University of Twente Student Theses
Key Performance Indicators in Dutch Youth Care : A qualitative study on improving quality monitoring across procurement regions
Schilderink, J.L.M. (2025) Key Performance Indicators in Dutch Youth Care : A qualitative study on improving quality monitoring across procurement regions.
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| Embargo date: | 1 June 2026 |
| Abstract: | Since the decentralization of youth care in the Netherlands in 2015, municipalities have been responsible for its procurement and quality. This shift has led to challenges such as rising demand, long waiting times, and limited insight into care effectiveness. Quality assessments often rely on trust in providers, with little structural monitoring. This study explores which Key Performance Indicators (KPIs) could help improve the quality of Dutch youth care. A literature review and ten semi-structured interviews with professionals from seven regional procurement organizations were conducted. The results show significant variation in KPI use across regions. In five regions, KPIs are rarely used. Existing indicators mainly focus on structural or process aspects, such as staffing and capacity. However, there is a clear need for KPIs that assess treatment outcomes and care processes, such as recidivism rates and care continuity. Implementing effective KPIs faces challenges, including lack of standardization, fragmented data collection, and insufficient collaboration. The study concludes that there is a strong need for process-oriented KPIs developed in cooperation with care providers. These indicators should support joint quality improvement rather than control. Investment in data skills and staffing is necessary. Future research should focus on developing practical, broadly supported KPIs in collaboration with clients and providers. |
| Item Type: | Essay (Master) |
| Faculty: | TNW: Science and Technology |
| Subject: | 70 social sciences in general |
| Programme: | Health Sciences MSc (66851) |
| Link to this item: | https://purl.utwente.nl/essays/106372 |
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