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Linking evaluation and program development. The case of AHCPR-supported clinical practice guidelines.

I E Arispe, J F Bernstein

    Evaluation & the Health Professions
    |August 5, 1996
    PubMed
    Summary

    Integrating program development with evaluation research strengthens both program quality and evaluation science. This approach enhances clinical practice guideline evaluation by addressing methodological challenges and creating new quality assessment tools.

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    Area of Science:

    • Health Services Research
    • Program Evaluation
    • Clinical Quality Improvement

    Background:

    • Evaluating program performance within research organizations requires integration with broader research and development (R&D) agendas.
    • The Agency for Health Care Policy and Research (AHCPR) emphasizes the synergy between evaluation and program development for enhanced scientific rigor.
    • Program development, defined as R&D for specialized knowledge, benefits evaluation research quality.

    Purpose of the Study:

    • To describe the AHCPR's comprehensive evaluation strategy.
    • To highlight specific evaluation activities within the agency's clinical practice guideline program.
    • To illustrate the advantages of linking evaluation research with program development.

    Main Methods:

    • The article outlines AHCPR's evaluation framework.

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  • A case study focusing on clinical practice guideline evaluation is presented.
  • Methodological challenges and the development of novel tools for clinical quality assessment are discussed.

    • Main Results:

    • Linking evaluation research with program development offers significant benefits.
    • New methodologies and tools were created to address unique challenges in guideline evaluation.
    • The integration strategy proved effective in enhancing both program quality and evaluation science.

    Conclusions:

    • Integrating evaluation research with program development is crucial for advancing health services research.
    • AHCPR's strategy demonstrates a successful model for enhancing clinical practice guideline evaluation.
    • The approach fosters innovation in quality assessment and strengthens the scientific basis of evaluation.