Identifying perceived barriers to monitoring service quality among substance abuse treatment providers in South Africa.
Identifying perceived barriers to monitoring service quality among substance abuse treatment providers in South Africa.
复制标题
DOI：
10.1186/1471-244x-14-31
复制
发表时间：
2014-02-05
期刊：
影响因子：
4.4
通讯作者：
Parry CD
中科院分区：
文献类型：
--
作者：
Myers B;Petersen Z;Kader R;Koch JR;Manderscheid R;Govender R;Parry CD
南非药物滥用治疗服务计划建立一个绩效衡量系统。美国已经发现了实施这些系统的提供商层面的障碍，但人们对南非这些障碍的性质知之甚少。本研究探讨了南非药物滥用治疗提供者采用绩效衡量系统的意愿，以及在系统开发过程中需要解决的监测服务质量的障碍。与来自南非九个省中两个省的治疗提供者举行了三场焦点小组讨论。这些提供者代表了该国现有的药物滥用治疗服务的多样化。最终样本包括来自 12 个治疗机构的 21 名代表：其中 8 个治疗中心位于西开普省，4 个位于夸祖鲁-纳塔尔省。内容分析用于从这些讨论中提取核心主题。参与者指出了监测服务质量的障碍，包括过时的数据收集模式、人员已经背负着文书工作的重担、缺乏时间收集数据以及分析和解释数据的技能有限。参与者建议开发人员以参与式方式与服务提供商合作，以确保服务提供商对拟议的绩效衡量系统进行投资。调查结果表明，药物滥用治疗提供者愿意采用绩效衡量系统，并强调在系统开发过程中需要解决的几个障碍，以提高该系统成功实施的可能性。
A performance measurement system is planned for South African substance abuse treatment services. Provider-level barriers to implementing these systems have been identified in the United States, but little is known about the nature of these barriers in South Africa. This study explored the willingness of South African substance abuse treatment providers’ to adopt a performance measurement system and perceived barriers to monitoring service quality that would need to be addressed during system development. Three focus group discussions were held with treatment providers from two of the nine provinces in South Africa. These providers represented the diverse spread of substance abuse treatment services available in the country. The final sample comprised 21 representatives from 12 treatment facilities: eight treatment centres in the Western Cape and four in KwaZulu-Natal. Content analysis was used to extract core themes from these discussions. Participants identified barriers to the monitoring of service quality that included outdated modes of collecting data, personnel who were already burdened by paperwork, lack of time to collect data, and limited skills to analyse and interpret data. Participants recommended that developers engage with service providers in a participatory manner to ensure that service providers are invested in the proposed performance measurement system. Findings show that substance abuse treatment providers are willing to adopt a performance measurement system and highlight several barriers that need to be addressed during system development in order to enhance the likelihood that this system will be successfully implemented.