One common feature facing diverse health care organisations is a need to compare performance across geographical areas, institutions or individual practitioners. In all health care systems, comparative data help the central government formulate policies for distributing central grants, clinical education, public health, research and tackling disparities. Good comparative data also provides an important resource for decision-making by local managers and clinicians. Through the process usually known as benchmarking, institutions can explore which of their peers are performing best, and seek out detailed qualitative and quantitative information on the context and processes contributing to good performance. Benchmarking also helps local managers set targets and rewards, and permits local electorates pass judgment on their local governments. The central theme of this chapter is to describe how the national hospital benchmarking system (BMS) was implemented in Finland, focusing on the use of BMS for managerial purposes and its impact on hospital care.

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