What's measured is what matters: Targets and gaming in the English public health care system

被引：747

作者：

Bevan, Gwyn

Hood, Christopher

机构：

[1] Univ London London Sch Econ & Polit Sci, Dept Operat Res, London WC2A 2AE, England

[2] Univ London London Sch Econ & Polit Sci, LSE Hlth & Social Care, London WC2A 2AE, England

来源：

PUBLIC ADMINISTRATION | 2006年 / 84卷 / 03期

基金：

英国经济与社会研究理事会;

关键词：

D O I：

10.1111/j.1467-9299.2006.00600.x

中图分类号：

D0 [政治学、政治理论];

学科分类号：

0302 ; 030201 ;

摘要：

In the 2000s, governments in the UK, particularly in England, developed a system of governance of public services that combined targets with an element of terror. This has obvious parallels with the Soviet regime, which was initially successful but then collapsed. Assumptions underlying governance by targets represent synecdoche (taking a part to stand for a whole); and that problems of measurement and gaming do not matter. We examine the robustness of the regime of targets and terror to these assumptions using evidence from the English public health service on reported successes, problems of measurement, and gaming. Given this account, we consider the adequacy of current audit arrangements and ways of developing governance by targets in order to counter the problems we have identified.

引用

页码：517 / 538

页数：22