A Mixed-Methods Evaluation of the Implementation of a Performance Measurement System for South Africa's Substance Use Treatment Services
OBJECTIVE: Minimal knowledge exists on the factors that affect implementation of performance measurement systems, particularly in low- and middle-income countries (LMICs). To address this, we describe the implementation of a performance measurement system for South Africa's substance abuse trea...
| Main Authors: | , , , , |
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| Format: | Journal Article |
| Language: | English |
| Published: |
ALCOHOL RES DOCUMENTATION INC CENT ALCOHOL STUD RUTGERS UNIV
2019
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| Subjects: | |
| Online Access: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6377018/ http://hdl.handle.net/20.500.11937/85654 |
| _version_ | 1848764758246817792 |
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| author | Myers-Franchi, Bronwyn Williams, P.P. Govender, R. Manderscheid, R. Koch, J.R. |
| author_facet | Myers-Franchi, Bronwyn Williams, P.P. Govender, R. Manderscheid, R. Koch, J.R. |
| author_sort | Myers-Franchi, Bronwyn |
| building | Curtin Institutional Repository |
| collection | Online Access |
| description | OBJECTIVE: Minimal knowledge exists on the factors that affect implementation of performance measurement systems, particularly in low- and middle-income countries (LMICs). To address this, we describe the implementation of a performance measurement system for South Africa's substance abuse treatment services known as the Service Quality Measures (SQM) initiative.
METHOD: We conducted a mixed-methods evaluation of system implementation. We surveyed 81 providers about the extent of system implementation within their agencies and the factors that facilitated implementation. We conducted 26 in-depth interviews of providers' perceived barriers and facilitators to implementation.
RESULTS: The overall penetration of this system was high. Almost all providers viewed the system as feasible to implement, acceptable, appropriate for use in their context, and useful for guiding service improvements. However, the extent of implementation varied significantly across sites (p < .05). Leadership support (p < .05) was associated with increased implementation in multivariable analyses. Providers reflected that high rates of patient attrition, variability in willingness to implement the system, and limited capacity for interpreting performance feedback affected the extent of system implementation.
CONCLUSIONS: It is feasible to implement a performance measurement system in LMICs if the system is acceptable, appropriate, and useful to providers. To ensure the utility of this system for treatment service strengthening, system implementation must be optimized. Efforts to enhance target population coverage, strengthen leadership support for performance measurement, and build capacity for performance feedback utilization may enhance the implementation of this performance measurement system. |
| first_indexed | 2025-11-14T11:24:26Z |
| format | Journal Article |
| id | curtin-20.500.11937-85654 |
| institution | Curtin University Malaysia |
| institution_category | Local University |
| language | English |
| last_indexed | 2025-11-14T11:24:26Z |
| publishDate | 2019 |
| publisher | ALCOHOL RES DOCUMENTATION INC CENT ALCOHOL STUD RUTGERS UNIV |
| recordtype | eprints |
| repository_type | Digital Repository |
| spelling | curtin-20.500.11937-856542021-11-26T07:37:28Z A Mixed-Methods Evaluation of the Implementation of a Performance Measurement System for South Africa's Substance Use Treatment Services Myers-Franchi, Bronwyn Williams, P.P. Govender, R. Manderscheid, R. Koch, J.R. Science & Technology Social Sciences Life Sciences & Biomedicine Substance Abuse Psychology QUALITY OBJECTIVE: Minimal knowledge exists on the factors that affect implementation of performance measurement systems, particularly in low- and middle-income countries (LMICs). To address this, we describe the implementation of a performance measurement system for South Africa's substance abuse treatment services known as the Service Quality Measures (SQM) initiative. METHOD: We conducted a mixed-methods evaluation of system implementation. We surveyed 81 providers about the extent of system implementation within their agencies and the factors that facilitated implementation. We conducted 26 in-depth interviews of providers' perceived barriers and facilitators to implementation. RESULTS: The overall penetration of this system was high. Almost all providers viewed the system as feasible to implement, acceptable, appropriate for use in their context, and useful for guiding service improvements. However, the extent of implementation varied significantly across sites (p < .05). Leadership support (p < .05) was associated with increased implementation in multivariable analyses. Providers reflected that high rates of patient attrition, variability in willingness to implement the system, and limited capacity for interpreting performance feedback affected the extent of system implementation. CONCLUSIONS: It is feasible to implement a performance measurement system in LMICs if the system is acceptable, appropriate, and useful to providers. To ensure the utility of this system for treatment service strengthening, system implementation must be optimized. Efforts to enhance target population coverage, strengthen leadership support for performance measurement, and build capacity for performance feedback utilization may enhance the implementation of this performance measurement system. 2019 Journal Article http://hdl.handle.net/20.500.11937/85654 10.15288/jsads.2019.s18.131 English https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6377018/ ALCOHOL RES DOCUMENTATION INC CENT ALCOHOL STUD RUTGERS UNIV restricted |
| spellingShingle | Science & Technology Social Sciences Life Sciences & Biomedicine Substance Abuse Psychology QUALITY Myers-Franchi, Bronwyn Williams, P.P. Govender, R. Manderscheid, R. Koch, J.R. A Mixed-Methods Evaluation of the Implementation of a Performance Measurement System for South Africa's Substance Use Treatment Services |
| title | A Mixed-Methods Evaluation of the Implementation of a Performance Measurement System for South Africa's Substance Use Treatment Services |
| title_full | A Mixed-Methods Evaluation of the Implementation of a Performance Measurement System for South Africa's Substance Use Treatment Services |
| title_fullStr | A Mixed-Methods Evaluation of the Implementation of a Performance Measurement System for South Africa's Substance Use Treatment Services |
| title_full_unstemmed | A Mixed-Methods Evaluation of the Implementation of a Performance Measurement System for South Africa's Substance Use Treatment Services |
| title_short | A Mixed-Methods Evaluation of the Implementation of a Performance Measurement System for South Africa's Substance Use Treatment Services |
| title_sort | mixed-methods evaluation of the implementation of a performance measurement system for south africa's substance use treatment services |
| topic | Science & Technology Social Sciences Life Sciences & Biomedicine Substance Abuse Psychology QUALITY |
| url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6377018/ http://hdl.handle.net/20.500.11937/85654 |