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Table 3 VBHC disproportionately replaces trust in professionals with accountability

From: Value based competition in health care’s ethical drawbacks and the need for a values-driven approach

In a large hospital in London the board of directors organized a meeting with the Obstetrics and Gynaecology staff to discuss the newest set of outcome indicators for mother and child care. The implementation of the process of measuring, reporting, feedback, and improvement had not been a success thus far. As a result, the hospital had not been able to deliver its data to the NHS, who now gave them an ultimatum. One of the midwifes takes the floor, and she sounds rather agitated as she declares: “Last week it took me longer to do the paperwork than to deliver the baby. That’s not what a midwife is there for”.
  1. Based on: O’Neill, O., 2013. What we don’t understand about trust. TED Talk: https://www.ted.com/talks/onora_o_neill_what_we_don_t_understand_about_trust?language=nl . Accessed March 20, 2019