A "Three-Plus-One" Evaluation Model for Clinical Research Management

David M. Dilts

Research output: Contribution to journalArticlepeer-review

7 Scopus citations


Clinical research management (CRM) is a critical resource for the management of clinical trials and it requires proper evaluation. This article advances a model of evaluation that has three local levels, plus one global level, for evaluating the value of CRM. The primary level for evaluation is that of the study or processes level. The managerial or aggregate level concerns management of the portfolio of trials under the control of the CRM office. The third, often overlooked level of evaluation, is the strategic level, whose goal is encapsulated in the phrase, "doing the right trials, while doing trials right." The global ("plus one") evaluation level concerns the need to evaluate the ever-increasing number of multi-institutional and multinational studies. As there are host of evaluation metrics, this article provides representative examples of metrics at each level and provides methods that can aid in the selecting appropriate metrics for an organization.

Original languageEnglish (US)
Pages (from-to)464-477
Number of pages14
JournalEvaluation and the Health Professions
Issue number4
StatePublished - Dec 2013
Externally publishedYes


  • CRM value
  • global evaluation
  • managerial evaluation
  • strategic evaluation

ASJC Scopus subject areas

  • Health Policy


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