Final Note
A major issue that has caused problems in developed countries, and likely will in developing countries, is the misunderstanding that outcome data from an outcome measurement system automatically indicate that the agency, and its managers, are primarily responsible for the observed outcomes. If the outcomes are not as good as expected, higher-level officials (and the media) jump to the conclusion that it is the fault of the agency.This puts agency personnel
very much on the defensive, resulting in fear and the temptation to manipulate and misuse the data.