TABLE 5-2 An Integrated Service System Performance Approach (Population-Level Developmental Assessment Examplea)

Performance Attributes

Construct

Effectiveness

Care/service intervention or action achieves desired results at individual, family, and community levels

Efficiency

Achieving desired results with most cost-effective use of resources

Availability

Ability of clients/patients to obtain care/service at the right place and right time, based on needs and is equitable

Appropriateness

Care/service provided is relevant to client/patient needs and based on established standards

Capability

Self-assessment of skill to conduct appropriate risk assessment

Safety

Potential risks of an intervention or the environment are avoided or minimized

Continuity

Ability to provide uninterrupted care/service across programs, practitioners, organizations, and levels of care/service over time

Acceptability

Care/service provided meets expectations of client, community, providers, and paying organizations

Coordination

Different aspects of care are connected seamlessly

Equity

Absence of systematic differences across population subgroups

aAt national level, if we want to measure how care of children can impact development.

mented to assess the effect of specific policies. For the most part, laws are passed and regulations written without specification of the aspects of health that are likely to be affected, the mechanisms by which that is likely to occur, or funding for rigorous evaluations. As a general rule, evaluations of the effect of new policies on children’s health, including not only health policies, but also most environmental, education, welfare, and other social policy, come from academic research studies conducted after the policy is implemented.

The kinds of data systems that are the focus of the committee’s report can be used to provide a limited assessment of certain policies. In general, however, there is little activity in the United States to measure the effect of policies on children’s health. The United Kingdom, Canada, and Australia have gone several steps further by developing approaches that attempt to assess policy effects more systematically and comprehensively.

Data collection by agencies such as the National Center for Health Statistics and ongoing surveys by the MCHB and the Agency for Healthcare Research and



The National Academies | 500 Fifth St. N.W. | Washington, D.C. 20001
Copyright © National Academy of Sciences. All rights reserved.
Terms of Use and Privacy Statement