Principles-Focused Evaluation of Health Services

Amy Salmon (), Ihoghosa Iyamu (), M. Elizabeth Snow () and Mai Berger ()
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Amy Salmon: University of British Columbia
Ihoghosa Iyamu: University of British Columbia
M. Elizabeth Snow: University of British Columbia
Mai Berger: First Nations Health Authority

A chapter in Handbook of Health Services Evaluation, 2025, pp 89-99 from Springer

Abstract: Abstract Principles-focused evaluation (PFE) is an emergent approach to evaluation in health care. It is useful for evaluating health services where principles guide implementations and adaptations across different contexts, in complex situations, and when preparing to scale a program or intervention up or out. Unlike evaluation approaches emphasizing standardized performance indicators, outputs, and outcomes, PFE examines the meaningfulness of principles guiding the program, how the principles are enacted, and associated outcomes. In this chapter, we discuss the process of conducting a PFE, including developing evaluation questions and effectiveness principles and designing methods to collect, analyze, and interpret data. We describe characteristics of health services that make them amenable to PFE and those that do not, as well as the strengths and limitations of this evaluation approach.

Keywords: Principles-focused evaluation; Developmental evaluation (search for similar items in EconPapers)
Date: 2025
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DOI: 10.1007/978-3-031-87869-5_5

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