RT Article
T1 Bad Measures Don’t Make Good Medicine: The Ethical Implications of Unreliable and Invalid Physician Performance Measures
JF Journal of business ethics
VO 88
IS 2
SP 287
OP 295
A1 Labig, Chalmer E.
LA English
YR 2009
UL https://ixtheo.de/Record/1785635476
AB Drawing on the performance appraisal and medical literatures, we examine representative ethical issues involved in current appraisal practices of individual physicians: the use of invalid and unreliable measures; organizational goals conflicting with patient health goals; using individual measures for what are group performance results; making individual attributions for what are systemic causes (and results); and using clinical feedback for organizational purposes. Suggestions for developing more ethical performance appraisals include reflecting upon the multiple purposes and means of appraisals, and the limitations of current practices. Greater understanding of the effects of current appraisal practices on physicians can help minimize its potentially adverse consequences on the delivery of quality healthcare.
K1 quality medicine
K1 Physicians
K1 Performance Appraisal
K1 Ethics
DO 10.1007/s10551-008-9963-1