Hi there. I also got to know that some program evaluations would investigate changes in provider behavior or conformance with guidelines, instead of merely emphasizing patients’ well-being. It is quite new for me. Could you please kindly give me more information on it?

No problem.

Thank you for the detailed reply.

Yes. That is true. Actually, many studies examined physicians' medication prescribing, diagnosis documentation, referrals, and rates at which they performed various procedures (HbA1c tests, eye exam rates, foot exams, allergen immunotherapy, and pulmonary lab procedures). To make it simple, to the extent that changing provider behavior is a target of the self-management support program (e.g., if coaches assist and encourage diabetes patients to remind clinicians that they are in need of a foot exam), these measures of provider behavior could be appropriate for evaluating effectiveness. besides, many of the measures are based on administrative data and may be readily accessible for numerous programs. Much of the patient support programs target patient behavior, and patient behavior alone does not determine whether these clinical processes are performed. Therefore, it is important to cover the other sides.