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Developing a patient-oriented realist evaluation for COVID-19 vaccine implementation in Saskatchewan: a methodologic

Amir Reza Azizian1, Tracey Carr1, Nazeem Muhajarine1

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This summary is machine-generated.

This study used a patient-oriented realist evaluation to understand COVID-19 vaccine implementation in Saskatchewan. Findings will inform future public health strategies for vaccine uptake.

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Area of Science:

  • Public Health
  • Health Services Research
  • Epidemiology

Background:

  • Timely decision-making and safe vaccine delivery are critical for public health.
  • Understanding the nuances of vaccine implementation is essential for maximizing vaccine uptake.
  • COVID-19 vaccination programs require robust evaluation to ensure effectiveness.

Purpose of the Study:

  • To describe the methodology of a patient-oriented realist evaluation of COVID-19 vaccination implementation in Saskatchewan, Canada.
  • To understand the mechanisms and contexts influencing vaccine implementation and uptake.
  • To develop a program theory explaining the success factors of the vaccination program.

Main Methods:

  • A patient-oriented, realist, mixed-method evaluation was conducted in Saskatchewan.
  • The study involved three iterative phases guided by RAMESES II standards.
  • Patient and family partners collaborated throughout the evaluation, informing data analysis and interpretation.

Main Results:

  • The evaluation developed an initial program theory in phase 1, tested and refined it in phase 2, and established a final program theory in phase 3.
  • Qualitative data were analyzed using a retroductive approach, while quantitative data compared outcomes across three sites.
  • Patient and family partners were integral to the evaluation process, ensuring a patient-centered perspective.

Conclusions:

  • The developed program theory provides insights into the 'who, what, when, where, and why' of COVID-19 vaccine uptake in Saskatchewan.
  • Findings will be disseminated to policymakers, health authorities, and the public to improve future vaccination strategies.
  • Collaborative engagement with patient partners enhanced the relevance and applicability of the evaluation findings.