rethinking performance measurement of primary care in china; comment on “quality and performance measurement in primary diabetes care: a qualitative study in urban china”

Increased political commitment and financial input to primary care have led to a growing role of performance measurement. rasooly et al studied the implementation of performance measurement for primary care for people with diabetes in china. this is an important topic that has received little attention from previous literature. in light of the findings from the article, this paper argues for rethinking the current use of performance measurement. it also suggests potential ways to improve primary care performance measurement, in order to avoid some of the pitfalls of top-down performance measurement and to create an enabling environment for primary care strengthening.