Historic program evaluation techniques are rooted in the evaluation of educational programs. McDermott and Sarvela (1999) outlined the evolution of program evaluation, highlighting the findings from the Royal Commission of Inquiry into Primary Education in Ireland that was conducted in 1870. The findings indicated the students' progress was "less than it ought to be," with a recommendation to base teachers' salaries on students' outcomes.

• Describe the key reasons for health and health care program evaluations.