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[Program evaluation Curriculum of the University of São Paulo Medical School. For the year 1994 and the period 1989-1994].

The authors present the results of the Program of Curriculum Evaluation of the University of São Paulo Medical School for the year of 1994, as well as the 1989-1994 period. The academic year of 1994 wasn't a good year to the medical graduation regarding disciplines from the first to the fourth year; only 14.3% of the disciplines achieved 90% or more of "excellent" + "good". The disciplines held at internship continued, on the most, doing well. The analysis of the 1989-1994 period outstands different sequential evaluation.

Brazil↗

A colorectal cancer prevention, screening, and evaluation program in community black churches.

Colorectal cancer incidence and related mortality are significantly higher in blacks than in whites. The black church has been identified as a means of promoting health issues and intervention programs. The purpose of this study was to implement and evaluate a colorectal cancer prevention and screening program in community black churches. A total of 1,488 Coloscreen III kits were distributed, and a telephone survey was conducted to examine the demographic profile, attitudes, and behaviors of those who returned the kit (17.5 percent) compared with those who did not (82.5 percent). The survey revealed that the majority of both returners and nonreturners felt that the test could detect bowel cancer and that early detection could result in cure. The returners were significantly older and less likely to smoke. The low response was attributed primarily to the test's dietary requirements. Both groups reportedly made changes in their lifestyles as a result of the educational component of the program--that is, they increased their fiber intake and decreased their fat intake, alcohol consumption, and smoking. Even with the low response of this study, educational benefits were evident. If colorectal cancer screening programs in community black churches are to be effective, however, diet-related issues must be addressed.

Black or African American↗

The university hospital nurse extender model. Part III, Program evaluation.

This article is the third part of a four-part series on The University Hospital Nurse Extender Model Using Patient Care Technicians. Part I provided the overview and conceptual framework for the model. Part II described each phase of the implementation process. This article presents the results of a 1-year evaluation of the impact of the model on nursing practice and satisfaction, and the cost of using the model. Part IV will present the lessons learned from this attempt to reconfigure patient care delivery.

Cost-Benefit Analysis↗

A program evaluation of a sick child day-care facility.

This survey examined the characteristics of families who used a sick child day-care center and the variables that determined their use in comparison with families who did not use such a facility. Families who used sick child day-care had more favorable attitudes toward the facility and a greater need for these services.

Alabama↗

A prison-based alcohol use education program: evaluation of a pilot study.

Northern Territory prisoners were followed up after release to determine the effect of an alcohol education course on their alcohol consumption, drinking group, disruptive behavior, criminal activity, family relationships, how they use their time, general health, ability to cope and take responsibility. Measures were obtained both from prisoners and key informants, and two groups of prisoners were compared: those who completed the course and others who had not done the course. A high level of correspondence was found between measures from key informants and prisoners. The prisoners attending the course showed significant improvements on all dimensions when compared to the control subjects.

Adult↗

Program evaluation of a unit reengineered for patient-focused care.

A quasi-experimental research design was used to determine how successful a work redesign project based on the philosophy of patient-focused care was in meeting the established goals of increased multidisciplinary collaboration, improved satisfaction for health care clients and providers, decreased cost of care, and decreased length of stay. Results indicate that multidisciplinary collaboration decreased for all health care providers, especially the health care employee group that underwent a major role revision. Patient and health care provider satisfaction increased. The cost of care was budget neutral as a result of the shift of employee costs from centralized departments to units. Length of stay decreased.

Adolescent↗

HIV seropositivity rates in outreach-based counseling and testing services: program evaluation.

A common assumption is that outreach-based HIV counseling and testing services reach a clientele with a higher HIV seroprevalence than clinic-based counseling and testing. To examine this assumption, we analyzed Wisconsin's anonymous counseling and testing client records for 62,299 contacts (testing episodes) from 1992 to 1995. Bivariate analysis of counseling and testing service setting (outreach-based or clinic-based) and HIV test results suggested that outreach contacts were 23% (odds ratio [OR], 1.23; 95% confidence interval [95% CI], 1.0-1.5) more likely to test HIV-seropositive than clinic-based contacts. Relations between HIV test outcome and variables for client age, race, gender, previous testing history, mode of risk exposure, and region, as well as service setting, were examined by logistic regression. An inverted relation between service setting and seropositivity (OR, 0.65; 95% CI, 0.5-0.8) indicated that, within some subpopulations, outreach contacts were significantly less likely to test HIV-positive than clinic-based contacts. Analysis of interactions among the covariates identified race as a critical codeterminant in the relation between service setting and test outcome. These results support retargeting outreach services to enhance their overall effectiveness. Specific recommendations include the need for aggressive strategies to better "market" HIV counseling and testing to nonwhite populations, and to focus resources more selectively on gay/bisexual men of all races.

Adolescent↗

The College Link Program: evaluation of a supported education initiative in Great Britain.

The article presents an outcome evaluation of a supported education initiative in London, Great Britain, for adults with longer term mental health needs. Qualitative and quantitative data was collected from the leavers at the end of the college course and data was also collected from students 10-22 months after completing the course. The study found increases in self-esteem, social functioning, independence, cognitive abilities, and confidence, using non-standardized measures. Some students also reported that they felt less stigmatized by their problems and that their assertiveness had improved. In-patient and day-patient hospitalization rates decreased dramatically, representing cost-effectiveness and the opportunity for substantial savings to Great Britain's National Health Service. Most of the students planned to continue with further education and/or do some voluntary work. Some were looking for paid work. The data from past students suggested that gains were maintained except in one instance where there had been a major negative life event. Most past students were in continuing education. There were methodological limitations to the study that there are plans to correct for in further studies.

Education↗

A program evaluation study of a nursing home operated as a modified therapeutic community for chemically dependent persons with AIDS. Project Samaritan AIDS Services, Inc.'s Residential Health Care Facility, Highbridge Section, Bronx, NY.

An interagency evaluation of the treatment effectiveness of a speciality nursing home (NH) run as a therapeutic community (TC) for residents diagnosed with acquired immunodeficiency syndrome (AIDS) and substance abuse/dependence (SA/D) was conducted. A total of 79 chemically dependent men and women with AIDS were: (a) administered the Tennessee Self-Concept Scale (TSCS; Roid & Fitts, 1991) at initial testing (T(1)) and 8 months after their initial testing (T(2)); and (b) assessed on specific physical health indicators (i.e. , weight, CD-4 count, and viral load) and other treatment outcomes (e.g., abstinence) over the same two time periods. The TSCS results identified a valid and invalid TSCS test group and further distinguished among three subgroups of invalid responders. Significant improvements were observed from T(1) testing to T(2) testing on the TSCS, on the physical health indicators, and on other treatment outcomes. The need for additional and continued mental health services for this population was noted.

Acquired Immunodeficiency Syndrome↗

[Prevention of cardiovascular diseases is effective. Initial program evaluation of the canton Tessin (1984-1989)].

This study measures and evaluates the effects of the CVD prevention programme which has been underway in the Canton of Tessin (Switzerland) since 1984. The programme was designed with the following objectives: --high blood pressure: each Tessin inhabitant should be aware of the admissible blood pressure limits, the consequences of surpassing the norm, as well as know his or her own blood pressure count and have it measured at least once a year; --tobacco consumption: a positive image of non-smokers is promoted, as well as the respect of non-smoker's rights. The population, particularly the young, are "invited" not to smoke; eating habits: each Tessin inhabitant will be provided with the information necessary to enable him/her to make rational choices concerning content in order to ensure a balanced diet, rich in fibres and low in saturated fats; activity: physical activity, at least 20 minutes three times a week, is promoted for all age groups; early warning symptoms:information will be provided to enable inhabitants to recognize indications of cardiac distress in order to diminish the time between the first pain and hospitalisation; A vast and varied information campaign was set up to pursue these objectives. Much of the campaign was implemented through use of various media (television, radio, daily and weekly press), and seconded with the periodic distribution of information tracts to all the households of the district. The mass media campaign was complemented with a variety of activities for all ages: from poster competitions, to the edition and sale of recipe books, to specific activities with professional and voluntary associations are a few examples.(ABSTRACT TRUNCATED AT 250 WORDS)

Cardiovascular Diseases↗

Obstetrical ultrasound in remote communities: an approach to health program evaluation.

This paper illustrates one approach to evaluating the impact of an obstetrical ultrasound outreach program in remote Indian communities. The pregnancy characteristics and obstetrical outcomes of 240 deliveries in 2 groups of communities with and without the program are compared. After controlling for maternal age, parity, obstetrical risk score and presence of diabetes and hypertension during pregnancy, Program Area women are found to differ significantly from Control Area women in several medical care measures. There are more health care contacts, fewer medical referrals out of the community and a lower proportion of non-hospital births. There are however more inductions of labour and longer hospital stays. The small sample size was not sufficient to detect differences in rare events such as perinatal deaths. Despite its shortcomings, the quasi-experimental design provides health planners with important information regarding medical technologies and interventions, particularly when randomized controlled trials are deemed not to be feasible and the only alternative is unsubstantiated opinions.

Adult↗

Institutional goal analysis: an approach to program evaluation.

Although nursing literature discusses the importance of goals in nursing, little if any research has been conducted on the subject. Many of the studies focusing on nursing education deal with faculty turnover, effectiveness of various types of nursing programs, and the role and functions of the nurse. To better understand these problems, an understanding of the current goals of various nursing programs is needed. This can establish a basis on which to explore other problems in nursing education and the nursing profession. Conducting an analysis of goals on a nursing program not only contributes to the profession of nursing but also benefits the individual schools by revealing areas of goal incongruency within each program. The use of the Institutional Goals Inventory is recommended for evaluation of all nursing programs. It can be useful not only to baccalaureate educators, but also to those involved in associate degree and diploma education as well as graduate nursing education. After identifying areas of goal consensus and differences, a delphi approach can be utilized to solve problems and establish relevant and realistic goals.

Education, Nursing, Baccalaureate↗

Program evaluation of hospital-based antenatal home care for high-risk women.

In light of the emphasis on increased efficiency in the delivery of hospital-based healthcare services in Canada, healthcare administrators need to advocate for greater care in the community. The implementation of an antenatal home-care program for women with high-risk pregnancies at the Ottawa Hospital presented the opportunity to develop a comprehensive framework to evaluate the value and outcomes of the new community-based program.

Community Health Nursing↗