What's Measured Is What Matters¶
BEVAN, G., & HOOD, C. (2006). What's Measured Is What Matters: Targets and Gaming in the English Public Health Care System. Public Administration, 84(3), 517-538.
Cited by¶
2 citations across 2 artifacts.
Each citation links to the sentence it supports in the citing article.
Primes¶
- Goodhart's Law
- The proxy climbs impressively while construct-correlated independent measures — twelve-hour trolley waits, delayed-sepsis mortality — fail to improve in proportion and in places diverge.
This sourceDocuments target-driven gaming in the English NHS (including A&E waiting-time targets) — output distortion, threshold/boundary gaming, and reclassification while headline metrics improve and unmeasured quality does not — and draws the Soviet-target/GDP parallel.
Supported in partVerified against the publisher's abstract
The abstract backs the frame — NHS 'reported successes' alongside 'problems of measurement, and gaming' — but names no trolley-wait or sepsis measure.
“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.”
- The proxy climbs impressively while construct-correlated independent measures — twelve-hour trolley waits, delayed-sepsis mortality — fail to improve in proportion and in places diverge.
Domain-specific¶
- Campbell's Law
- Healthcare — surgical mortality league tables incentivize patient selection over better surgery; readmission penalties incentivize reclassification over better discharge.
This sourceDocuments reclassification and patient-selection gaming of staked health-care and public-sector targets.
Supported in partVerified against the publisher's abstract
Abstract supports gaming/measurement problems in English public health targets, not the specific surgical mortality or readmission penalty mechanisms.
“problems of measurement, and gaming”
- Healthcare — surgical mortality league tables incentivize patient selection over better surgery; readmission penalties incentivize reclassification over better discharge.
Verification¶
Does it exist? Confirmed. This work's DOI resolves to a registered record, which fixes its identity. That is all it fixes.
Does it back the claim? Read against the text for 2 of 2 citations: 2 supported in part. Each verdict is shown under its citation below, with what in the work backs the sentence.
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