Performance improvement and performance dysfunction
Steven Kelman
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Performance improvement and performance dysfunction
Published
2007
Publisher
John F. Kennedy School of Government, Harvard University
Pages
1
Description
The literature on the use of performance measurement in government has featured prominent attention to hypothesized unintended dysfunctional consequences such measurement may produce. We conceptualize these dysfunctional consequences as involving either effort substitution (reducing effort on non-measured performance dimensions) or gaming (making performance on the measured performance dimension appear better, when in fact it is not). In this paper, we examine both performance impacts and dysfunctional consequences of establishment in the British National Health Service of a performance target that no patient presenting in a hospital accident and emergency department (emergency room) wait more than four hours for treatment. Using data from all 155 hospitals in England, we find dramatic wait-time performance improvements between 2003 and 2006, and no evidence for any of the dysfunctional effects that have been hypothesized in connection with this target. We conclude by discussing when one would expect dysfunctional effects to appear and when not.
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This edition of Performance improvement and performance dysfunction has approximately 1 pages. Please note, this is an estimate and the exact page count can vary between hardcover, paperback, and e-book versions.
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The estimated word count for Performance improvement and performance dysfunction is approximately 250 words. This figure is calculated using industry-standard methods that consider genre-specific word density patterns, typical formatting and layout characteristics, and standard words-per-page ratios for published books.
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Who is the author of Performance improvement and performance dysfunction?
Performance improvement and performance dysfunction was written by Steven Kelman.
When was Performance improvement and performance dysfunction published?
The publication date for this specific edition is 2007. The original work may have been published on a different date.