This paper realizes an investigation about the most adequate methods to evaluate services and programs based in questions placed by the health politics of deinstitutionalization and by the limitations of the orthodox evaluation. We explore different concepts of programs and services evaluation and identify a potential to excel some of these issues in the proposal of the fourth generation method (Guba & Lincoln, 1989). Finally we propose an approximation of the Paidéia method (Campos, 2000-a) to the fourth generation method, trying to connect evaluation to participative management system.
Health evaluation Programs evaluation; Deinstitutionalization
