Evaluating an organization-wide disparity reduction program: Understanding what works for whom and why.

ABSTRACT:

Background

Disparity-reduction programs have been shown to vary in the degree to which they achieve their goal; yet the causes of these variations is rarely studied. We investigated a broad-scale program in Israel's largest health plan, aimed at reducing disparities in socially disadvantaged groups using a composite measure of seven health and health care indicators.

Methods

A realistic evaluation was conducted to evaluate the program in 26 clinics and their associated managerial levels. First, we performed interviews with key stakeholders and an ethnographic observation of a regional meeting to derive the underlying program theory. Next, semi-structured interviews with 109 clinic teams, subregional headquarters, and regional headquarters personnel were conducted. Social net

SUBMITTER: Spitzer-Shohat S 

PROVIDER: S-EPMC5851553 | biostudies-literature | 2018

REPOSITORIES: biostudies-literature