[Evaluative models for complex health interventions].

Autor: García-Zapata LM; LG: OD. M. Sc. Epidemiología. Ph. D. Salud. Docente asociada, Escuela de Odontología, Universidad del Valle. Cali, Colombia. lina.garcia.z@correounivalle.edu.co.
Jazyk: Spanish; Castilian
Zdroj: Revista de salud publica (Bogota, Colombia) [Rev Salud Publica (Bogota)] 2020 Jul 01; Vol. 22 (4), pp. 475-481.
DOI: 10.15446/rsap.V22n4.77864
Abstrakt: This paper presents evaluative models for complex health interventions. The complex health interventions are characterized by being dynamic, highly influenced by the con-text (political, social, economic, and cultural), which have multiple actors, multicomponent. Furthermore, they are executed simultaneously with other interventions from other sectors, they require time to show results and sometimes it is difficult to estimate the contribution to the social and individual impact of the target population. This paper aims to identify the proposed evaluative models for complex health interventions with their respective characteristics, to have theoretical references for evaluations of pro-grams of this nature. For a long time, health interventions and their evaluation were understood in a linear manner, however, under the theoretical perspective of the complexity (in which multiple dimensions of the phenomenon are integrated), the context plays a central role, making it possible to understand that interventions do not have the same result in different spaces and that this form of evaluation allows to account for it.
Databáze: MEDLINE