title: Benchmarking: a method for continuous quality improvement in health.
abstract: Benchmarking, a management approach for implementing best practices at best cost, is a recent concept in the healthcare system. The objectives of this paper are to better understand the concept and its evolution in the healthcare sector, to propose an operational definition, and to describe some French and international experiences of benchmarking in the healthcare sector. To this end, we reviewed the literature on this approach's emergence in the industrial sector, its evolution, its fields of application and examples of how it has been used in the healthcare sector. Benchmarking is often thought to consist simply of comparing indicators and is not perceived in its entirety, that is, as a tool based on voluntary and active collaboration among several organizations to create a spirit of competition and to apply best practices. The key feature of benchmarking is its integration within a comprehensive and participatory policy of continuous quality improvement (CQI). Conditions for successful benchmarking focus essentially on careful preparation of the process, monitoring of the relevant indicators, staff involvement and inter-organizational visits. Compared to methods previously implemented in France (CQI and collaborative projects), benchmarking has specific features that set it apart as a healthcare innovation. This is especially true for healthcare or medical-social organizations, as the principle of inter-organizational visiting is not part of their culture. Thus, this approach will need to be assessed for feasibility and acceptability before it is more widely promoted.
authors: Public Health Physician, Comité de coordination de l'évaluation clinique et de la qualité en Aquitaine (CCECQA), Hôpital Xavier Arnozan (CHU de Bordeaux), Bordeaux, France.
authors: Amina
authors: A
authors: Ettorchi-Tardy
authors: Marie
authors: M
authors: Levif
authors: Philippe
authors: P
authors: Michel
mesh_terms: D019985:Benchmarking / Q000379:methods / Q000458:organization & administration; D006801:Humans; D007221:Industry / Q000458:organization & administration; D058996:Quality Improvement / Q000458:organization & administration / Q000592:standards; D019984:Quality Indicators, Health Care; D017749:Total Quality Management / Q000379:methods / Q000458:organization & administration / Q000592:standards
references: Support Care Cancer. 2008 Jul;16(7):813-9
references: 18027000
references: Eur J Anaesthesiol. 2006 Feb;23(2):142-8
references: 16426469
references: Int J Qual Health Care. 2008 Jun;20(3):155-61
references: 18378511
references: Curr Opin Anaesthesiol. 2008 Apr;21(2):233-9
references: 18443495
references: J Nurs Manag. 2006 Jul;14(5):377-83
references: 16787472
references: Int J Qual Health Care. 2006 Sep;18 Suppl 1:5-13
references: 16954510
references: BMJ. 2008 Jun 28;336(7659):1491-4
references: 18577559
references: Dtsch Arztebl Int. 2008 Dec;105(50):865-70
references: 19561807
references: Int J Qual Health Care. 2006 Sep;18 Suppl 1:14-20
references: 16954511
references: J Behav Health Serv Res. 2000 Nov;27(4):431-6
references: 11070636
references: Int J Qual Health Care. 2006 Sep;18 Suppl 1:31-8
references: 16954514
references: Int J Qual Health Care. 2009 Jun;21(3):151-2
references: 19188141
references: J Tissue Viability. 2008 May;17(2):44-59
references: 18343315
references: Curr Opin Crit Care. 2009 Oct;15(5):450-5
references: 19633547
references: Ann Fr Anesth Reanim. 2008 Jun;27(6):467-9
references: 18571369
references: Aust Health Rev. 2007 Nov;31(4):623-7
references: 17973621
references: J Midwifery Womens Health. 2005 Nov-Dec;50(6):461-71
references: 16260360
references: J Surg Oncol. 2009 Jun 15;99(8):500-4
references: 19466740
references: Int J Qual Health Care. 2005 Dec;17(6):505-9
references: 15985505
references: J Surg Oncol. 2009 Jun 15;99(8):505-7
references: 19072992
references: Int J Qual Health Care. 2003 Dec;15(6):473-85
references: 14660530
references: Int J Qual Health Care. 2006 Sep;18 Suppl 1:1-4
references: 16954509
references: Psychiatr Serv. 2006 Oct;57(10):1461-7
references: 17035566
references: Ann Fr Anesth Reanim. 2008 Mar;27(3):222-9
references: 18314300
references: Int J Qual Health Care. 2006 Sep;18 Suppl 1:21-5
references: 16954512
references: Eur J Public Health. 2007 Aug;17(4):375-80
references: 17142827