Journal of Health Services Research & Policy > Volume 12, Number 1 > Pp. 48-53

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Essay

Patient performance standards: the next bold policy initiative in health care?

Stephen Buetow, Glyn Elwyn

Department of General Practice and Primary Health Care, University of Auckland, Auckland, New Zealand; Centre for Health Sciences Research, Cardiff University, Wales, UK

Performance standards have become a driver for accountability and quality improvement in health care, sometimes as part of payment-for-performance programmes. This essay discusses the novel concept of performance standards for patients – specifically, standards for enrolled groups – and the option of payments for patient performance. Might these ideas define the next logical step to improve quality in health care and help reduce health inequalities between population groups? After considering some possible arguments for patient performance standards, we suggest what these standards might look like, discuss the main concerns regarding their possible development and use, and indicate how these concerns might be appropriately answered.

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