Limitations of and barriers to using performance measurement: Purchasers' perspective.
Date of Pub
Although health plan performance data are becoming increasingly more available, many purchasers are still not using these
data to make their purchasing decisions. In this article, we review barriers that private purchasers face to using performance
data. In addition, we consider the effects of the larger health care purchasing environment and employers' quality improvement
activities on their use of the data. We conclude that a variety of factors, including trends, the health care purchasing
environment, characteristics of firms, and problems with performance data and their presentation to users create barriers
to incorporating this information into health care decisionmaking.