Evaluating complex interventions in real context: Logic analysis of a case management program for frequent users of healthcare services |
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Institution: | 1. Department of Family Medicine and Emergency Medicine, Université de Sherbrooke, Sherbrooke, QC Canada;2. Research Center of the University Hospital Center of Sherbrooke, Sherbrooke, QC Canada;3. Department of Health Sciences, Université du Québec à Chicoutimi, Chicoutimi, QC Canada;4. School of Public Administration, University of Victoria, Victoria, BC Canada |
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Abstract: | Case management programs for frequent users of healthcare services are complex interventions which implementation and application are challenging to evaluate. The aim of this article was to conduct a logic analysis to evaluate a case management program for frequent users of healthcare services. The study proceeded in three phases: 1) establishing causal links between the program’s components by the construction of a logic model, 2) developing an integrated framework from a realistic synthesis, and 3) making a new reading of the case management program in regard of the integrated framework. The study demonstrated, on one hand, strengths and weaknesses of the actual case management program, and, on the other hand, how logic analysis can create a constructive dialogue between theory and practice. The evaluative process with decision-makers, clinicians and patients has helped to make connexions between theory, practice, experience and services organization. |
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Keywords: | Logic analysis Realistic synthesis Theory-based evaluation Case management Frequent users |
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