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註釋Over the past decade, social public services have been subject t o widespread reform and modernisation. Policy development has been in the area of costs, more coordinated provision and responsiveness t o user needs. At both national and EU levels, the importance of these services has been recognised, on account of their role in creating employment, combating social exclusion and contributing t o social protection. This report examines the impact of quality improvement initiatives on both services t o clients and working conditions. It represents a synthesis of studies from field research in ten EU Member States w i t h supplementary research from the remaining five. It documents and assesses service improvements which aim to meet the needs of client groups who typically have multiple needs. The report focuses in particular on measures for coordinated and integrated service delivery for user empowerment and for quality assurance. It examines how these changes can lead to better quality services, and also looks at the implications for workers. Finally, the report presents recommendations and strategies for the future development of social public services in the EU.