The Evidence for Action (E4A) program assumes that both resource allocation and quality of care can improve via a strategy that combines evidence and advocacy to stimulate accountability.
Performance indicators (PIs) are used to monitor and improve quality and patient safety and to stimulate accountability and market processes in countries worldwide (e.g. USA (http://www.ahrq.com), UK (http://www.hqip.org.uk), and Denmark (http://www.ikas.dk).
Anita Ellis, deputy head of Hartcliffe school in Bristol, told the 1975 conference that secondary heads in England had much more autonomy than their US or French counterparts, and suggested there was an unwillingness to acknowledge this for fear of stimulating fresh accountability measures.
When civil society organizations, speaking on behalf of the poor initially mediated the rights-claiming to address powerful policy actors such as the Chief Minister, it did not stimulate any accountability mechanism within the state to address the issue.
It may have been a limited view of development and progress may have been patchy - but on arrival at the endpoint of the MDGs, we have certainly established one important principle; measuring progress is important and transparent measurement stimulates a culture of accountability.
This comparison allows surgeons and hospitals to see how they compare in terms of outcomes, which promotes accountability and stimulates work to correct the problems.
The worldwide emphasis on accountability has stimulated dramatic growth in internal quality management programs, external benchmarking with comparative data and accreditation for healthcare facilities.
The potentially productive interactions among these instruments in the emerging forestry regime create prospects for engendering learning, stimulating cross-fertilization, and enhancing accountability.
The measurement of hospital performance is a powerful tool to stimulate quality improvement, transparency and accountability and health administrative data sets have become pivotal to this activity.
Medical history is taken, and drug accountability is monitored and stimulated.
