Evaluation Of Health Services Flashcards
1
Q
What is meant by evaluation of health services?
A
Assessment of whether a service achieves its objectives.
2
Q
What is the framework used for health service evaluation?
A
- structure
- process
- outcome
3
Q
What is meant by structure of a health service?
A
What facilities / resources are present within the service - e.g. buildings, staff, equipment.
4
Q
What is meant by process of a health service?
A
What is done by the service.
5
Q
What is meant by outcome of a health service?
A
Measuring health outcomes such as: mortality, morbidity, quality of life, patient satisfaction.
6
Q
What are some issues with measuring health outcomes?
A
- cause and effect between health service and health outcome may be difficult to establish (other factors involved)
- long time-lag
- large sample sizes may be needed to detect statistically significant effects
- data may not be available
- poor data quality
7
Q
What are the 6 dimensions of quality (Maxwell’s)?
A
- acceptability
- accessibility
- appropriateness
- effectiveness
- efficiency
- equity
8
Q
Examples of qualitative methodology?
A
- observation
- interviews
- focus groups
9
Q
Examples of quantitative methodology?
A
- routine health data (e.g. admissions, mortality)
- review of medical / administrative records
- surveys
- epidemiological studies
10
Q
What is the progress for evaluation health services?
A
- define service
- what are its aims & objectives
- framework (structure, process, outcome)
- methodology (qualitative, quantitative)
- results, conclusions, recommendations
