Evaluation Of Health Services Flashcards
What’s in the planning cycle
Needs assessment
Planning
Implementation
Evaluation
What is the evaluation of health services
Evaluation is the assessment of whether a service achieves it’s objectives
In what forms can evaluation take place in health care
Single intervention - e.g. a single drug
Evaluation of public health interventions - e.g. smoking ban
Health economic evaluation- cost effectiveness of a health interventions
Health technology assessment- systematic review, economic evaluation etc
What 3 factors are used in a health service evaluation
Structure
Framework
Outcome
What is structure
What is there:
- Buildings
- Staff
- Equipment
What is process
What is done with the structure e.g.:
- number of patients seen
- number of operations carried out
- who sees the patients
- where are the patients seen
What is health outcome
Mortality
Morbidity
Quality of life
Patient Satisfaction
OR
Death Disease Disability Discomfort Dissatisfaction
How is quality of life measured objectively
Patient recorded outcome measures
(PROMS)
E.g. Oxford hip score
What issues might arise with health outcomes
Link between health services and outcome maybe difficult to establish due to multiple factors involved.
Time lag between services provided and outcome may be long
Large sample sizes may be needed to detect statistically significant effects
Data not available
Issues with data quality
What things should be considered with data quality in health outcomes
CART
Completeness
Accuracy
Relevance
Timeliness
What is the 3As and 3Es approach to quality of a service (maxwell’s dimensions of service quality)
Effectiveness Efficiency Equity Acceptability Accessibility Appropriately
What is effectiveness
Does the service produce the desired effect
What is efficiency
Is the output maximised….
What qualitative methods are used in evaluation
Observation: participant and non-participant
Interviews
Focuses groups
Review of documents
What quantitative methods are used in evaluation
Routinely collected data
Review of documents
Surveys
Other special studies
