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Health Policy and Planning Advance Access published online on January 23, 2006
Health Policy and Planning, doi:10.1093/heapol/czj009
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Published by Oxford University Press in association with the London School of Hygiene and Tropical Medicine 2006.

Original Paper

Provider-specific report cards: a tool for health sector accountability in developing countries

Peggy Mcnamara 1 *

1 Center for Delivery, Organization and Markets, US Agency for Healthcare Research and Quality, Rockville, MD, USA

* To whom correspondence should be addressed.
Peggy Mcnamara, E-mail: pmcnamar{at}ahrq.gov


  Abstract

In most health care systems in most countries, providers are not adequately held accountable - by governments, purchasers, provider professional associations or civil society - for the quality of care. One approach to improve provider accountability that is being debated and implemented in a subset of developed countries and a smaller group of developing countries is provider-specific comparative performance reporting. This review discusses universal design options for report cards, summarizes the evidence base, presents developing country examples, reviews challenges and outlines implementation steps. The ultimate aim is to provoke thoughtful debate about if and how comparative performance reporting fits within a developing country's broader framework of strategies to promote quality of care.

Keywords: provider report cards; consumer reports; performance reports; provider profiles; comparative quality reports; league tables; provider accountability.
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