Reflecting the latest developments in the field, The Practice of Health Program Evaluation, Second Edition provides readers with effective methods for evaluating health programs and offers expert guidance for collaborating with stakeholders involved in the process. Author David Grembowski explores evaluation as a three-act play: Act I shows evaluators how to work with decision makers and other groups to identify the questions they want answered; Act II covers selecting appropriate evaluation designs to reveal insight about the program's impacts, cost-effectiveness, and implementation; and Act III discusses making use of the findings. Packed with relevant examples and detailed explanations, the book fully prepares readers to apply research methods in the practice of health program evaluation.
David Grembowski, Ph.D., M.A., is a professor in the Department of Health Ser- vices in the School of Public Health and the Department of Oral Health Sciences in the School of Dentistry, and adjunct professor in the Department of Sociology, at the University of Washington. He has taught health program evaluation to graduate students for more than twenty years. His evaluation interests are prevention, the performance of health programs and health care systems, survey research methods, and the social determinants of population health. His other work has examined efforts to improve quality by increasing access to care in integrated delivery systems; pharmacy outreach to provide statins preventively to patients with diabetes; managed care and physician referrals; managed care and patient-physician relationships and physician job satisfaction; cost-effectiveness of preventive services for older adults; cost-sharing and seeing out-of-network physicians; social gradients in oral health; local health department spending and racial/ethnic disparities in mortality rates; fluoridation effects on oral health and dental demand; financial incentives and dentist adoption of preventive technologies; effects of dental insurance on dental demand; and the link between mother and child access to dental care.
1. Health Program Evaluation: Is It Worth It? Growth of Health Program Evaluation Types of Health Program Evaluation Summary List of Terms Study Questions2. The Evaluation Process as a Three-Act Play Evaluation as a Three-Act Play Role of the Evaluator Evaluation in a Cultural Context Ethical Issues Evaluation Standards Summary List of Terms Study QuestionsAct I: Asking the Question3. Developing Evaluation Questions Step 1: Specify Program Theory Step 2: Specify Program Objectives Step 3: Translate Program Theory and Objectives Into Evaluation Questions Step 4: Select Key Questions Assessment of Fit Summary List of Terms Study QuestionsAct II: Answering the Question; Scene 1: Developing the Evaluation Design to Answer the Questions4. Evaluation of Program Impacts Quasi-Experimental Study Designs Counterfactuals and Experimental Study Designs Statistical Threats to Validity Generalizability of Impact Evaluation Results Evaluation of Impact Designs and Meta-Analysis Summary List of Terms Study Questions5. Cost-Effectiveness Analysis Cost-Effectiveness Analysis: An Aid to Decision Making Comparing Program Costs and Effects: The Cost-Effectiveness Ratio Types of Cost-Effectiveness Analysis Steps in Conducting a Cost-Effectiveness Analysis Evaluation of Program Effects and Costs Summary List of Terms Study Questions6. Evaluation of Program Implementation Types of Evaluation Designs for Answering Implementation Questions Types of Implementation Questions and Designs for Answering Them Summary List of Terms Study QuestionsAct II: Answering the Question; Scenes 2 and 3: Developing the Methods to Carry Out the Design and Conducting the Evaluation7. Population and Sampling Step 1: Identify the Target Populations of the Evaluation Step 2: Identify the Eligible Members of Each Target Population Step 3: Decide Whether Probability of Nonprobability Sampling is Necessary Step 4: Choose a Nonprobability Sampling Design for Answering an Evaluation Question Step 5: Choose a Probability Sampling Design Answering an Evaluation Question Step 6: Determine Minimum Sample Size Requirements Step 7: Select the Sample Summary List of Terms Study Questions8. Measurement and Data Collection Measurement and Data Collection in Quantitative Evaluations Data Collection in Qualitative Evaluations Reliability and Validity in Qualitative Evaluations Management of Data Collection Summary Resources List of Terms Study Questions9. Data Analysis Introduction Getting Started: What's the Question? Qualitative Data Analysis Quantitative Data Analysis Summary List of Terms Study QuestionsAct III: Using the Answers in Decision Making10. Disseminating the Answers to Evaluation Questions Scene 1: Translating Evaluation Answers Back Into Policy Language Scene 2: Developing a Dissemination Plan for Evaluation Answers Scene 3: Using the Answers in Decision Making and the Policy Cycle How Answers Are Used by Decision Makers Summary List of Terms Study Questions11. Epilogue
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