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Efficacy studies. Health care effort patient (EMW) health effect Most common evaluation method in health care Answer only to questions about the health effect if treatment actually has been taken. Effectiveness studies. Contains all aspects of interest for the health effect
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Efficacy studies Health care effort patient (EMW) health effect Most common evaluation method in health care Answer only to questions about the health effect if treatment actually has been taken
Effectiveness studies Contains all aspects of interest for the health effect • An intervention capacity to reach the patient (population penetration) • The patient sustained participation in the treatment (compliance, adherence) • The health effect if treatment actually has been taken (efficacy)
Challenges of EMW Population penetration – much more difficult Compliance / adherence – may be more difficult Efficacy – same for operations and drug treatment, may be more difficult for behavior changes
How to reach the EWM? Health care EMW Health care Their men EMW Health care ”EMW organizations” EMW Health care ”EMW resedential areas” EMW
Swedish projects Health care EMW = health advice for newly arrived refugees (at refugee camps) Health care EMW organizations EMW = health project in Örebro Mosque Health care EMW residential area EMW = health project in Varberga district
Varberga district project • Local agreements • Focus on integration • Target groups: women and children • Citizen participation- dialogue • Process evaluation
Arenas • Family centres in partnership • Local sport centre • NGO interactive theatre