Stubbs Joanne Marguerite, Achat Helen Mary
Epidemiology, Sydney West Area Health Service, Sydney, NSW, Australia.
Contemp Nurse. 2011 Feb;37(2):188-96. doi: 10.5172/conu.2011.37.2.188.
Accountability for the use of limited health resources requires quality information for ongoing monitoring of program effectiveness. We outline the challenges involved in the monitoring and evaluation of a large-scale community nurse home visiting program. Efforts to establish and maintain rigorous assessment were impaired by interrelated difficulties, impacting on the quality of information collected. The consequences and outcomes of these challenges are discussed. Recommendations to facilitate the monitoring and evaluation of community-based programs are made. Successful program monitoring and evaluation, guided by these recommendations, will support the ongoing review of program activities and evidence-based decision making to inform current operation and future planning.
对有限卫生资源的使用进行问责需要高质量信息，以便持续监测项目成效。我们概述了大规模社区护士家访项目监测与评估中涉及的挑战。建立和维持严格评估的努力受到相互关联的困难的阻碍，影响了所收集信息的质量。讨论了这些挑战的后果和结果。提出了促进基于社区项目监测与评估的建议。在这些建议的指导下，成功的项目监测与评估将支持对项目活动的持续审查以及基于证据的决策，为当前运作和未来规划提供依据。
