Presentation on theme: "Using Evaluation Theory to Improve Priority Setting for Healthcare"— Presentation transcript:
1 Using Evaluation Theory to Improve Priority Setting for Healthcare Neale Smith & Craig MittonCentre for Clinical Epidemiology & Evaluation, Vancouver Coastal Health Research Institute, University of British ColumbiaPresentation to the 8th Biennial Conference of the International Society on Priorities in Health CareWaltham, MA April 23, 20101
2 Evaluation and Priority Setting: Common Roots Increased expectations for government accountabilityEvidence-based decision makingIncreased demand for efficient use of resources in times of fiscal restraint
3 Objective: From this ...Priority Setting & Resource Allocation LiteratureEvaluation & Evaluation Theory Literature
4 ... to this Priority Setting & Resource Allocation Literature Evaluation & Evaluation Theory Literature
5 An Evaluation Theory Tree SOURCE:Alkin, M.C., & Christie, C.A. (2004). An evaluation theory tree. In M.C. Alkin (Ed.), Evaluation roots: tracing theorists’ views and influences. Thousand Oaks, CA: Sage. Pages
6 Primary Perspective Methods Evaluator Use Decision Maker Valuing Larger Public or Society
7 Guiding Evaluation Question MethodsHow to measure the impact of PSRA processes on desired outcomes?UseWhat do decision makers in a particular context need in order to improve the usefulness to them of PSRA?ValuingHow do the results of PSRA processes affect the interests of different social groups (especially the least advantaged)?
8 Common Methods Methods Controlled experiments if possible Quantitative measures if possibleFocus on measures of PSRA outcomesUseInterviews, focus groups with decision makersAction researchOther qualitative methodologies, e.g., phenomenologyValuingConstructivist, critical, participatory action research approaches
9 Evaluation Focus Methods Intended outcomes and objectives Program theoriesExternal or independent observerUsePSRA processesIntended useOrganizational capacitiesValuingUnintended outcomesPower relationships
10 ImplicationsMore evaluation of PSRA is needed – and we should expand its focus to consider outcomes, as well as process and outputsEvaluation should be considered from the beginning – this can influence process designExisting PSRA studies fail to draw upon evaluation theory: we can take advantage of such approaches to more clearly identify features we wish to address, and how best to do so
Your consent to our cookies if you continue to use this website.