Abstract

This article examines three evaluations of health policies adopted during the 1990s: the Politique des programmes regionaux de sante (policy on regional health programs) in Nord Pas-de-Calais (France), the Policy on Health and Well-Being in Quebec (Canada) and the Planification sanitaire (qualitative health planning) for the canton of Geneva (Switzerland). A comparison is carried out on three aspects: 1 ) the scope of the evaluative questioning, 2) the steering of the process, and 3) the methods chosen. Using a qualitative and participative approach, these evaluations focus on the implementation of the policies, leaving aside the question of effects on citizens' health. What might seem a weakness in the evaluation is very likely more of an adjustment between the evaluative procedure and the issues involved with these policies, the strategy of which is based on the involvement and adhesion of their actors. [PUBLICATION ABSTRACT]

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