2010
DOI: 10.1186/1748-5908-5-38
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A realistic evaluation: the case of protocol-based care

Abstract: Background'Protocol based care' was envisioned by policy makers as a mechanism for delivering on the service improvement agenda in England. Realistic evaluation is an increasingly popular approach, but few published examples exist, particularly in implementation research. To fill this gap, within this paper we describe the application of a realistic evaluation approach to the study of protocol-based care, whilst sharing findings of relevance about standardising care through the use of protocols, guidelines, an… Show more

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Cited by 136 publications
(175 citation statements)
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“…an explanation not of variables that are inter-related to one another but rather of how they are associated). 124 In practice, REs start with a MRT and end with a refined MRT, following four main stages as described by Pawson and Tilley. 114 The MRT can be formulated on the basis of existing theory, past experience and previous evaluations or research studies.…”
Section: Discussionmentioning
confidence: 99%
See 1 more Smart Citation
“…an explanation not of variables that are inter-related to one another but rather of how they are associated). 124 In practice, REs start with a MRT and end with a refined MRT, following four main stages as described by Pawson and Tilley. 114 The MRT can be formulated on the basis of existing theory, past experience and previous evaluations or research studies.…”
Section: Discussionmentioning
confidence: 99%
“…if the research recruited more successfully because of PPI 124 RE does this through testing and refining configurations of context, mechanism and outcome (CMO) within analysis of data, as described in Box 3.…”
Section: Discussionmentioning
confidence: 99%
“…[12][13][14] The Realist framework has been successfully used in process evaluations as a theoretical basis for identifying potential causal mechanisms of how an intervention works for whom, under what contexts, and thus fosters uptake of research-based knowledge into practice. [15][16][17][18][19] In this article, we present the qualitative findings of a process evaluation set within a multicenter pragmatic randomized, controlled trial (PRCT) of a cardiovascular-based polypill strategy in Australian primary care known as the Kanyini Guidelines Adherence with the Polypill (KGAP) trial. 1,9 Patients received a fixed-dose combination containing aspirin 75 mg, simvastatin 40 mg, lisinopril 10 mg, and either atenolol 50 mg or hydrochlorothiazide 12.5 mg in the polypill group.…”
mentioning
confidence: 99%
“…Greater confidence is produced by comparing different cases (i.e. different contexts) to identify causal theories that take the form of hypothesised relationships between context, mechanism, agency, and outcome [22,24,29,30].…”
Section: -8 -mentioning
confidence: 99%