Evaluation Of Health Services Flashcards

1
Q

What’s in the planning cycle

A

Needs assessment
Planning
Implementation
Evaluation

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2
Q

What is the evaluation of health services

A

Evaluation is the assessment of whether a service achieves it’s objectives

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3
Q

In what forms can evaluation take place in health care

A

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

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4
Q

What 3 factors are used in a health service evaluation

A

Structure
Framework
Outcome

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5
Q

What is structure

A

What is there:

  • Buildings
  • Staff
  • Equipment
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6
Q

What is process

A

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
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7
Q

What is health outcome

A

Mortality
Morbidity
Quality of life
Patient Satisfaction

OR

Death
Disease
Disability
Discomfort
Dissatisfaction
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8
Q

How is quality of life measured objectively

A

Patient recorded outcome measures
(PROMS)
E.g. Oxford hip score

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9
Q

What issues might arise with health outcomes

A

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

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10
Q

What things should be considered with data quality in health outcomes

A

CART

Completeness
Accuracy
Relevance
Timeliness

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11
Q

What is the 3As and 3Es approach to quality of a service (maxwell’s dimensions of service quality)

A
Effectiveness
Efficiency
Equity
Acceptability
Accessibility
Appropriately
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12
Q

What is effectiveness

A

Does the service produce the desired effect

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13
Q

What is efficiency

A

Is the output maximised….

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14
Q

What qualitative methods are used in evaluation

A

Observation: participant and non-participant
Interviews
Focuses groups
Review of documents

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15
Q

What quantitative methods are used in evaluation

A

Routinely collected data
Review of documents
Surveys
Other special studies

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