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The flat or declining NAEP scores demonstrate that external accountability systems have failed to lift performance.
This phase is supported through development of internal and external accountability systems.
Accountability mechanisms are governance tools that seek to regulate answerability between the health system and the community (external accountability) and/or between different levels of the health system (bureaucratic accountability).
We identify three broad dimensions of organizational capacity: Resources -particularly financial resources and staff, and sustainability Governance and management - comprising both external accountability mechanisms (such as boards) and internal management systems Networks - relationships with other organizations that assist in achievement of organizational goals.
Several empirical papers [ 24, 25, 35, 36] and review articles [ 6, 20] highlighted the potential mis-match between the values and beliefs of the health system and local communities relative to the democratic and participatory values that underpin external accountability mechanisms.
This implies that particular care should be taken to ensure that bureaucratic mechanisms are complementary to health system goals of responsiveness to avoid the tendency for bureaucratic accountability to crowd out external accountability and responsiveness to patients and citizens.
Does external accountability affect student outcomes?
Their accountability system is a lot stronger.
What is an accountability system that works?
Create and enforce a common accountability system.
This external accountability can really help people to keep on track.
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