ArticleJournal of studies on alcohol and drugs. Supplement2019
A Mixed-Methods Evaluation of the Implementation of a Performance Measurement System for South Africa's Substance Use Treatment Services.
Article in Journal of studies on alcohol and drugs. Supplement, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.
What it found
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The trial behind it
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Who cites it
7 citing papers in PubMed.
- A mixed-methods study of staff perspectives on the barriers and facilitators to the implementation of patient-reported routine outcome measures and feedback in alcohol and other drug treatment.Drug and alcohol review · 2025Article
- COVID 19-impact on substance use treatment utilization and provision in South Africa.Substance abuse treatment, prevention, and policy · 2022Article
- Substance use referral, treatment utilization, and patient costs associated with problematic substance use in people living with HIV in Cape Town, South Africa.Drug and alcohol dependence reports · 2022Article
- Factors associated with patient-reported experiences and outcomes of substance use disorder treatment in Cape Town, South Africa.Addiction science & clinical practice · 2022Article
- Needs-Based Planning for Substance Use Treatment Systems: The New Generation of Principles, Methods, and Models.Journal of studies on alcohol and drugs. Supplement · 2019Article
- Needs-Based Planning for Substance Use Treatment Systems: Progress, Prospects, and the Search for a New Perspective.Journal of studies on alcohol and drugs. Supplement · 2019Review
- System Performance Measurement: Implications for Service Planning.Journal of studies on alcohol and drugs. Supplement · 2019Review
Corrections and comments
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Authors and funding
5 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectiveMinimal 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.
methodWe 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.
resultsThe 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.
conclusionsIt 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.
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