Abstract:
:This article describes the use of formative evaluation in assessing the feasibility of implementing a new service integration effort. The Child Health Initiative, a nine-site, national demonstration project funded in 1991 by the Robert Wood Johnson Foundation, sought to implement systemic change through the creation of new mechanisms for spending service dollars more flexibly at the local site. The Child Health Initiative called for developing local child health-monitoring systems, a care coordination mechanism, and a program for decategorizing the myriad of restrictive categorical public programs serving children. Most demonstration communities experienced some degree of success in achieving the first two components, but none was able to implement decategorization during the 3- to 5-year funding period. Key lessons for evaluators include the need for (a) a flexible evaluation design that can sequentially adapt to changes in program implementation, (b) repeated longitudinal data collection measures to document changes over time, (c) avoidance of a premature focus on program outcomes, and (d) methods to establish attribution of outcomes.
journal_name
Eval Health Profjournal_title
Evaluation & the health professionsauthors
Brindis C,Hughes DC,Halfon N,Newacheck PWdoi
10.1177/016327879802100104subject
Has Abstractpub_date
1998-03-01 00:00:00pages
66-90issue
1eissn
0163-2787issn
1552-3918journal_volume
21pub_type
杂志文章,评审abstract::Prevalence of hepatitis C (HCV) in injection drug users (IDUs) is high and once HCV has been detected, follow-up medical care is essential. Six hundred and one current and former IDUs who tested positive for HCV antibodies received referrals for medical care. Twenty-four percent (147) of participants returned to be in...
journal_title:Evaluation & the health professions
pub_type: 杂志文章
doi:10.1177/0163278706296003
更新日期:2006-12-01 00:00:00
abstract::The Pew Health Commission on professional education has recommended innovative educational programs to promote career mobility among nurses. To assure continued quality of nursing education in the face of innovation, the Philip Y. Hahn School of Nursing conducted a comprehensive evaluation of its accelerated RN-MSN pr...
journal_title:Evaluation & the health professions
pub_type: 杂志文章
doi:10.1177/016327879702000205
更新日期:1997-06-01 00:00:00
abstract::The purpose of this study was to determine if already-existing staff in a rural health department could effectively increase access of their clients to Medicaid. All "sliding fee" patients seeking services were asked a series of questions to determine their categorical eligibility for Medicaid. Those identified as pot...
journal_title:Evaluation & the health professions
pub_type: 杂志文章
doi:10.1177/016327879101400403
更新日期:1991-12-01 00:00:00
abstract::The authors evaluated determinants of response to Internet-based surveys in a sample (n = 5600) of Texas healthcare professionals. Participants were given the option of responding by mail or over the Web (response, 66%). Internet respondents were younger (p < .001), had worked fewer years in healthcare (p < .001), and...
journal_title:Evaluation & the health professions
pub_type: 杂志文章
doi:10.1177/0163278707300634
更新日期:2007-06-01 00:00:00
abstract::The medical education literature concerned with the teaching role fulfilled by house officers was reviewed by the authors. Articles were presented in three categories: (1) studies of house officer effort, (2) perceptions of the house officer's teaching role, and (3) assessing and improving house officer teaching skill...
journal_title:Evaluation & the health professions
pub_type: 杂志文章,评审
doi:10.1177/016327878801100101
更新日期:1988-03-01 00:00:00
abstract::This article summarizes the development of the caregiver-provider relationship assessment (CPRA) designed to measure family caregivers' perceptions of relationship quality with health care providers. Using an online sample of family caregivers (n = 156), the patient reactions assessment (PRA) was adapted for use with ...
journal_title:Evaluation & the health professions
pub_type: 杂志文章
doi:10.1177/0163278711417859
更新日期:2012-03-01 00:00:00
abstract::This article summarizes research on Type II translation of prevention interventions aimed at enhancing the adoption of effective programs and practices in communities. The primary goal of Type II translation is to institutionalize evidence-based programs, products, and services. First, the authors describe theoretical...
journal_title:Evaluation & the health professions
pub_type: 杂志文章
doi:10.1177/0163278706290408
更新日期:2006-09-01 00:00:00
abstract::This report describes an easily administered scale for measuring perceived burden among caregivers of family members with dementia. During home interviews conducted in 1991, 82 caregivers rated their family member with dementia on several items related to functional ability, the type of care provided, and associated s...
journal_title:Evaluation & the health professions
pub_type: 杂志文章,评审
doi:
更新日期:1993-06-01 00:00:00
abstract::Sample-size planning historically has been approached from a power analytic perspective in order to have some reasonable probability of correctly rejecting the null hypothesis. Another approach that is not as well-known is one that emphasizes accuracy in parameter estimation (AIPE). From the AIPE perspective, sample s...
journal_title:Evaluation & the health professions
pub_type: 杂志文章
doi:10.1177/0163278703255242
更新日期:2003-09-01 00:00:00
abstract::This article illustrates an application of confirmatory factor analysis, using the LISREL program, to retrospective analysis of rating data common in health professions education. We begin with specification of a causal model reflecting the multitrait-multimethod design of a surgical house-officer ranking system. The ...
journal_title:Evaluation & the health professions
pub_type: 杂志文章
doi:10.1177/016327878701000110
更新日期:1987-03-01 00:00:00
abstract::The Clinical and Translational Science Awards (CTSA) program sponsors an array of innovative, collaborative research. This study uses complementary bibliometric approaches to assess the scope, influence, and interdisciplinary collaboration of publications supported by single CTSA hubs and those supported by multiple h...
journal_title:Evaluation & the health professions
pub_type: 杂志文章
doi:10.1177/0163278719839435
更新日期:2020-09-01 00:00:00
abstract::The purpose of this article is to describe how health practitioners can interpret the results from published meta-analytic reports of intervention effectiveness and efficacy studies, and then communicate those results, in a manner that helps patients make critical clinical and life decisions. The problem of using rese...
journal_title:Evaluation & the health professions
pub_type: 杂志文章
doi:10.1177/01632780122034939
更新日期:2001-09-01 00:00:00
abstract::The gap between evidence-based guidelines for clinical care and their application in medical settings is well established and widely discussed. Effective interventions are needed to help health care providers reduce this gap. Whereas the development of clinical practice guidelines from biomedical and clinical research...
journal_title:Evaluation & the health professions
pub_type: 杂志文章
doi:10.1177/0163278705284443
更新日期:2006-03-01 00:00:00
abstract::The authors tested whether smokers would use cigarette pack covers illustrated with antismoking messages. In 2001, visitors to a smoking cessation Web site ordered cigarette pack covers and answered a follow-up questionnaire 52 days later. Participants received by mail cardboard boxes designed to contain cigarette pac...
journal_title:Evaluation & the health professions
pub_type: 杂志文章
doi:10.1177/0163278704264050
更新日期:2004-06-01 00:00:00
abstract::The medical schools of the United States are in crisis because of poor teaching methods, misdirected training of medical students, and failure to respond to the needs of the population. Much of the increased cost of medical care can be blamed on high technology and the type of training provided in the medical school. ...
journal_title:Evaluation & the health professions
pub_type: 杂志文章,评审
doi:10.1177/016327878801100201
更新日期:1988-06-01 00:00:00
abstract::A questionnaire was distributed at the American Association of Chronic Fatigue Syndrome's biannual convention in Washington in January 2001 as well as through various Internet Web sites and listserves during early February and March of 2001. The sample consisted of 432 respondents. Most respondents (86%) indicated the...
journal_title:Evaluation & the health professions
pub_type: 杂志文章
doi:10.1177/01632780122034993
更新日期:2001-12-01 00:00:00
abstract::This article describes the Joint Commission's implementation plans, experience, and results to date of incorporating performance measurement data into the accreditation process. These plans have evolved in response to changes in the health care environment, feedback from accredited organizations, and both technical an...
journal_title:Evaluation & the health professions
pub_type: 杂志文章,评审
doi:10.1177/016327879902200301
更新日期:1999-09-01 00:00:00
abstract::Rising health care costs in general and hospital costs in particular have placed significant financial strain on federal programs such as Medicare. It was with this in mind that the Reagan administration in 1983 initiated Medicare's new prospective payment system based on diagnostic-related groups (DRGs) to reduce the...
journal_title:Evaluation & the health professions
pub_type: 杂志文章
doi:10.1177/016327878801100405
更新日期:1988-12-01 00:00:00
abstract::Reporting of incidents or near incidents because of medical devices in French hospitals relies on procedures following European and national guidelines. The authors intend to evaluate hospital staff knowledge on these surveillance procedures as a marker of appropriate application. A telephone survey is conducted on a ...
journal_title:Evaluation & the health professions
pub_type: 杂志文章
doi:10.1177/0163278704270012
更新日期:2004-12-01 00:00:00
abstract::This article argues for the increased involvement of people with severe mental illness and consumers of other health and mental health services in evaluation and performance improvement in the organizations from which they receive services. Among other reasons, consumers can bring a different perspective to the select...
journal_title:Evaluation & the health professions
pub_type: 杂志文章
doi:10.1177/0163278702025003003
更新日期:2002-09-01 00:00:00
abstract::The treatment of Medicaid enrollees diagnosed with depression or schizophrenia was examined to determine whether adherence to treatment guideline was associated with health care financing strategy, clinical outcomes, and cost-effectiveness. Individuals in a fee-for-service condition were significantly more likely to r...
journal_title:Evaluation & the health professions
pub_type: 杂志文章
doi:10.1177/0163278708328744
更新日期:2009-03-01 00:00:00
abstract::The set of articles appearing in this issue of Evaluation & the Health Professions provides an in-depth examination of the validation process for licensing and certification test score decisions. The winter 1990 issue of Educational Measurement: Issues and Practice also contains an excellent set of articles about lice...
journal_title:Evaluation & the health professions
pub_type: 杂志文章,评审
doi:10.1177/016327879401700208
更新日期:1994-06-01 00:00:00
abstract::This article describes a protocol that was employed to validate the content of the National Board Dental Hygiene Examination (NBDHE) using two separate practice analyses. The protocol consisted of the following phases: (1) the careful definition of the domain of knowledge and skills required for successful entry-level...
journal_title:Evaluation & the health professions
pub_type: 杂志文章
doi:10.1177/0163278713501073
更新日期:2014-12-01 00:00:00
abstract::A needs assessment is a research and planning activity designed to determine a community's service needs and utilization patterns. One of the most practical ways to plan services is to gather information accurately about a defined population and use that information to revise existing programs or develop new ones. Unf...
journal_title:Evaluation & the health professions
pub_type: 杂志文章
doi:10.1177/016327878400700206
更新日期:1984-06-01 00:00:00
abstract::Valid assessment of professional competence has proven to be an elusive goal. Objective tests, direct observation of performance, overall ratings of competence, and simulations have been tried and found wanting in one way or another. Objective test items are criticized as being unrealistic and therefore invalid. Direc...
journal_title:Evaluation & the health professions
pub_type: 杂志文章,评审
doi:10.1177/016327879201500203
更新日期:1992-06-01 00:00:00
abstract::This article provides an analysis of the way in which placebo effects could be investigated and taken into account, supported by a description of some of the major articles that have been published on this topic. Based on conceptual, theoretical, and methodological issues, the authors highlight some of the reasons for...
journal_title:Evaluation & the health professions
pub_type: 杂志文章,评审
doi:10.1177/0163278703026002003
更新日期:2003-06-01 00:00:00
abstract::The standard-setting literature is filled with contributions in which issues associated with standards are discussed and various methods for setting standards are presented and reviewed. Almost no attention has been given to guidelines for helping standard-setting groups or committees address the issues and technical ...
journal_title:Evaluation & the health professions
pub_type: 杂志文章
doi:10.1177/016327878300600101
更新日期:1983-03-01 00:00:00
abstract::Most chronic fatigue syndrome (CFS) studies are based on information about patients from primary or tertiary care settings. These patients might not be typical of patients in the general population. This investigation involved examinations of individuals with CFS from a community-based study. A random sample of 18,675...
journal_title:Evaluation & the health professions
pub_type: 杂志文章
doi:10.1177/01632780022034598
更新日期:2000-09-01 00:00:00
abstract::The authors describe the customary tools used by health services researchers to conduct economic evaluations of health interventions. Recognizing the inherent challenges of these tools for utilization in contemporary public health practice, we recommend a practical cost-benefit analysis (PCBA) to allow public health p...
journal_title:Evaluation & the health professions
pub_type: 杂志文章
doi:10.1177/0163278710393955
更新日期:2011-06-01 00:00:00
abstract::The Bayesian inferential process is modified to be used as an approach to an aggregate meta-analytic evaluation. Comparisons of the Bayesian approach with the traditional average effect size meta-analytic approach indicated that the Bayesian approach was more sensitive to differences between studies. The approaches to...
journal_title:Evaluation & the health professions
pub_type: 杂志文章
doi:10.1177/016327878400700407
更新日期:1984-12-01 00:00:00