WIP based on right care series in Lancet and OECD Tackling wasteful spending on health book 

Audit Total Process Efficiency

'Efficiencyism’  can be described as a blind belief in the effectiveness of efficiency measures without taking into account circumstances and the wider context.   The graph on the left shows how the frequent use of the term 'efficiency' at the level of local interactons can lead to the emergence of  'efficiencyism' through upward causation, denoted by the arrows pointing upwards.  However, there is also downward causation from the global level depicted by the red arrows which can increase the blind application of efficiency measures at the local level. In other words, efficiency for the sake of efficiency becomes a dominant idea.  The tyrannical influence of 'eficiencyism' affects all of us to varying degrees and unfortunately can often have very negative side effects, such as an increase in unemployment, social injustice and even increase inequality.  Of  course, well thought out efficiency improvements can also bring great  benefits.   I recommend reading an excellent article by Dr. Charles Chandler, who explains the term 'efficiencyism' with some excellent examples and also points to some  of its undesirable effects.

http://www.ageofoe.com/010-efficiencyism-holds-us-back/

Audit Total Process Efficiency

'Efficiencyism’  can be described as a blind belief in the effectiveness of efficiency measures without taking into account circumstances and the wider context.   The graph on the left shows how the frequent use of the term 'efficiency' at the level of local interactons can lead to the emergence of  'efficiencyism' through upward causation, denoted by the arrows pointing upwards.  However, there is also downward causation from the global level depicted by the red arrows which can increase the blind application of efficiency measures at the local level. In other words, efficiency for the sake of efficiency becomes a dominant idea.  The tyrannical influence of 'eficiencyism' affects all of us to varying degrees and unfortunately can often have very negative side effects, such as an increase in unemployment, social injustice and even increase inequality.  Of  course, well thought out efficiency improvements can also bring great  benefits.   I recommend reading an excellent article by Dr. Charles Chandler, who explains the term 'efficiencyism' with some excellent examples and also points to some  of its undesirable effects.

http://www.ageofoe.com/010-efficiencyism-holds-us-back/

'Efficiencyism’  can be described as a blind belief in the effectiveness of efficiency measures without taking into account circumstances and the wider context.   The graph on the left shows how the frequent use of the term 'efficiency' at the level of local interactons can lead to the emergence of  'efficiencyism' through upward causation, denoted by the arrows pointing upwards.  However, there is also downward causation from the global level depicted by the red arrows which can increase the blind application of efficiency measures at the local level. In other words, efficiency for the sake of efficiency becomes a dominant idea.  The tyrannical influence of 'eficiencyism' affects all of us to varying degrees and unfortunately can often have very negative side effects, such as an increase in unemployment, social injustice and even increase inequality.  Of  course, well-thought-out efficiency improvements can also bring great  benefits.   I recommend reading an excellent article by Dr. Charles Chandler, who explains the term 'efficiencyism' with some excellent examples and also points to some  of its undesirable effects.

The graph shows how pressure to pressure to adopt efficiency leads to the adoption of efficiency measures which produces efficiency gains. These gains create the impression that the measures have been successful and generate the desire and drive  to improve efficiency even further. The application of efficiency measures produces only local (departmental) changes and improvements irrespective of their effect on the gaols of the organisation as a whole system. This in time leads to the deterioration of the system’s overall functioning, unintended negative consequences appear, and this then calls for more efficiency measure to improve the deteriorated situation – a vicious circle has been established.