2024-03-29T12:37:58Zhttp://repisalud.isciii.es/oai/requestoai:repisalud.isciii.es:20.500.12105/58872023-10-05T14:17:11Zcom_20.500.12105_2088com_20.500.12105_2052com_20.500.12105_2051col_20.500.12105_2089
Repisalud
author
Knai, Cécile
author
Nolte, Ellen
author
Brunn, Matthias
author
Elissen, Arianne
author
Conklin, Annalijn
author
Pedersen, Janice Pedersen
author
Brereton, Laura
author
Erler, Antje
author
Frølich, Anne
author
Flamm, Maria
author
Fullerton, Birgitte
author
Jacobsen, Ramune
author
Krohn, Robert
author
Saz-Parkinson, ZuleiKa
author
Vrijhoef, Bert
author
Chevreul, Karine
author
Durand-Zaleski, Isabelle
author
Farsi, Fadila
author
Sarria-Santamera, Antonio
author
Soennichsen, Andreas
funder
Unión Europea. Comisión Europea. 7 Programa Marco
2018-04-25T18:26:50Z
2018-04-25T18:26:50Z
2013-05
Health Policy;110(2-3):220-8
01688510
http://hdl.handle.net/20.500.12105/5887
23453595
10.1016/j.healthpol.2013.01.019
1872-6054
Health policy (Amsterdam, Netherlands)
INTRODUCTION: The growing movement of innovative approaches to chronic disease management in Europe has not been matched by a corresponding effort to evaluate them. This paper discusses challenges to evaluation of chronic disease management as reported by experts in six European countries. METHODS: We conducted 42 semi-structured interviews with key informants from Austria, Denmark, France, Germany, The Netherlands and Spain involved in decision-making and implementation of chronic disease management approaches. Interviews were complemented by a survey on approaches to chronic disease management in each country. Finally two project teams (France and the Netherlands) conducted in-depth case studies on various aspects of chronic care evaluation. RESULTS: We identified three common challenges to evaluation of chronic disease management approaches: (1) a lack of evaluation culture and related shortage of capacity; (2) reluctance of payers or providers to engage in evaluation and (3) practical challenges around data and the heterogeity of IT infrastructure. The ability to evaluate chronic disease management interventions is influenced by contextual and cultural factors. CONCLUSIONS: This study contributes to our understanding of some of the most common underlying barriers to chronic care evaluation by highlighting the views and experiences of stakeholders and experts in six European countries. Overcoming the cultural, political and structural barriers to evaluation should be driven by payers and providers, for example by building in incentives such as feedback on performance, aligning financial incentives with programme objectives, collectively participating in designing an appropriate framework for evaluation, and making data use and accessibility consistent with data protection policies.
eng
Reported barriers to evaluation in chronic care: experiences in six European countries
journal article
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URL
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