Evaluation is often presented as an essential process for improving healthcare practices. It is expected to enhance quality of services, and accountability to public authorities. Yet, evaluation programme, whether proposed or imposed, may have counter-productive effects. Sometimes, it enters in conflict with the values, priorities, and constraints of the organisations in which they are implemented. This justifies a particular attention to the following questions: what do professionals do in terms of evaluation? How do they perceive it? Which forms of evaluation do they consider genuinely useful and feasible? This thesis addresses these questions for the community health centres of the Federation of Community Health Centres in French-speaking Belgium. It explores evaluation practices, as well as how these practices are perceived by the professionals working there. Perceptions of actors from these multidisciplinary primary care organisations are described and analyzed through a qualitative approach. As a result, the research sheds light on the perceived utility and feasibility of various evaluation approaches. Building on these findings, the thesis also opens a reflection on how to rethink evaluative processes through the lens of the ethics of care.
Capiau, M. (2025). Entre prescriptions et réalités évaluatives : analyse des pratiques et des perceptions des professionnel·les des maisons médicales. https://hdl.handle.net/2078.5/248936