Canadian Journal of Program Evaluation · 2012 · 19 citations · 0 references
Public AffairsHealth Services AdministrationHealth SystemsHealth Services ResearchHealth Systems EvaluationImplementation ScienceEvaluation DesignHealth Policy EvaluationHealth Services EvaluationImplementation AssessmentImplementation EvaluationOutcome EvaluationEvaluationHealthcare Systems EvaluationImplementation Evaluation Frameworks
Abstract: Theoretically, evaluation should help decision-makers address contemporary health system challenges. Paradoxically, the use of evaluation results by decision-makers remains poor, despite rapid development in the evaluation field. The level of use depends on the evaluator’s ability to account for the complexity of health-care systems. The complex nature of an intervention often compels evaluators to adopt unconventional approaches to account for the roles of the players. The evaluation of a complex intervention raises conceptual, methodological, and operational challenges the evaluation has to overcome to increase the level of use of its findings by decision-makers.