aportes a la gestión necesaria para la sustentabilidad de la SALUD PÚBLICA como figura esencial de los servicios sociales básicos para la sociedad humana, para la familia y para la persona como individuo que participa de la vida ciudadana.
martes, 17 de agosto de 2010
Preventing Chronic Disease: September 2010: 10_0046
Accountability Metrics and Paying for Performance in Education and Health Care
John F. Witte, PhD
Suggested citation for this article: Witte JF. Accountability metrics and paying for performance in education and health care. Prev Chronic Dis 2010;7(5). http://www.cdc.gov/pcd/issues/2010/sep/10_0046.htm. Accessed [date].
PEER REVIEWED
Abstract
The track record in paying for performance in education is not good; nevertheless, emphasis on accountability and performance has gained momentum in the last 25 years. This emphasis includes systems of merit pay, career ladders, and national board certification. The general failures of these efforts have led some reformers to suggest that teacher pay be directly related to student value-added performance. This suggestion remains controversial but is also the hottest topic in paying for performance in education. Although many similarities exist between education and health care, major differences may make it even harder to install pay-for-performance systems in health than in education. If those systems are to be tried, experiments should begin in a bottom-up fashion at the unit level, rather than being imposed systemwide.
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Preventing Chronic Disease: September 2010: 10_0046
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