Olin S Serene, Williams Nate, Pollock Michele, Armusewicz Kelsey, Kutash Krista, Glisson Charles, Hoagwood Kimberly E
Department of Child and Adolescent Psychiatry, New York University, One Park Avenue, 7th Floor, New York, NY, 10016, USA,
Adm Policy Ment Health. 2014 Jan;41(1):43-54. doi: 10.1007/s10488-013-0499-z.
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.
质量测量是医疗保健改革的一个重要组成部分。针对家长提供的家庭支持服务的质量指标（QIs）与已知能提高质量的组织社会环境之间的关系尚未得到研究。本研究采用了从21个提供基于团队的家庭支持服务的儿童心理健康项目中收集的数据。针对项目和工作人员这两个层面的质量指标表现与组织社会环境概况和维度显著相关。高质量的项目政策与积极的组织文化和有吸引力的氛围相关。不恰当的工作人员做法与抵制性文化相关。文中讨论了对提高服务质量的组织战略的启示。
