We describe the rationale, design and methods for the comprehensive evaluation of Salud Escolar during its first phase of implementation. Salud Escolar is a complex cross-sectoral multi-level policy-based program in Mexico aiming to support schoolchildren healthy behaviors. The prevalence of obesity and overweight in Mexican children and adolescents is high (>30%) and lifestyle behaviors are far from achieving health recommendations. To increase integration between primary care and academia, the components of the integration must be understandable and relevant for primary care practitioners, and importantly, compliant with delivery of primary care. Partnerships between primary care and academia hold the potential of practice impact. The effect on student education was primarily due to having prior experience in this area and perceptions of timely benefits of students to care practice. Most changes occurred at the coordinating centres and primarily in the area of student education. The input that contributed most extensively to the impact was the establishment of facilitating roles.
#ONLINE LOGIC MODEL BUILDER PROFESSIONAL#
The analysis showed that the reform had some impact on all three areas targeted by the reform: research, student education, and continued professional development. A programme theory-based qualitative approach to evaluation was used, building on document analysis, and in-depth interviews with the centre managers (n = 6) and coordinators (n = 8) conducted 42-66 months after the initiation of the reform. The study was conducted in Stockholm County, the largest healthcare region in Sweden, at the introduction of a partnership between primary care and academia, including eight coordinating centres and approximately 500 surrounding primary care units. The purpose of this study was to evaluate the impact of a reform launched to increase integration between primary care and academia and to identify potential reasons for why the observed impact occurred in three areas targeted by the reform: research, student education, and continued professional development. Few empirical studies have described the influence of such partnerships from a practice perspective. There is increasing interest in and demands for partnerships between academia and healthcare practices.
0 kommentar(er)
