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How Can Self-Assessment Improve the Quality of Healthcare?

Self-assessment could be particularly valuable in developing country healthcare settings where individual service providers often work without a supervisor or colleague to guide their performance. The QA Project has an interest in self-assessment and its impact on performance because of the intricate link between performance and quality. This paper examines the issues relating to self-assessment such as the different types of self-assessment its uses and its validity. It also reviews the literature (largely from developed countries) that informs our knowledge of self-assessment. The paper makes recommendations for future research and concludes that while much remains to be done to assure that self-assessment has the impact it promises it may also be less costly and easier to implement than alternatives. (authors)