ASSESSING THE PERFORMANCE OF COMMUNITY SYSTEMS FOR CHILDREN

Citation
Hm. Duplessis et al., ASSESSING THE PERFORMANCE OF COMMUNITY SYSTEMS FOR CHILDREN, Health services research, 33(4), 1998, pp. 1111-1142
Citations number
84
Categorie Soggetti
Heath Policy & Services","Health Care Sciences & Services
Journal title
ISSN journal
00179124
Volume
33
Issue
4
Year of publication
1998
Part
2
Pages
1111 - 1142
Database
ISI
SICI code
0017-9124(1998)33:4<1111:ATPOCS>2.0.ZU;2-S
Abstract
Objective. To present a framework for measuring the quality of communi ty systems for children, based on key attributes of systems performanc e for children's services. We present a research agenda for refining t he model, evaluating indicators across the performance domains identif ied, developing normative standards for performance, and assessing the empirical basis for performance criteria. Principal Findings. Systems performance can be measured. A systems approach to evaluating communi ty systems for children needs to incorporate the multilevel service de livery networks, programs, and systems of care for children. A model o f community systems performance for children includes key dimensions o f structure, financing, and accountability. Attributes within these di mensions serve as indicators that communities can use to evaluate syst ems quality. Performance standards can be based on the evidence from f ield demonstrations as well as from normative assessments. Recommendat ions. The model of community systems performance should be refined and developed using empirical findings of analyses of children's systems. A set of indicators that capture vital aspects of performance and tha t are relevant, scientifically valid, and feasible should be developed and tested in field studies. Once indicators are evaluated for use in performance monitoring, communities will be able to implement perform ance monitoring.