ArticleFuture healthcare journal2026
The productivity illusion: performance measurement and the invisibility of digital clinical work.
Article in Future healthcare journal, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
0 citing papers in PubMed.
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Authors and funding
1 author.
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Abstract
Clinical value is now produced in two distinct registers: one that requires physical presence, and one that does not. Performance measurement frameworks, however, were built for mainly the first. Where digital work is counted, it is rarely counted equitably; where it is counted equitably, it is rarely connected to the outcomes it produces. This structural gap, which is termed here value-time-place misalignment, gives rise to the productivity illusion: a system that appears busy, measurable and accountable, while systematically failing to capture the outcomes that it purports to deliver. Drawing on teleconsultation, artificial intelligence (AI)-supported decision-making, remote multidisciplinary teams and digital follow-up, this paper demonstrates how current metrics penalise efficiency, suppress innovation and render care increasingly illegitimate to the patients it serves. Redefining the unit of healthcare work is not a technical adjustment; it is a foundational one.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.