Quality Indicators for Family Support Services and Their Relationship to Organizational Social Context

被引:35
作者
Olin, S. Serene [1 ]
Williams, Nate [2 ]
Pollock, Michele [1 ]
Armusewicz, Kelsey [1 ]
Kutash, Krista [3 ]
Glisson, Charles [2 ]
Hoagwood, Kimberly E. [1 ,4 ]
机构
[1] NYU, Dept Child & Adolescent Psychiat, New York, NY 10016 USA
[2] Univ Tennessee, Childrens Mental Hlth Serv Res Ctr, Knoxville, TN USA
[3] Univ S Florida, Florida Mental Hlth Inst, Dept Child & Family Studies, Tampa, FL USA
[4] New York State Off Mental Hlth, Albany, NY USA
关键词
Organizational social context; Quality indicators; Family support services; Child mental health; Organizational strategies; CHILDRENS MENTAL-HEALTH; RANDOMIZED-TRIAL; CLIMATE PERCEPTIONS; CULTURE; INTERVENTION; TURNOVER; CARE; ARC; IMPLEMENTATION; OUTCOMES;
D O I
10.1007/s10488-013-0499-z
中图分类号
R19 [保健组织与事业(卫生事业管理)];
学科分类号
摘要
Quality measurement is an important component of healthcare reform. The relationship of quality indicators (QIs) for parent-delivered family support services to organizational social contexts known to improve quality is unexamined. This study employs data collected from 21 child mental health programs that deliver team-based family support services. Performance on two levels of QIs-those targeting the program and staff-were significantly associated with organizational social context profiles and dimensions. High quality program policies are associated with positive organizational cultures and engaging climates. Inappropriate staff practices are associated with resistant cultures. Implications for organizational strategies to improve service quality are discussed.
引用
收藏
页码:43 / 54
页数:12
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