Evaluation of Services

Question 1

Name 2 ways of evaluating services

Answer 1

Maxwell’s dimension’s of quality (3E’s and 3A’s)

Donabedian Approach

Question 2

Explain Maxwell’s Dimensions of Quality

Answer 2

Effectiveness.
Efficiency.
Equity.
Acceptability.
Accessibility.
Appropriateness.

Question 3

Explain the Donabedian Approach

Answer 3

Structure: what is physically there.
Process: what is done?
Outcome: 5 D’s death, disease, disability, discomfort, dissatisfaction.

Question 4

What are some issues with measuring health outcomes?

Answer 4

The link between the service and outcome may be difficult to elicit.

There is a time lag between service use and outcome.

Large sample sizes may be needed.

Quality of data may be poor.