Astrid Brousselle

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The aim of this special issue of the Canadian Journal of Program Evaluation was to present an overview of current practices in the field of evaluation of complex interventions. Seasoned evaluators described their approaches to these types of evaluation in the healthcare context. Building upon their contributions, this synthesis offers a cross-sectional(More)
In this paper, we analyze recommendations of past governmental commissions and their implementation in Quebec as a case to discuss the obstacles that litter the road to healthcare system reform. Our analysis shows that the obstacles to tackling the healthcare system's main problems may have less to do with programmatic (what to do) than with political and(More)
BACKGROUND Integrating Nurse Practitioners into primary care teams is a process that involves significant challenges. To be successful, nurse practitioner integration into primary care teams requires, among other things, a redefinition of professional boundaries, in particular those of medicine and nursing, a coherent model of inter- and intra- professional(More)
Dental caries is a major public health problem worldwide, with very significant deleterious consequences for many people. The available data are alarming in Canada and the province of Quebec. The water fluoridation program has been shown to be the most effective means of preventing caries and reducing oral health inequalities. This article analyzes the(More)
Program theory evaluation, which has grown in use over the past 10 years, assesses whether a program is designed in such a way that it can achieve its intended outcomes. This article describes a particular type of program theory evaluation-logic analysis-that allows us to test the plausibility of a program's theory using scientific knowledge. Logic analysis(More)
Health economic evaluation aims at providing information on the efficiency of interventions. Since the 1980s, there have been major developments in the field, especially in terms of methodologies. As the field has expanded and developed, methodologies have become increasingly sophisticated. In parallel, over the past decade, the conduct of economic(More)
This paper presents a theoretical and practical framework for evaluating interventions aimed at promoting information utilization in organizational decision-making. The framework integrates three distinct yet complementary theoretical perspectives on information utilization in politico-administrative systems: (1) the literature on evaluation utilization,(More)
The co-occurrence of mental health and substance use disorders is becoming increasingly recognized as a single problem, and professionals recognize that both should be addressed at the same time. Medical best practices recommend integrated treatment. However, criticisms have arisen, particularly concerning the difficulty of implementing integrated teams in(More)
Models that shift more responsibility onto researchers for the process of incorporating research results into decision-making have greatly gained in popularity during the past two decades. This shift has created a new area of research to identify the best ways to transfer academic results into the organizational and political arenas. However, evaluating the(More)
Evaluating complex interventions requires an understanding of the program's logic of action. Logic analysis, a specific type of program theory evaluation based on scientific knowledge, can help identify either the critical conditions for achieving desired outcomes or alternative interventions for that purpose. In this article, we outline the principles of(More)