Evaluating complex interventions in real context: Logic analysis of a case management program for frequent users of healthcare services. (April 2020)

• Record Type: Journal Article
• Authors: Hudon, Catherine; Chouinard, Maud-Christine; Brousselle, Astrid; Bisson, Mathieu; Danish, Alya
• Is Part Of: Evaluation and program planning. Volume 79(2020)
• Publication Date: 2020-04
• Subjects: CM Case management -- LSN Local Services Networks -- HSSC Health and Social Services Centre -- SLSJ Saguenay-Lac-Saint-Jean -- IUHSSC Integrated University Health and Social Services Centre; Logic analysis -- Realistic synthesis -- Theory-based evaluation -- Case management -- Frequent users; Health planning -- Periodicals; Medical care -- Evaluation -- Periodicals; 362.1068
• DOI: 10.1016/j.evalprogplan.2019.101753
• Languages: English
• ISSNs: 0149-7189

Abstract

Highlights: Each phase of the logic analysis is complementary throughout the evaluation process. Stakeholders involved became familiar with concepts relative to the intervention. Logic analysis improves the understanding of both structural and intangible factors. Concrete intervention strategies have been identified which can be prioritized. 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.