Strategy and Tactics of Evaluating a Large-Scale Medical Care Program

This report describes the evolution of an evaluation unit organized to assess the impact of a changing hospital care program upon the community it serves. Evaluation activities have been developed to suit the specific characteristics of the program to be evaluated and also to provide continuous, in...

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Bibliographic Details
Published in:Medical care 1969-03, Vol.7 (2), p.79-85
Main Authors: Kelman, Howard R., Elinson, Jack
Format: Article
Language:English
Subjects:
Diseases
Health care quality
Health outcomes
Hospital administration
Hospital admissions
Hospital units
Hospitals, General - standards
Hospitals, Teaching
Medical Audit
Medical audits
New York City
Organizational Affiliation
Patient care
Teaching hospitals
Universities
Utilization Review
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Summary:This report describes the evolution of an evaluation unit organized to assess the impact of a changing hospital care program upon the community it serves. Evaluation activities have been developed to suit the specific characteristics of the program to be evaluated and also to provide continuous, in contrast to single-shot, appraisals of programmatic change. Methodological problems encountered in defining and developing the overall program of evaluation are reviewed. The rationale for the organization of a clinical assessment team-one of the component evaluation activities-is also described.
ISSN:0025-7079
1537-1948
DOI:10.1097/00005650-196903000-00001