Public Health Systems and Services Research (PHSSR) has reliable measures of public health system performance; the field must use these measures to collect data on state and local health systems.
Released in the mid-1980s, the landmark report The Future of Public Health, recommended three core public health functions. By the 1990s these functions had unraveled into numerous versions. The development of the “10 essential public health services” (EPHS) finally defined the practice of public health.
PHSSR conducts the thoughtful analysis necessary to maintain a high-performing public health system. This article examines how PHSSR defines and measures public health performance.
This article revisits attempts to understand and measure PHSSR, including the creation of the three National Public Health Performance Program Instruments. The authors discuss efforts to assure the reliability of PHSSR measures, such as Turnock’s logic model for public health performance.