Using the multiple streams model to elicit an initial programme theory

From policy dialogues to a roadmap for scaling up integrated care

Dados Bibliográficos

ID21879463
AutoresMonika Martens (0000-0002-1432-0684, University of Antwerp, autor correspondente), 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)
Ano2023
Volume8
Fascículo9
Páginase012637
Data de publicação2023-09-01
Peer ReviewedSim
Open AccessSim
TipoARTICLE
PeriódicoBMJ Global Health (JOURNAL)
Identificadores do periódicoISSN: 2059-7908 • E-ISSN: 2059-7908
EditoraBMJ (PUBLISHER • GB)
DOI10.1136/bmjgh-2023-012637
PMID37730245
OpenAlexW4386897771
IdiomaEN
Citações recebidas1
Referências citadas66

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