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[Logic model of the Franche-Comté Regional Health Project: advantages and limitations for the evaluation process]
Summary
Reconstructing the Regional Health Project (PRS) logic model in Franche-Comté improved strategy visualization and evaluation focus. This approach enhances understanding of health policy construction and effectiveness.
Area of Science:
- Public Health Policy
- Health Systems Management
- Program Evaluation
Context:
- The "Hospitals, patients, health and territories" law (2009) mandated Regional Health Projects (PRS) in France.
- Evaluation programs in France are nascent, posing challenges for PRS assessment.
- The Franche-Comté Regional Health Agency (ARS FC) sought to improve PRS evaluation.
Purpose:
- To reconstruct the logic model of the Franche-Comté Regional Health Project (PRS).
- To analyze the benefits and drawbacks of the logic model reconstruction approach.
- To support future evaluations of complex regional health policies.
Summary:
- A logic model was developed for the Franche-Comté PRS, visualizing strategic aims and outcomes.
- The model revealed four key structural health system changes often overlooked in PRS documents.
- It linked PRS to public policy evaluation issues and facilitated prioritization, emphasizing program construction analysis.
Impact:
- Enhanced understanding of PRS strategy and expected results.
- Improved focus on program construction over direct effects analysis for effectiveness.
- Identified limitations regarding retrospective design and actor adoption.
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