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5. Evaluate the impact of implemented self-care strategies

5
Evaluate the impact of implemented self-care strategies

  • Develop impact indicators
  • Consider qualitative evaluation
  • Evaluate continuously and adapt your strategy in consequence

Evaluation activities are ideally integrated into the change process from the beginning.

Establish concrete goals against which progress of the implementation can be measured. Goals should be ambitious but attainable and very concrete. For instance: “Reducing number of unnecessary GP appointments for minor conditions” is not tangible enough, however drawn up as “Reducing number of unnecessary GP appointments for minor conditions by 10% in a year” will help evaluate progress of the strategy.

5.1. Develop impact indicators

  • Develop indicators for all levels of implementation:
    • Micro level: evaluate attitudes of professionals and patients, level of knowledge, use of information materials, use of healthcare resources and prescription.
      • Use of antibiotics
      • Level of bacterial resistant
      • Number of visits to the GP
    • Meso level: evaluate the use of health services, degree of implementation of the intervention(s). Based on the examples of good practices some could be:
      • Number of pharmacists involved in an alliance with GP
      • Training sessions or educational activities on healthy lifestyles
      • Number of schools participating in educational prevention strategies
    • Macro: evaluate costs, overall use of the developed self-care resources
      • Number of centres with call centre/hotline
      • Number of calls to call centre/hotline regarding a minor condition
      • Number of consultations to the “online physician”
      • Reduction of GP consultations regarding acute cough in the first three weeks since the appearance of the symptom
  • Consider including indicators of structure, process and outcomes.
    In the examples provided the existence of centres with call centres is a structure indicator, the number of calls to the centre is a process outcome and the reduction of GP consultations regarding acute cough in the first three weeks since the appearance of the symptom would be an outcome process.

5.2. Consider qualitative evaluation (both by patients/general public and professionals).

  • Qualitative techniques might be particularly useful to detect the acceptability of an intervention, identification of barriers and facilitators of new intervention.

5.3. Evaluate continuously and adapt your strategy in consequence.