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Mirror, Mirror 2024 is your opportunity to explore the impact of policy choices on health and well-being across 10 countries, including the U.S. Read the report here.

Martin Marshall

1998-99 Harkness Fellow Family physician Senior Lecturer in general practice University of Exeter

Harkness Project Title: Public Disclosure of Performance Data: Learning from the U.S. Experience

Mentors: Robert Brook, M.D. Sc.D. and Paul Shekelle, M.D., Ph.D.

Host Institution: RAND Corporation

Biography at time of Harkness Fellowship: Martin Marshall, a 1998-99 Commonwealth Fund Harkness Fellow in Health Care Policy, is a family physician in Exeter, UK and a Senior Lecturer in general practice at the University of Exeter.  He has a B.Sc. in Immunology from the University of London and a M.Sc. in Primary Health Care from the University of Exeter.  His doctoral thesis used largely qualitative research methods to investigate the professional relationship between generalist and specialist physicians.  His research interests focus on quality measurement, communication in health care, and the therapeutic or healing relationship.  Dr. Marshall manages several research programs, as well as conducts and publishes his own research and teaches research methods.  He is a primary care consultant to the Egyptian government and has worked in several developing countries.

Project: Marshall’s study aimed to describe the U.S. experience with publicly releasing health care performance data, and to use this information to help guide future U.K. policy.  He conducted an extensive review of published and unpublished reports, and expert interviews with academics, policy analysts, purchasers and providers on the influence such reports have on the way care is delivered and purchased.

Career Activity Since Fellowship:

  • Professor of Health Care Improvement, University College London; Lead, Improvement Science London, 2012
  • Chair, Ethics Committee, Royal College of General Practitioners, 2009.
  • Commissioner, Care Quality Commission, 2008
  • James MacKenzie Award, Royal College of General Practitioners, for contribution to research, 2008
  • Director of Clinical Quality, The Health Foundation, 2007
  • Deputy Chief Medical Officer, U.K. Department of Health, 2006
  • Commander of the Order of the British Empire (CBE) in the Queen’s Birthday Honours list for services to health care, 2005
  • John Fry Award, Royal College of General Practitioners, for contribution to research, 2005
  • Professor and Chair in General Practice, National Primary Care Research and Development Centre, University of Manchester, 2001
  • Senior Clinical Research Fellow, National Primary Care Research and Development Centre, University of Manchester, 1999

Current Positions: (Updated 1/2014)

  • Professor of Health Care Improvement, University College London 
  • Lead, Improvement Science London

E-Mail: [email protected]

Selected Publications

Marshall, M., & Mountford, J. Developing a science of improvement. J R Soc Med, 2013 106 (2), 45-50.

Marshall, M., Pronovost, P., & Dixon-Woods, M. Promotion of improvement as a science. Lancet 2013 381 (9864), 419-421.

Marshall, M. Restoring a sense of balance to NHS reform. Br J Gen Pract, 2012 62 (601), e584-e586.

Banerjee A, Stanton E, Lemer C, Marshall M. “What can quality improvement learn from evidence-based medicine?” J R Soc Med. 2012 Feb;105(2):55-9.

Marshall M, Øvretveit J. Can we save money by improving quality? BMJ Qual Saf.2011 Apr;20(4):293-6. 

Marshall M, Crowther R, Sledge WH, Rathbone J, Soares-Weiser K. “Day hospital versus admission for acute psychiatric disorders.” Cochrane Database Syst Rev. 2011 Dec 7;12.

Reed JE, Marshall M, Bell D. “Centres for Healthcare Improvement: solution to the quality problem.” J R Soc Med. 2011 Jul;104(7):276-7.

Marshall M. “Seeing with new eyes: what can general practice learn from the science of improvement?” Br J Gen Pract. 2011 May;61(586):352-5.

Marshall M, Bibby J. “Supporting patients to make the best decisions.” BMJ. 2011 Apr 7;342:d2117.

Batalden P, Davidoff F, Marshall M, Bibby J, Pink C. “So what? Now what? Exploring, understanding and using the epistemologies that inform the improvement of healthcare.” BMJ Qual Saf. 2011 Apr;20 Suppl 1:i99-105.

Stanton E, Lemer C, Marshall M. “Editorial: An evolution of professionalism,” J R Soc M 48 ed 2011: 104: 48–49.

Marshall M, Ovretveit J. “Can we save money by improving quality?” Qual Saf Health Care. 2011 Feb 16.

Marshall M, McLoughlin V. “How do patients use information on health providers?” BMJ. 2010 Nov 25;341:c5272.

Marshall M, Heath I, Sweeney K. “Clinical practice: when things go wrong.” Lancet. 2010 Apr 24;375(9724):1491-3.

Marshall M. Practice, politics, and possibilities. Br J Gen Pract. 2009 Aug;59(565):e273-82.

Marshall, M.N., Davies, H.T.O. “Ensuring Accountability: The Balance between Trusting and Checking.” Quality Assessment in European Family Practice. Ed. Grol, R., 2005

Marshall, M.N., Romano PS. “Impact of Reporting Hospital Performance”, Quality and Safety in Health Care, April 2005; 14: 77 - 78.

Marshall M, Wilson T. "The NHS Revolution: Health Care in the Market Place — Competition in General Practice,” British Medical Journal 2005; 331: 1196 – 1199.

Mannion R, Davies HTO, Marshall MN. “The Impact of Star Performance Ratings in Acute Hospitals”. Journal of Health Service Research and Policy, 2005, Vol. 10 (1): 18-24.*

Mannion, R., Davies, H.T.O., Marshall, M.N. Cultures for Performance in Health, Oxford University Press, 2004.

Marshall MN, Romano PS, Davies HTO. “How Do We Maximise the Impact of the Public Reporting of Quality of Care? International Journal for Quality in Health Care 2004; 16:i57-63.

Checkland K, Marshall MN, Harrison S. “Re-thinking Accountability: Trust Versus Confidence in Medical Practice,” Quality and Safety in Health Care 2004;13:130-135.

Rhydderch M, Elwyn G, Marshall MN, Grol R. Organisational Change Theory and the Use of Indicators in General Practice. Quality and Safety in Health Care 2004;13:213-217.

Sheaff R, Sibbald B, Campbell S, Roland M, Marshall MN, Pickard S, Gask L, Rogers A, Halliwell S. “Soft Governance And Attitudes To Clinical Quality In English General Practice,” Journal of Health Services Research and Policy 2004; 9:132-138.

Marshall, MN, Davies, HTO, Cultures for Performance in Health Care : Evidence on the Relationships between Organisational Culture and Organisational Performance in the NHS;  University of York, Centre for Health Economics, York, 2003.

Marshall MN, Smith P. “Rewarding Results: Using Financial Incentives to Encourage Quality Improvement.” Quality and Safety in Health Care, Dec 2003; 12: 397 - 398.

Marshall MN. The Public Release of Healthcare Information: A Critique of the Policy and Practice. Mid-term Report on the NHS Reforms. Nuffield Trust, London, 2003.

Campbell SM, Braspenning J, Hutchinson A, Marshall MN. “Improving the Quality of Health Care: Research Methods Used in Developing Quality Indicators in Primary Care.” BMJ 2003; 326: 816-9.

Marshall MN, Mannion R, Nelson E, Davies HTO. “Managing Change in the Culture of General Practice: Qualitative Case Studies in Primary Care Trusts.” BMJ 2003; 327:599-602.

Marshall MN, Shekelle PG, McGlynn EA, Campbell S, Brook RH, Roland MO. “Can Quality Indicators be Transferred between Countries?” Quality and Safety in Health Care 2003, 12:8-12.

Marshall MN, Shekelle PG, Davies HTO, Smith PC. “Public Reporting on Quality: Lessons from the United States and the United Kingdom.” Health Affairs 2003; Vol.22 (3):134-148.

Scott, J.T., Mannion, R., Marshall, M.N., Davies, H.T.O. “Does Organisational Culture Help to Explain Health Care Performance? A Review of the Evidence.” Journal of Health Service Research & Policy 2003; 8:105-117*

Scott T, Mannion R, Davies H, and Marshall M. “Implementing Culture Change in Health Care: Theory and Practice,” International Journal of Quality in Health Care 2003; 15(2):111-118.

Marshall MN, Hiscock J, Sibbald B. “Attitudes to the Public Release of Information on the Quality of General Practice Care.” British Medical Journal 2002; 325:1278-81.

Campbell SM, Braspenning J, Hutchinson A, Marshall MN. “Research Methods Used in Developing Quality Indicators in Primary Care. Quality and Safety in Health Care 2002; 11:358-364.

Scott, J.T., Mannion, R., Marshall, M.N., Davies, H.T.O. “Does Organisational Culture Help to Explain Health Care Performance? A Review of the Evidence.” Journal of Health Service Research & Policy 2003; 8:105-117.

Marshall MN, Campbell S, Kirk S, Roland M, Shekelle P, McGlynn EA, Brook RH. Measuring General Practice. Nuffield Trust, London, 2003.

Baker M, Wilson T, Marshall M. Using Quality Indicators in General Practice. 2002. RCGP, London.

Roland MO, Marshall MN. “Measuring the Quality of Medical Care.” Report produced for the Office for Information on Health Care Performance, Commission for Health Improvement, March 2002.

Marshall MN. The Publication of Performance Data in the National Health Service. Report produced for the Office for Information on Health Care Performance, Commission for Health Improvement, February 2002.

Marshall MN, Brook RH. “Public Reporting of Comparative Information about Quality in Healthcare” Medical Journal of Australia 2002; 176:205-206.

Marshall MN. “Accountability and Quality Improvement: the Role of Report Cards” Quality in Health Care 10; 67-68, 2001.

Marshall MN, Davies HTO, “Public Release of Information on Quality of Care: How are the Health Service and the Public Expected to Respond?” Journal of Health Services Research and Policy 6; 158-162, 2001.

Seddon ME, Marshall MN, Campbell SM, Roland MO. 2001 “A Systematic Review of the Quality of Clinical Care Provided in General Practice in the United Kingdom, Australia and New Zealand” Quality in Health Care 10:152-158.

Quality Indicators for General Practice: a Practical Guide for Primary Care Health Professionals and Managers. Editors Marshall MN, Campbell S, Hacker J, Roland MO. Royal Society of Medicine Press, London, 2001.

Marshall MN. “Going Public on Clinical Performance: Lessons from the USA in Quality in Health Care: Strategic Issues in Health Care Management” Editors: Davies HTO, Tavakoli M, Malek M. Ashgate Publishing Ltd., Aldershot, 2001.

Marshall MN. “Public Disclosure of Performance Information; Lessons from the US.” Briefing paper written for Blair’s NHS Performance Review Panel, May 2000.

Davies, H.T.O., Marshall, M.N. “UK And US Health Care Systems: Divided By More Than a Common Language.” Lancet 2000; 355:336.

Marshall MN, Shekelle PG, Leatherman S, Brook RH. Dying to Know; Public Release of Comparative Information about Quality in Health Care. Nuffield Trust, London, 2000.

Marshall MN, Shekelle PG, Leatherman S, Brook RH. “Public Reporting of Performance: Lessons from the USA” Journal for Health Services Research and Policy 5; 1-2, 2000.

Marshall MN, Shekelle PG, Leatherman S, Brook RH. “Public Disclosure of Performance Data: Learning from the US experience” Quality in Health Care 9; 53-57, 2000.

Marshall MN, Shekelle PG, Leatherman S, Brook RH. “What Do We Expect to Gain from the Public Release of Performance Data? A Review of the Evidence” JAMA 283; 1866-1874, 2000.

Marshall MN. “Turning Up the Heat on Performance” British Journal of General Practice 50; 419, 2000.

Marshall MN, Davies HTO. “Issues in Performance Measurement and Management in Health Care” Disease Management and Health Outcomes 7; 305-314, 2000.

Davies, H.T.O., Marshall, M.N. “Public Disclosure of Performance Data: Does the Public Get What the Public Wants?”  Lancet 1999; 353:1639-40.

Marshall MN, Shekelle PG, Leatherman S, Brook RH and Nuffield Trust Quality Steering Group. Policy Recommendations on Public Disclosure. Presented to Secretary of State for Health by Nuffield Trust, August 1999.

Marshall MN. “Time to Go Public on Performance?” (Editorial). British Journal of General Practice 49; 691-692, 1999.