Abimbola Seye, Li Clare, Mitchell Michelle, Everett Michael, Casburn Kim, Crooks Philippa, Hammond Rebecca, Milling Holly, Ling Lydia, Reilly Alexandra, Crawford Alexandra, Cane Lindsay, Hopp Dagney, Stolp Ellen, Davies Suzanne, Martiniuk Alexandra
School of Public Health, The University of Sydney, Australia.
Royal Far West, Sydney, Australia.
Digit Health. 2019 Jan 28;5:2055207619826468. doi: 10.1177/2055207619826468. eCollection 2019 Jan-Dec.
The value of programme logic models as a tool for planning, evaluation, and communication is well recognised. However, the value of its development is less discussed. In this paper, we describe how we used a combination of literature review and organisational stakeholder consultations to develop a logic model for a telehealth programme for children in rural and remote Australia. Our aim was to use this process to further embed the programme within its implementing organisation, and by so doing to promote its sustainability and scale-up; a major challenge of telehealth programmes, especially those involving reorganisation of processes. Our efforts to describe the components of this complex intervention on the one-page logic model allowed for debates and discussions within the implementing organisation which then facilitated an improved cross-organisational understanding of the telehealth programme; a real time face-to-face (video-link) service which requires the reorganisation of existing service delivery platforms. The process helped to embed the telehealth programme within existing services. We conclude that stakeholder engagement in developing logic models can transform them from being only a tool that provides the picture of why and how a programme works, to one that plays a role in embedding programmes within implementing organisations.
项目逻辑模型作为规划、评估和沟通工具的价值已得到广泛认可。然而，对其开发价值的讨论较少。在本文中，我们描述了如何结合文献综述和组织利益相关者咨询，为澳大利亚农村和偏远地区的儿童远程医疗项目开发一个逻辑模型。我们的目标是利用这一过程将该项目进一步融入其实施组织，从而促进其可持续性和扩大规模；这是远程医疗项目面临的一个重大挑战，尤其是那些涉及流程重组的项目。我们在单页逻辑模型上描述这一复杂干预措施组成部分的努力，引发了实施组织内部的辩论和讨论，进而促进了对远程医疗项目跨组织的更好理解；这是一项实时面对面（视频链接）服务，需要对现有服务提供平台进行重组。该过程有助于将远程医疗项目融入现有服务。我们得出结论，利益相关者参与逻辑模型的开发可以将其从仅仅是一个说明项目为何以及如何运作的工具，转变为一个在将项目融入实施组织方面发挥作用的工具。
