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Methodological issues in emergent evaluations of health programs: lessons from Iberoamerica.

机译：卫生计划紧急评估中的方法学问题：伊比利亚美洲的经验教训。

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摘要

There has been growing interest in nonmainstream approaches to assessing health programs, but methodological strategies have not been a concern. In this article, we review methodological strategies used in emergent evaluations of health policies and programs in Iberoamerica, focusing on participatory, qualitative, critical, hermeneutical, bottom-up, collaborative, and transdisciplinary approaches. A literature search was performed combining strategies: database review, consultation of bibliography, expert interviews, and search engines. The review took place from 2003 to 2006. Research published in the past two decades was included. Nearly 70 articles were found on emergent research and evaluation of health programs in the region. Participatory and qualitative approaches were the most used. Theoretical issues are more emphasized than are methodological ones. Data gathering also was more explored than were design, participant selection, or analysis. The frequently used methodological strategies contradict some basic assumptions of the emergent evaluative research, such as its participatory and collaborative nature.
机译：人们对非主流方法来评估健康计划越来越感兴趣，但是方法策略并没有引起人们的关注。在本文中，我们回顾了伊比利亚美洲卫生政策和计划紧急评估中使用的方法策略，重点是参与性，定性，批判性，解释性，自下而上，协作和跨学科方法。结合策略进行了文献检索：数据库审查，参考书目咨询，专家访谈和搜索引擎。审查于2003年至2006年进行。其中包括了过去二十年发表的研究。在该地区有关卫生计划的紧急研究和评估方面，发现了近70篇文章。参与性和定性方法是最常用的。理论问题比方法论问题更受重视。与设计，参与者选择或分析相比，对数据收集的探索也更多。经常使用的方法策略与新兴评估研究的一些基本假设相矛盾，例如其参与性和协作性。

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