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Analysis of the degree of implementation of the HEALTHQUAL program

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

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.

Suggested Citation

  • Demes, Joseph Adrien Emmanuel & Farand, Lambert & Pomey, Marie-Pascale & Champagne, François, 2025. "Analysis of the degree of implementation of the HEALTHQUAL program," Evaluation and Program Planning, Elsevier, vol. 113(C).
    • Handle: RePEc:eee:epplan:v:113:y:2025:i:c:s0149718925001661
    DOI: 10.1016/j.evalprogplan.2025.102699
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    References listed on IDEAS

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