Manzano-Santaella, A (2011) A realistic evaluation of fines for hospital discharges: Incorporating the history of programme evaluations in the analysis. Evaluation, 17 (1). 21 - 36. ISSN 1356-3890
Abstract
Programmes and policies transform over time and locations. Evaluation projects can apprehend only temporal and contextualized sections of the social world. This article uses a realist evaluation of financial incentives in English hospital discharge policy to illustrate how previous evaluations of the same programme theory were inspected for evidence to construct context, mechanisms and outcomes. Following the discharges of a reduced number of patients with a case study approach, the preliminary programme theory ('fines reduce delays') was modified into a redefined theory on how fines operate locally in practice. This identified other mechanisms contemporaneous to the fines which are more or as likely to reduce delays. This article aims to contribute to the development of the realist evaluation strategy by introducing programme's transformations as key evidence when trying to understand how complex interventions work in particular contexts.
Metadata
Item Type: | Article |
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Authors/Creators: |
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Copyright, Publisher and Additional Information: | © 2011, Sage Publications. This is an author produced version of a paper published in Evaluation. Uploaded in accordance with the publisher's self-archiving policy |
Dates: |
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Institution: | The University of Leeds |
Academic Units: | The University of Leeds > Faculty of Education, Social Sciences and Law (Leeds) > School of Sociology and Social Policy (Leeds) |
Depositing User: | Symplectic Publications |
Date Deposited: | 22 Jan 2014 12:55 |
Last Modified: | 15 Sep 2014 02:27 |
Published Version: | http://dx.doi.org/10.1177/1356389010389913 |
Status: | Published |
Publisher: | Sage Publications |
Identification Number: | 10.1177/1356389010389913 |
Open Archives Initiative ID (OAI ID): | oai:eprints.whiterose.ac.uk:77345 |