dc.contributor.author | Anderson, R | |
dc.contributor.author | Hardwick, R | |
dc.date.accessioned | 2016-05-12T10:05:48Z | |
dc.date.issued | 2016-06-11 | |
dc.description.abstract | To 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.sponsorship | National Institute for Health and Research (NIHR) | |
dc.identifier.citation | Vol. 22 (3), pp. 323 - 341 | en_GB |
dc.identifier.doi | 10.1177/1356389016652742 | |
dc.identifier.uri | http://hdl.handle.net/10871/21508 | |
dc.language.iso | en | en_GB |
dc.publisher | SAGE Publications | en_GB |
dc.rights | This 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.subject | realist evaluation | en_GB |
dc.subject | economic evaluation | en_GB |
dc.subject | cost-effectiveness | en_GB |
dc.subject | resource use | en_GB |
dc.subject | shared care | en_GB |
dc.subject | complex interventions | en_GB |
dc.title | Realism and resources: Towards more explanatory economic evaluation | en_GB |
dc.type | Article | en_GB |
dc.identifier.issn | 0090-4449 | |
dc.identifier.issn | 1356-3890 | |
dc.identifier.issn | 1461-7153 | |
dc.description | This is the author accepted manuscript. The final version is available on open access from the publisher via the DOI in this record. | |
dc.identifier.journal | Evaluation | en_GB |