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.
A school-based HIV/AIDS/STD education program was carried out and evaluated in four provinces. The Skills for Health Relationships program was developed from a conceptual model and included knowledge, attitudes, skills, and motivational supports. Teachers were trained in delivering the program and were given instruction on how to recruit and train student peer group leaders and how to encourage parental involvement. The evaluation used a quasi-experimental comparison group design with a student pre-test and three post-tests over a two-year period.
Primary care is under the microscope in Canada and worldwide. Governments are spending millions of dollars on reform initiatives to see whether innovative approaches will make any difference to the quality and cost of delivering primary care. The question of where to start in planning the evaluation of a reform is a common concern. This article considers the strengths and weaknesses of logic models in helping to evaluate reforms and highlights the model for the Nova Scotia Primary Care Demonstration Project evaluation.
The Atlantic Canada Opportunities Agency (ACOA) was established in 1987 as the federal government agent for ecc development in Atlantic Canada. This article describes the Agency's "corporate" approach to provide credible, quantitative estimates of the long-term policy outcomes of total Agency activity. The focus of evaluation activity has been to determine the contribution of ACOA as a whole to its legislated mandate to enhance the growth of earned incomes and employment opportunities in Atlantic Canada.
Caught In The Web: Piloting A Methodology To Assess Community Capacity In A Rural Heart Health Project
As health promotion practitioners, we have been encouraged to implement strategies that embrace a community-building approach for strengthening community health. In this article, we present our experience in piloting a methodology to assess the extent to which community capacity was built in a rural heart health project. We defined community capacity as the degree to which a community (and its agency partners) can develop, implement, and sustain actions for strengthening community health.
The increased use of "regulatory science" in decision and policy making is an important component in the governance of modern states. However, contrary to what one would be tempted to assume, the use of knowledge from advisory bodies is not straightforward. Health Technology Assessment (HTA) agencies are currently preoccupied with their impact on the health care system and the examination of more active dissemination strategies.
Focusing on Inputs, Outputs, and Outcomes: Are International Approaches to Performance Management Really So Different?
The focus of performance information appears, on the surface, to differ among Canadian, Australian, and US federal governments. While these countries emphasize different aspects of performance, their federal guidelines on performance measurement share important common ground - the logic model. A performance logic model helps clarify the linkages between inputs, activities, and process and outputs, short- and long-term outcomes, and impacts.
The Canadian health care establishment changed rapidly during the 1990s as several provinces adopted regionalization to reduce costs and improve the efficiency and effectiveness of health service delivery. In Winnipeg, Manitoba, the Winnipeg Community and Long Term Care Authority (WCA) is one of two such local health authorities. The WCA established a Research and Evaluation Unit (REU) to support the effective monitoring and evaluation of dozens of WCA programs and services.