the extent to which the findings from our earlier Ontario-based study, Approaches to Accountability , applied across Canada. Accountability done well improves performance, improves the patient experience and promotes efficient use of resources. If implemented poorly, it can waste valuable resources, create perverse incentives and encourage gaming in the system. The findings of this study reinforced the earlier findings. Our respondents stressed that it was important to focus on the goals being sought and transition points in the system; they emphasized that resources and stable leadership were key. Although good metrics are essential, they are not always available. Accordingly, what is easily measured tends to be what is reported. Organizations are also reluctant to be held accountable for what they cannot control. They noted that too many organizations are asking for too many indicators in too many forms. Although this is particularly problematic for small organizations, it is not exclusive to them. Moving forward, it will be important to streamline and prioritize reporting metrics, ensure adequate resources are available to support accountability and educate users as to the value of reporting accountability activities, by showing them that there is something in it for them. In addition, it is important to encourage coordination and sharing among the multiple bodies that request similar information in different forms. Finally, it is important to ensure that that which is difficult to measure is not lost in the shuffle. L’on a beaucoup insiste sur la responsabilite dans les soins de sante dans toutes les provinces et territoires du Canada. Par le biais de l’utilisation de l'analyse documentaire et des entretiens avec des informateurs cles, nous avons evalue la mesure dans laquelle les resultats de notre etude anterieure basee en Ontario, Approches a la responsabilite , s’appliquaient a travers le Canada. Mise en œuvre de la bonne facon, la responsabilisation peut ameliorer la performance, ameliorer l'experience des patients et favoriser une utilisation plus efficace des ressources. Si elle est mal appliquee, elle peut gaspiller des ressources precieuses, creer des effets pervers et encourager le contournement du systeme. Les resultats de cette etude ont renforce les conclusions anterieures. Nos repondants ont souligne qu'il etait important de se concentrer sur les objectifs recherches et les points de transition dans le systeme; ils ont souligne que les ressources et un leadership stable ont ete la cle. Bien que les bonnes mesures soient indispensables, elles ne sont pas toujours disponibles; en consequence, ce qui est facile a mesurer a tendance a etre ce qui est rapporte. Les organisations sont egalement reticents a etre tenus responsables pour ce qu'ils ne peuvent pas controler. Ils ont note que trop d'organisations demandent trop d'indicateurs de formes trop nombreuses. Bien que cette situation soit particulierement problematique pour les petits organisations, le probleme ne les affecte pas exclusivement. A l'avenir, il sera important de rationaliser et prioriserles mesures a la base des rapports, d’assurer que les ressources suffisantes soient disponibles pour appuyer la redevabilite et d’eduquer les utilisateurs quant a la valeur des rapports sur les activites de reddition de comptes, en leur montrant qu'ils y trouveront leur compte. En outre, il est important d'encourager la coordination et le partage entre les multiples organisations qui demandent des informations similaires sous differentes formes. Enfin, il est important de veiller a ne pas perdre de vue ce qui difficilement mesurable." @default.
- W2602000433 created "2017-04-07" @default.
- W2602000433 creator A5033268562 @default.
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- W2602000433 date "2017-03-14" @default.
- W2602000433 modified "2023-09-26" @default.
- W2602000433 title "Understanding and Implementing Best Practices in Accountability" @default.
- W2602000433 cites W2169426567 @default.
- W2602000433 doi "https://doi.org/10.13162/hro-ors.v5i1.2970" @default.
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