Abstract
A logic model was developed as part of an evaluation of a case management program (CMP) for frequent users in a health and social services center in the province of Québec (Canada). Five approaches were used as part of a qualitative multiple case study methodology: analysis of unpublished documents, review of literature on CMPs for frequent users, in-depth interviews, focus groups with stakeholders and participant observations. Collected data were analyzed using thematic analysis and validated by the health and social services center’s partners. As an empirical illustration of how the CMP operates, the logic model aims to illustrate causal links between context, resources, activities, and outcomes. To obtain optimal outcomes, the intensity of the activities has to be adapted to the complexity of patient needs. The logic model will help researchers and decision makers involved or interested in CMP implementation for frequent users of healthcare services to adequately plan and implement the resources and activities of the CMP to achieve desired outcomes.
Keywords
Program evaluation, Logic model, Case management, Frequent users, Complex intervention, Primary care, Healthcare services