Learning how to make routinely available data useful in guiding regulatory oversight of hospital care

Though the past 20 years have seen a series of changes to the independent regulation of healthcare,1 there is surprisingly little empirical work that evaluates the effectiveness of different approaches. Even in the related area of accreditation, where there are more studies of impact, the literature is ‘limited’.2 There is no shortage of strongly held opinions on the best approach. Though most agree about the need for some form of regulation to offer an independent review of the quality of healthcare, there is less agreement about the best style and methods to be adopted. In England, the situation is further complicated in that national healthcare regulators have been subject to periodic regime changes and regularly review and revise their approaches.

Systems of government-funded but independent regulation of healthcare providers have been created in a number of countries as recognition of the limitations of both pure healthcare markets, on...

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