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Value bases of case management evaluation
Case management is designed to promote access to integrated, quality care for consumers, yet evaluations of case management show mixed results. This paper argues that part of the confusion stems from an unclarity about the value frames used to arrive at judgments of the merit or worth of case manage...
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Published in: | Evaluation and program planning 1993, Vol.16 (1), p.55-65 |
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Main Authors: | , |
Format: | Article |
Language: | English |
Subjects: | |
Citations: | Items that this one cites Items that cite this one |
Online Access: | Get full text |
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Summary: | Case management is designed to promote access to integrated, quality care for consumers, yet evaluations of case management show mixed results. This paper argues that part of the confusion stems from an unclarity about the value frames used to arrive at judgments of the merit or worth of case management. This paper reviews six value frames commonly applied to human service evaluation and examines the particular relevance of each perspective for the evaluation of case management; they are: consumer needs, consumer wants, professional standards, program goals and objectives, models of practice, and judged or believed standards of merit. Illustrative studies are cited to tie the conceptual framework to current literature and provide direction for future evaluations. The paper outlines a process for selecting value frames and links their selection to six broader issues in case management evaluation: evaluation design and methodology, values underlying programs, definition of the independent variable, political and organizational contexts of evaluation, resource constraints, and metaevaluation. In conclusion, the paper argues that client need should be a predominant value frame in evaluating case management. |
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ISSN: | 0149-7189 |
DOI: | 10.1016/0149-7189(93)90037-9 |