Description
Are healthcare quality metrics truly objective? This podcast dives into the strange history of performance measures, revealing how they evolved from clinical tools into powerful political ones used to control costs, legitimize decisions, and shift blame from systems to front-line doctors.
Chapter Markers
00:00 - Intro
01:21 - Birth of Quality Measurement
02:33 - Medicare’s Bargain
05:34 - The Pioneering Role of Private Sector in Quality Measurement
07:07 - NCQA
07:55 - The Medical Surveillance Machinery
08:50 - Manufacturing Blame
09:04 - Technocratic Legitimacy
10:05 - Discursive Framing
11:15 - Manufactured Consent
12:26 - The Path Dependency Trap
13:56 - Outro
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