Analysis of the degree of implementation of the HEALTHQUAL program

Joseph Adrien Emmanuel Demes, Lambert Farand, Marie-Pascale Pomey and François Champagne

Evaluation and Program Planning, 2025, vol. 113, issue C

Abstract: In evaluations of quality improvement programs, there is often a tendency to focus directly on outcomes or effects without first examining whether the program was fully implemented, only partially executed, or not implemented at all. In many cases, evaluators conclude that the program had little or no effect. However, it is difficult, if not impossible, to achieve meaningful results when the degree of implementation is low or nonexistent. This underscores the importance of assessing the degree of implementation as a prerequisite for explaining outcome gaps, analyzing the implementation process, and understanding the interaction between implementation level, context, and results. Generally, the higher the level of implementation, the more significant the potential outcomes.

Keywords: Logic Model; Quality Improvement Program's Evaluation; Degree of Implementation; Implementation Analysis; Normative Evaluation; Discrepancies Analysis (search for similar items in EconPapers)
Date: 2025
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Persistent link: https://EconPapers.repec.org/RePEc:eee:epplan:v:113:y:2025:i:c:s0149718925001661

DOI: 10.1016/j.evalprogplan.2025.102699

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