Jean-Louis Denis

Fall

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

Authors:
Pages:
117-147

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. The evaluation model is based on exhaustive research on the implementation and impact of PROS and their contribution to implementation of the Mental Health Policy. This article provides guidelines for interpretation, the analytical framework, and relevant variables for evaluation. It also promotes a participative, emerging, and preventive approach to evaluation of integrated regional programs for mental health services.

Fall

L'analyse de l'implantation : modèles et méthodes

Authors:
Pages:
47-67

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. The article concludes that implementation analysis is a complex method of evaluation that increases the usefulness of evaluative research results.