Survey of City/Country Public Health Agencies to Determine the Development, Use, and Effect of Program Performance Standards.

For over 80 per cent of a national sample of local health agencies in the United States, minimum program standards are specified by the state, by law, regulation, or some other policy method. The performance standards that are used are a mix of state and local standards, with one-third of the agencies reporting that the Model Standards were used in developing their own standards. [ABSTRACT FROM AUTHOR]