Intended for healthcare professionals

Rapid response to:

Letters Four hour target in emergency departments

Goodhart’s law: when waiting times became a target, they stopped being a good measure

BMJ 2017; 359 doi: https://doi.org/10.1136/bmj.j5425 (Published 27 November 2017) Cite this as: BMJ 2017;359:j5425

Rapid Response:

Re: Goodhart’s law: when waiting times became a target, they stopped being a good measure

To add to this, the oncologist who is President Elect of the American Medical Association was asked how she defined a successful health care system. She replied: "The canary in the coal mine for a health care system that either works or fails people is poor patients with cancer. A system that works properly will take poor people who have an urgent need for care, get them into a system, and get them what they need[1]"

Lambert J. Dr Barbara McAneny elected to lead American Medical Association. ASCO Connection September 2017: 34-37

Competing interests: No competing interests

08 December 2017
S. Michael Crawford
Clinical Lead for Research
Airedale NHS Foundation Trust
Skipton Road, Steeton, Keighley, West Yorkshire BD20 6TD