Eisenberg M, Swanson N
University of Connecticut Health Center, USA.
Eval Health Prof. 1996 Dec;19(4):488-506. doi: 10.1177/016327879601900407.
Health program evaluation is generally focused on an examination of individual program characteristics and accomplishments, yet many programs are part of a broader service system. Evaluation of the role a program plays in that system is an important evaluation question to address. A network analysis of program referral patterns was used to evaluate Connecticut's Healthy Start program. Network analysis showed that Healthy Start played a "broker" role in 4 case study communities, sending and receiving referrals of pregnant women to a higher than average number of other programs. Further, in the urban area case study, competing market players providing services to pregnant women resulted in subsets of services with dense referral patterns within the subsets, but little referral between subsets. Healthy Start was found to be instrumental as an integrator of these otherwise disconnected service subsets.
健康项目评估通常侧重于对单个项目的特征和成就进行审查，然而许多项目是更广泛服务系统的一部分。评估一个项目在该系统中所起的作用是一个需要解决的重要评估问题。通过对项目转诊模式进行网络分析，对康涅狄格州的“健康开端”项目进行了评估。网络分析表明，“健康开端”项目在4个案例研究社区中扮演了“中介”角色，向高于平均数量的其他项目发送和接收孕妇转诊。此外，在城市地区的案例研究中，为孕妇提供服务的竞争市场参与者导致了服务子集中转诊模式密集，但子集之间转诊很少。结果发现，“健康开端”项目作为这些原本相互脱节的服务子集的整合者发挥了重要作用。
