Integrating Care for Older People: New Care for Old, a Systems Approach

By Christopher Foote; Christine Stanners | Go to book overview

Chapter 9
Evaluating an Integrated
Care System

In modern health and social care it is unethical not to be concerned with evaluation,
and no longer acceptable to be ‘evaluation illiterate’.

John Ovretveit, Professor of Health and Management, Nordic School
of Public Health, Gottenburg, Sweden

There is nothing more difficult than providing the answer to a question to which the
response appears obvious
.

George Bernard Shaw

In this chapter we demonstrate the critical importance of evaluation in developing
and sustaining integrated care systems. The purposes of evaluation are explored and
examples given of different tools for evaluating complex adaptive systems. It is
proposed that evaluation is an essential tool in the formulation and evolution of
strategy and in the development of quality care. The steps in the evaluation process
are identified, and we discuss some of the problems that arise when multiple agencies
and activities are to be evaluated. The approach to costing adopted by EPICS as part
of the evaluation is described. Terms commonly used in evaluation are appended.


The aims of evaluation

Evaluation is something that is occurring all the time, in everybody’s lives. Judgements are continually made, for example as to whether somebody or something is

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