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Related Experiment Videos

Avoiding evaluation cooptation. Lessons from a renal dialysis evaluation.

E O'Sullivan, G W Burleson, W E Lamb

    Evaluation and Program Planning
    |December 11, 1984
    PubMed
    Summary
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    Contract termination for renal dialysis transport harmed low-income patients by ignoring their economic and emotional well-being. Evaluators must avoid management bias and conduct broader studies for effective decision-making.

    Area of Science:

    • Health Services Research
    • Program Evaluation
    • Social Policy

    Background:

    • Contract termination for essential services like renal dialysis can impact vulnerable populations.
    • Evaluations of such changes must consider broader patient well-being beyond immediate treatment access.

    Purpose of the Study:

    • To evaluate the impact of terminating transport contracts for low-income renal dialysis patients.
    • To identify methodological flaws in program evaluations that can lead to biased conclusions.

    Main Methods:

    • Review of an existing evaluation of contract termination for renal dialysis transport.
    • Analysis of the evaluation's scope, findings, and conclusions regarding patient harm.

    Main Results:

    Related Experiment Videos

  • The original evaluation found no increase in death rates, leading to a conclusion of no serious harm.
  • Crucial aspects like patients' economic and emotional status were not studied, resulting in an incomplete assessment.

    • Conclusions:

    • Evaluators risk becoming management apologists if studies are too narrow and lack independent information.
    • To ensure effective decision-making, evaluations require broader scope, independent data collection (e.g., pilot studies), and stakeholder engagement.