Monitoring and review cycle

Finally, the seventh step is that of monitoring and conducting a review cycle. This step is often forgotten, so that there is a discrepancy between the resources invested in changing and maintaining health services and the budget dedicated to evaluate the effect of these interventions. We consider that this is wrong because sufficient attention should be paid to reveal whether the services are providing benefits to patients and, if so, how efficiently. A proper evaluation will, on the one hand, be beneficial to improve that particular service, and will indicate how far the results could be generalized to other similar areas. The reasons why this often does not occur are twofold. First, it is unusual to find knowledge of both service reform and service evaluation in the same location. In addition, the timescales intrinsic to service planning and to service evaluation often do not coincide. Senior staff, both administrators and clinicians, who make planning decisions commonly prefer access to quick and available information and may not be able to wait for more precise data that will result from long-term research studies. Under these circumstances the money needed for such research is not considered an investment, but only an extra cost. In terms of the conduct of more formal research we have discussed these issues in details elsewhere.(2 27 and 28) We describe methods to evaluate mental health services in much greater detail in the next chapter of this textbook.

Break Free From Passive Aggression

Break Free From Passive Aggression

This guide is meant to be of use for anyone who is keen on developing a better understanding of PAB, to help/support concerned people to discover various methods for helping others, also, to serve passive aggressive people as a tool for self-help.

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