Is There Evidence That Performance Measurement in Stroke Has Influenced Health Policy and Changes to Health Systems?
Over the past 20 years or more, use of meta-analysis and establishment of clinical guidelines for stroke have provided a strong evidence base for performance measurement. Performance measurement, defined as the evaluation of organizational or clinical practice activities and outcomes against agreed standards,1,2 has been used to identify care gaps. With the associated development in health services research, this has laid the foundation for providing evidence for health policy decisions.
Performance measures may be designed to assess the structural environment (eg, the organizational features of health facilities), processes of care (such as adherence to recommended clinical interventions), or outcomes (eg, mortality). Read More