Evaluating complex interventions in real context: Logic analysis of a case management program for frequent users of healthcare services

Date

2020

Authors

Hudon, Catherine
Chouinard, Maud-Christine
Brousselle, Astrid
Bisson, Mathieu
Danish, Alya

Journal Title

Journal ISSN

Volume Title

Publisher

Evaluation and Program Planning

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.

Description

Keywords

Logic analysis, Realistic synthesis, Theory-based evaluation, Case management, Frequent users, Canadian Institute for Substance Use Research (CISUR)

Citation

Hudon, C., Chouinard, M., Brousselle, A., Bisson, M. & Danish, A. (2020). Evaluating complex interventions in real context: Logic analysis of a case management program for frequent users of healthcare services. Evaluation and Program Planning, 79, 101753. https://doi.org/10.1016/j.evalprogplan.2019.101753