Evaluación de la efectividad en salud pública: Fundamentos conceptuales y metodológicos

Translated title of the contribution: Effectiveness assessment in public health: Conceptual and methodological foundations

Manel Nebot, M. José López, Carles Ariza, Joan R. Villalbí, Anna García-Altés

Research output: Contribution to journalArticle

Abstract

In the last few years, interest has markedly increased in evaluating health programs, especially their social utility and economic efficiency. However, consensus on key issues in evaluation, such as terminology, goals and methods is still a long way off. In this context, we review the main definitions and classifications of evaluation applied to public health programs and policies. We describe the main evaluation designs and their components, focusing on outcome evaluation. Threats to the internal validity of the results of weak evaluation designs are also discussed. The characteristics of public health interventions that limit evaluation with traditional designs are also analyzed. These limitations include the complexity of interventions, usually with multiple components, and the difficulty of forming an equivalent control group with no intervention, especially through random assignment. Finally, a two-step approach to evaluation through weak designs, which takes into account adequacy and plausibility, is described. Adequacy consists of the observation of a change in the selected indicators after the intervention, and would be sufficient to take decisions under certain conditions; at other times, plausibility would need to be analyzed, defined as attribution of the results to the program or intervention.

Original languageSpanish
Pages (from-to)3-8
Number of pages6
JournalGaceta sanitaria / S.E.S.P.A.S
Volume25
Issue numberSUPPL. 1
DOIs
StatePublished - Jun 2011
Externally publishedYes

Fingerprint

Public Health
Public Policy
Health Policy
Terminology
Reproducibility of Results
Economics
Observation
Control Groups
Health

Keywords

  • Effectiveness
  • Evaluation
  • Public health

ASJC Scopus subject areas

  • Public Health, Environmental and Occupational Health

Cite this

Evaluación de la efectividad en salud pública : Fundamentos conceptuales y metodológicos. / Nebot, Manel; López, M. José; Ariza, Carles; Villalbí, Joan R.; García-Altés, Anna.

In: Gaceta sanitaria / S.E.S.P.A.S, Vol. 25, No. SUPPL. 1, 06.2011, p. 3-8.

Research output: Contribution to journalArticle

Nebot, M, López, MJ, Ariza, C, Villalbí, JR & García-Altés, A 2011, 'Evaluación de la efectividad en salud pública: Fundamentos conceptuales y metodológicos', Gaceta sanitaria / S.E.S.P.A.S, vol. 25, no. SUPPL. 1, pp. 3-8. https://doi.org/10.1016/S0213-9111(11)70002-4
Nebot, Manel ; López, M. José ; Ariza, Carles ; Villalbí, Joan R. ; García-Altés, Anna. / Evaluación de la efectividad en salud pública : Fundamentos conceptuales y metodológicos. In: Gaceta sanitaria / S.E.S.P.A.S. 2011 ; Vol. 25, No. SUPPL. 1. pp. 3-8.
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