Mixed methods evaluation of a hospital group model using an embedded research approach: study protocol

Area of Science:

• Healthcare Management
• Health Services Research
• Organizational Studies

Background:

• Hospital group models centralize leadership and standardize systems across multiple providers to improve care and reduce costs.
• Limited evidence exists on the implementation processes and impacts of these organizational models.

Purpose of the Study:

• To evaluate the implementation and impact of a case study hospital group model.
• To analyze the model's effects on healthcare outcomes and costs.

Main Methods:

• A mixed-methods evaluation using a multisited ethnography with interviews, observations, and document analysis.
• Economic evaluation including cost-consequence and return on investment analyses.
• Embedded research approach to analyze implementation barriers, facilitators, and contextual factors.

Main Results:

• The study aims to identify implementation costs and potential cost-savings.
• It will generate an evaluation framework for future healthcare model changes.
• Findings will inform the National Health Service on implementing hospital group models.

Conclusions:

• The evaluation will provide recommendations for baseline data collection and improvement measurement.
• It will offer lessons for the National Health Service regarding the implementation of hospital group models.
• The study contributes to understanding the practical application and economic impact of integrated healthcare delivery systems.