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Why Do Evaluations of eHealth Programs Fail? An Alternative Set of Guiding Principles

  • Trisha Greenhalgh mail,

    p.greenhalgh@qmul.ac.uk

    Affiliation: Healthcare Innovation and Policy Unit, Centre for Health Sciences, Barts and The London School of Medicine and Dentistry, London, United Kingdom

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  • Jill Russell

    Affiliation: Division of Medical Education, University College London, London, United Kingdom

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  • Published: November 02, 2010
  • DOI: 10.1371/journal.pmed.1000360

Reader Comments (5)

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Only some goals?

Posted by jwfone on 05 Nov 2010 at 16:24 GMT

Third, Kushner suggests, the causal link between process and outcome is typically interrupted by so many intervening variables as to make it unreliable. In the SCR evaluation, we documented 56 such variables—including training, permissions, physical space, technical interoperability, local policies and protocols, professional sanction, and point-of-care consent
http://plosmedicine.org/article/info:doi/10.1371/journal.pmed.1000360#article1.body1.sec2.p6

Presumably this issue only applies to some kinds of goals. For example the goal previously mentioned of providing access to summary care data from the patient's home is pretty easy to evaluate cause and effect for? Obviously then harder to evaluate how that access might affect patient health.

In any case, some of the example variables mentioned for the SCR might be seen to be 'part' of the SCR - as key aspects of the context of use to be designed for, or things that could be influenced by stakeholders of the SCR.

No competing interests declared.