Using the multiple streams model to elicit an initial programme theory
From policy dialogues to a roadmap for scaling up integrated care
Bibliographic Data
| ID | 21879463 |
|---|---|
| Authors | Monika Martens (0000-0002-1432-0684, University of Antwerp, corresponding author), J Van Olmen (0000-0001-9724-1887, University of Antwerp), Edwin Wouters (0000-0003-2268-3829, University of Antwerp), Daniel Boateng (0000-0001-7568-7298, Kwame Nkrumah University of Science and Technology), Willemien Van Damme (0000-0002-6344-3007, Instituut voor Tropische Geneeskunde), Van Belle (0000-0003-2074-0359, Instituut voor Tropische Geneeskunde) |
| Year | 2023 |
| Volume | 8 |
| Issue | 9 |
| Pages | e012637 |
| Publication date | 2023-09-01 |
| Peer Reviewed | Yes |
| Open Access | Yes |
| Type | ARTICLE |
| Venue | BMJ Global Health (JOURNAL) |
| Journal identifiers | ISSN: 2059-7908 • E-ISSN: 2059-7908 |
| Publisher | BMJ (PUBLISHER • GB) |
| DOI | 10.1136/bmjgh-2023-012637 |
| PMID | 37730245 |
| OpenAlex | W4386897771 |
| Language | EN |
| Citations received | 1 |
| References cited | 66 |
INTRODUCTION: The 'SCale-Up diaBetes and hYpertension care' Project aims to support the scale-up of integrated care for diabetes and hypertension in Cambodia, Slovenia and Belgium through the co-creation, implementation and evaluation of contextualised roadmaps. These roadmaps offer avenues for action and are built on evidence as well as stakeholder engagement in policy dialogues. Roadmaps and policy dialogues are very much intertwined and considered to be key elements for successful stakeholder-supported scale-up in integrated chronic care. Yet, little is known about how, why and under which conditions policy dialogue leads to successful roadmap implementation and scale-up of integrated care. Therefore, this study aims to use a realist approach to elicit an initial programme theory (IPT), using political science theories on the policy process. METHODS: To develop the IPT, information from different sources was collected. First, an exploratory literature review on policy dialogue and scale-up definitions and success factors was performed, identifying theoretical frameworks, empirical (case) studies and realist studies (information gleaning). Second, research workshops on applying theory to the roadmap for scale-up (theory gleaning) were conducted with a multidisciplinary expert team. We used the intervention-context-actors-mechanism-outcome configuration to synthesise information from the sources into a configurational map. RESULTS: to include five streams (problem, solution, politics, process and programme) that can emerge, converge and diverge across all five policy stages. CONCLUSION: This paper aims to extend the knowledge base on the use of policy dialogues to build a roadmap for scale-up. The IPT describes how (dynamics) and why (theories) co-created roadmaps are expected to work in different policy stages
Business · Economics · Knowledge management · Management science · Multidisciplinary approach · Political science · Process management · Public relations · Social science · Sociology · Stakeholder · Stakeholder engagement · Computer Science · Diabetes Management and Education · Health Policy Implementation Science · Interprofessional Education and Collaboration
The Science of Evaluation
Implementation, context and complexity
Realist review - a new method of systematic review designed for complex policy interventions
Making sense of complexity in context and implementation
Realist Synthesis for Public Health
Knowledge co‐production and boundary work to promote implementation of conservation plans
Development of a theory of implementation and integration
Rameses II reporting standards for realist evaluations
A Systematic Review of Co-Creation and Co-Production
Fostering implementation of health services research findings into practice
Handbook of Public Policy Analysis
Policy dialogue as a collaborative tool for multistakeholder health governance
Scale-up integrated care for diabetes and hypertension in Cambodia, Slovenia and Belgium (SCUBY)
Theory and Realist Methods
Handbook on Complexity and Public Policy
What theory, for whom and in which context? Reflections on the application of theory in the development and evaluation of complex population health interventions
Analysing power and politics in health policies and systems
Bringing the state back in
A realist evaluation of community-based participatory research
Building a middle-range theory of free public healthcare seeking in sub-Saharan Africa
The terrain of health policy analysis in low and middle income countries
Key issues in co-creation with stakeholders when research problems are complex
The Manage Care Model – Developing an Evidence-Based and Expert-Driven Chronic Care Management Model for Patients with Diabetes
How to Improve Integrated Care for People with Chronic Conditions
K ingdon's “Streams” Model at Thirty
Understanding co-production as a new public governance tool
Reconstructing Program Theories
Moving Policy Theory Forward
Scaling up in international health
Understanding pathways for scaling up health services through the lens of complex adaptive systems
Evaluating health systems strengthening interventions in low-income and middle-income countries
Realist Evaluation for Practice
Retroductive theorizing in Pawson and Tilley's applied scientific realism
Comparing abduction and retroduction in Peircean pragmatism and critical realism
Participation in Policy Streams
Streams and stages
Toward Better Theories of the Policy Process
Deliberations about deliberative methods
Examining the Application of Retroductive Theorizing in Realist-Informed Studies
What's in a Realist Configuration? Deciding Which Causal Configurations to Use, How, and Why
| Unique citing works | 1 |
|---|---|
| Citations per year | 0,5 |
| Citation span | 2024 - 2024 (1) |
| Citation velocity | recent |
| Highly cited | No |