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Realism and resources: Towards more explanatory economic evaluation
Rob Anderson1, Rebecca Hardwick1
1University of Exeter Medical School, UK.
Evaluation (London, England : 1995)
|August 2, 2016
Summary
This study explores how realist evaluation can assess the cost-effectiveness of public programs. It highlights methods for capturing resource use and consequences to explain links between interventions and outcomes.
Area of Science:
- Health economics
- Public health program evaluation
- Complex intervention assessment
Background:
- Public programs require cost-effectiveness for sustainable adoption.
- Traditional economic evaluation faces challenges with complex interventions.
- Realist evaluation offers a complementary approach to assess value.
Purpose of the Study:
- To compare economic evaluation and realist evaluation methods.
- To explore how realist evaluation can address cost-effectiveness questions.
- To illustrate enhanced methods for capturing resource implications in evaluations.
Main Methods:
- Comparative analysis of economic and realist evaluation frameworks.
- Review of health economists' challenges and solutions for complex interventions.
- Application of realist evaluation program theory to shared care examples.
Main Results:
- Realist evaluation can effectively assess resource use and consequences.
- Programme theory in realist evaluations can explain cost-effectiveness.
- Identified specific ways realist evaluations can improve cost-effectiveness analysis.
Conclusions:
- Realist evaluation provides valuable insights into the cost-effectiveness of public programs.
- Integrating realist and economic evaluation can enhance understanding of resource implications.
- This approach aids policymakers in making informed decisions about program adoption and sustainability.
Keywords:
Realist evaluationcomplex interventionscost-effectivenesseconomic evaluationresource useshared careMore Related Videos
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