Skip to main content

ETHNOS_APP

Home • Search • Journals • List 0

Realism and resources

Towards more explanatory economic evaluation

Bibliographic Data

ID12567889
AuthorsRob Anderson (0000-0002-3523-8559, University of Exeter Medical School, UK, corresponding author), Rebecca Hardwick (0000-0002-2488-829X, University of Exeter Medical School, UK)
Year2016
Volume22
Issue3
Pages323-341
Publication date2016-06-11
Peer ReviewedYes
Open AccessYes
TypeARTICLE
VenueEvaluation (JOURNAL)
Journal identifiersISSN: 1356-3890 • E-ISSN: 1461-7153
PublisherSAGE Publishing (PUBLISHER • US)
DOI10.1177/1356389016652742
PMID27478402
OpenAlexW2372137115
LanguageEN
Citations received12
References cited33

To be successfully and sustainably adopted, policy-makers, service managers and practitioners want public programmes to be affordable and cost-effective, as well as effective. While the realist evaluation question is often summarised as what works for whom, under what circumstances, we believe the approach can be as salient to answering questions about resource use, costs and cost-effectiveness - the traditional domain of economic evaluation methods. This paper first describes the key similarities and differences between economic evaluation and realist evaluation. It summarises what health economists see as the challenges of evaluating complex interventions, and their suggested solutions. We then use examples of programme theory from a recent realist review of shared care for chronic conditions to illustrate two ways in which realist evaluations might better capture the resource requirements and resource consequences of programmes, and thereby produce explanations of how they are linked to outcomes (i.e. explanations of cost-effectiveness)

Critical realism (philosophy of perception · Economic evaluation · Economics · Epistemology · Management science · Microeconomics · Positive economics · Psychological intervention · Public economics · Realism · Resource (disambiguation · Salient · Sociology · Sustainability · Computer Science · Health Systems, Economic Evaluations, Quality of Life · Healthcare Policy and Management · Primary Care and Health Outcomes · Psychology

  • Assessing a facilitated social network intervention for health outcomes in lonely and socially isolated people

    Open Access•Rebecca Band, Jaimie Ellis et al.•Frontiers in Public Health•2026

  • Developing initial programme theory for realist economic evaluation

    Open Access•Sam Redgate, Andrew Fletcher et al.•Evaluation•2026

  • Wrestling with the bottom line in medical education

    Open Access•Anél Wiese, Deirdre Bennett•Medical Education•2022

  • Unpacking economic programme theory for supervision training

    Open Access•Charlotte Rees, Jonathan Foo et al.•Medical Education•2022

  • Expanding theory-based evaluation

    Open Access•Julian King•Evaluation and Program Planning•2021

  • Toward collaborative cost-inclusive evaluation

    Open Access•Brian T Yates•Evaluation and Program Planning•2021

  • Balancing the effectiveness and cost of online education

    Charlotte Rees, Van N B Nguyen et al.•Medical Teacher•2022

  • Bringing together realist and economic approaches in the evaluation of health and social care interventions

    Open Access•Andrew Fletcher, Andrew S Fletcher et al.•Social Science & Medicine•2026

  • Economic evaluation of participation in Community Led Organisations for individuals living in disadvantaged areas in the UK

    Open Access•Hugh Mason, Helen Mason et al.•Social Science & Medicine•2025

  • How is process tracing applied in health research? A systematic scoping review

    Open Access•R A Johnson, Rebecca Johnson et al.•Social Science & Medicine•2025

  • Cost–benefit analysis and ‘next best’ methods to evaluate the efficiency of social policies

    Open Access•Aidan R Vining, Anthony E Boardman•Annals of Public and Cooperative…•2024

  • For Want of a Nail’

    Open Access•Kathryn McEwan, Melissa Girling et al.•International Journal of Social…•2023

  • The Science of Evaluation

    Ray Pawson•The Science of Evaluation•2013

  • Methods for the Economic Evaluation of Health Care Programmes

    Bernie J O'Brien, Michael E Drummond et al.•Methods for the economic…•2005

  • Complex interventions or complex systems? Implications for health economic evaluation

    Open Access•Alan Shiell, Penelope Hawe et al.•BMJ•2008

  • Process evaluation of complex interventions

    Open Access•Gary F Moore, Suzanne Audrey et al.•BMJ•2015

  • Treatment Costs, Cost Offset, and Cost-Effectiveness of Collaborative Management of Depression

    MICHAEL VON KORFF, Wayne Katon et al.•Psychosomatic Medicine•1998

  • Nothing as Practical as a Good Theory

    Open Access•Ray Pawson•Evaluation•2003

  • Studying the Organisation and Delivery of Health Services

    Open Access•Nick Goodwin•Health & Social Care in the…•2002

  • Unpacking Black Boxes

    Open Access•Brad Astbury, Frans L Leeuw•American Journal of Evaluation•2010

  • Complexity and reflexivity

    Open Access•Chantale Lessard•Social Science & Medicine•2007

Unique citing works12
Citations per year2.4
Citation span2021 - 2026 (6)
Citation velocitycurrent
Highly citedNo
Citation typesNeutral: 12

Tools

Open DOISci-HubOpen Access
Ethnos_APP • Open Source Project • MIT License • Frontend v2.0.0 • Privacy and Cookies • API Documentation: api.ethnos.app/docs • API Source Code: GitHub • DOI: 10.5281/zenodo.17049435 • Frontend Source Code: GitHub • DOI: 10.5281/zenodo.17050053 • cruz.rio.br • Expectantes Misericordiae