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dc.contributor.authorAnderson, R
dc.contributor.authorHardwick, R
dc.date.accessioned2016-05-12T10:05:48Z
dc.date.issued2016-06-11
dc.description.abstractTo be successfully and sustainably adopted, policy-makers, service managers and practitioners want public programmes to be affordable and cost-effective, as well as effective. While the realist evaluation question is often summarised as what works for whom, under what circumstances, we believe the approach can be as salient to answering questions about resource use, costs and cost-effectiveness - the traditional domain of economic evaluation methods. This paper first describes the key similarities and differences between economic evaluation and realist evaluation. It summarises what health economists see as the challenges of evaluating complex interventions, and their suggested solutions. We then use examples of programme theory from a recent realist review of shared care for chronic conditions to illustrate two ways in which realist evaluations might better capture the resource requirements and resource consequences of programmes, and thereby produce explanations of how they are linked to outcomes (i.e. explanations of cost-effectiveness)en_GB
dc.description.sponsorshipNational Institute for Health and Research (NIHR)
dc.identifier.citationVol. 22 (3), pp. 323 - 341en_GB
dc.identifier.doi10.1177/1356389016652742
dc.identifier.urihttp://hdl.handle.net/10871/21508
dc.language.isoenen_GB
dc.publisherSAGE Publicationsen_GB
dc.rightsThis article is distributed under the terms of the Creative Commons Attribution-NonCommercial 3.0 License (http://www.creativecommons.org/licenses/by-nc/3.0/) which permits non-commercial use, reproduction and distribution of the work without further permission provided the original work is attributed as specified on the SAGE and Open Access page (https://us.sagepub.com/en-us/nam/open-access-at-sage).
dc.subjectrealist evaluationen_GB
dc.subjecteconomic evaluationen_GB
dc.subjectcost-effectivenessen_GB
dc.subjectresource useen_GB
dc.subjectshared careen_GB
dc.subjectcomplex interventionsen_GB
dc.titleRealism and resources: Towards more explanatory economic evaluationen_GB
dc.typeArticleen_GB
dc.identifier.issn0090-4449
dc.identifier.issn1356-3890
dc.identifier.issn1461-7153
dc.descriptionThis is the author accepted manuscript. The final version is available on open access from the publisher via the DOI in this record.
dc.identifier.journalEvaluationen_GB


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