Realist evaluation of a complex integrated care programme: protocol for a mixed methods study.

ABSTRACT:

Introduction

The lack of understanding of how complex integrated care programmes achieve their outcomes due to the lack of acceptable methods leads to difficulties in the development, implementation, adaptation and scaling up of similar interventions. In this study, we evaluate an integrated care network, the National University Health System (NUHS) Regional Health System (RHS), consisting of acute hospitals, step down care, primary care providers, social services and community partners using a theory-driven realist evaluation approach. This study aims to examine how and for whom the NUHS-RHS works to improve healthcare utilisations, outcomes, care experiences and reduce healthcare costs. By using a realist approach that balances the needs of context-specific evaluation with intern

SUBMITTER: Nurjono M 

PROVIDER: S-EPMC5855239 | biostudies-literature | 2018 Mar

REPOSITORIES: biostudies-literature