Proposition d'un modèle d'évaluation de la mise en oeuvre et des effets de la planification des programmes régionaux d'organisation des services de santé mentale au Québec
To effect changes in the health care system, the Quebec government advocates an integrated program management approach within each region. In particular, regional service organization plans (PROS) are a strategy for developing this approach. PROS are complex and dynamic tools for planning services that aim to meet the diverse needs of regional populations and to coordinate delivery of services. To assess the potential of this intervention, this article presents an evaluation model adapted to the context of reform in the mental health sector.
This article presents some theoretical and methodological tools used in conducting an analysis of intervention implementation. Following a definition of this analysis, five analytical models of organizational change are given as examples of theoretical pathways for a contextual study of intervention implementation. Some methodological pathways arc also introduced, More specifically, the examples used in the article present appropriate research strategies for conducting this type of evaluation.