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Evaluating complex interventions in real context: Logic analysis of a case management program for frequent users of healthcare services.

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Title: Evaluating complex interventions in real context: Logic analysis of a case management program for frequent users of healthcare services.
Authors: Hudon, Catherine1,2 (AUTHOR) Catherine.hudon@usherbrooke.ca, Chouinard, Maud-Christine3 (AUTHOR) Maud-Christine_Chouinard@uqac.ca, Brousselle, Astrid4 (AUTHOR) Astrid.Brousselle@USherbrooke.ca, Bisson, Mathieu1 (AUTHOR) Mathieu.Bisson2@USherbrooke.ca, Danish, Alya1 (AUTHOR) Alya.Danish@usherbrooke.ca
Source: Evaluation & Program Planning. Apr2020, Vol. 79, pN.PAG-N.PAG. 1p.
Subject Terms: *Case studies, *Theory-practice relationship, Logic
Abstract: • Each phase of the logic analysis is complementary throughout the evaluation process. • Stakeholders involved became familiar with concepts relative to the intervention. • Logic analysis improves the understanding of both structural and intangible factors. • Concrete intervention strategies have been identified which can be prioritized. Case management programs for frequent users of healthcare services are complex interventions which implementation and application are challenging to evaluate. The aim of this article was to conduct a logic analysis to evaluate a case management program for frequent users of healthcare services. The study proceeded in three phases: 1) establishing causal links between the program's components by the construction of a logic model, 2) developing an integrated framework from a realistic synthesis, and 3) making a new reading of the case management program in regard of the integrated framework. The study demonstrated, on one hand, strengths and weaknesses of the actual case management program, and, on the other hand, how logic analysis can create a constructive dialogue between theory and practice. The evaluative process with decision-makers, clinicians and patients has helped to make connexions between theory, practice, experience and services organization. [ABSTRACT FROM AUTHOR]
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Database: Education Research Complete
Description
Abstract:• Each phase of the logic analysis is complementary throughout the evaluation process. • Stakeholders involved became familiar with concepts relative to the intervention. • Logic analysis improves the understanding of both structural and intangible factors. • Concrete intervention strategies have been identified which can be prioritized. Case management programs for frequent users of healthcare services are complex interventions which implementation and application are challenging to evaluate. The aim of this article was to conduct a logic analysis to evaluate a case management program for frequent users of healthcare services. The study proceeded in three phases: 1) establishing causal links between the program's components by the construction of a logic model, 2) developing an integrated framework from a realistic synthesis, and 3) making a new reading of the case management program in regard of the integrated framework. The study demonstrated, on one hand, strengths and weaknesses of the actual case management program, and, on the other hand, how logic analysis can create a constructive dialogue between theory and practice. The evaluative process with decision-makers, clinicians and patients has helped to make connexions between theory, practice, experience and services organization. [ABSTRACT FROM AUTHOR]
ISSN:01497189
DOI:10.1016/j.evalprogplan.2019.101753