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Table 2 Potential and limitations of evaluation methods

From: The use of evaluation methods for the overall assessment of health policy: potential and limitations

Criteria

Evaluation method

Potential

Limitations

Time

Ex ante

Carried out at an early stage can have a positive impact on the overall policy implementation process

Lack of access to valid evidence from scientific research

It is necessary to refer to other evidence whenever the policy objectives change

Mid-term evaluation

Can lead to a number of changes in the program, project or policy, especially in the process of their implementation

There is a potential risk of making premature decisions about changes in the ongoing policy

Ex-post

Provides evidence for decision making process

Difficulty to establish cause-and-effect relationships due to complexity of health policy

The complexity of the institutional environment may impede the identification of valuable data sources for the evaluation process

Purpose

Formative

Allows for the necessary changes to be made to the programs to improve their efficiency

It’s value is largely dependent on the previously carried out summative evaluations for policies of a similar nature, scope and area of activity

Summative

Linking activities with achievements

It allows to infer about the effectiveness of implemented solutions

Does not provide grounds for drawing conclusions about what has failed in the implemented activities or what has proved helpful

Scope

Meta-evaluation

A basic set of evaluation criteria is easy to determine based on generally available standards of national or international evaluation societies

Allows for elimination of evidence from substandard evaluations

Not identified

Cluster evaluation

A scheme for evaluation is created to capture a broader picture of the issue

Solution created for project evaluation, i.e. easily identifiable projects that remain limited in time and have clearly defined objectives