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Categories of context in realist evaluation
Evaluation ( IF 2.763 ) Pub Date : 2021-04-11 , DOI: 10.1177/1356389020968578
Rod Sheaff 1 , Natasha Doran 2 , Michael Harris 3, 4 , Iain Lang 2 , Antionieta Medina-Lara 5 , Mauro Fornasiero 1 , Susan Ball 2 , Judith McGregor-Harper 2 , Rob Bethune 5, 6, 7
Affiliation  

Realist evaluation has become widespread partly because of its sensitivity to the influence of contexts on policy implementation. In many such evaluations, the range of contexts considered relevant nevertheless remains disparate and under-conceptualised. This article uses findings from a realist evaluation of English Patient Safety Collaboratives during 2015–2018 to develop a realist taxonomy of contexts, differentiating contexts according to how they affect the corresponding policy mechanism. By analysing the main context-mechanism-outcome configurations that made up the English Patient Safety Collaboratives, we derive a taxonomy of the contexts that affected implementation and outcomes. The categories of context were structural (network, hierarchy, market and organisational contexts); resource-based (actors, material, financial); motivational (receptivity, outcome headroom), and temporal (continuity, history and convergence). To the categories found in previous studies, this study adds the three temporal contexts.



中文翻译:

现实主义评估中的语境类别

现实主义评估之所以变得广泛,部分原因是它对环境对政策实施的影响敏感。在许多这样的评估中,仍然被认为相关的上下文范围仍然是完全不同的和概念化的。本文使用对2015-2018年期间英国患者安全协作组织进行现实主义评估的发现,来开发现实主义的语境分类法,并根据语境如何影响相应的政策机制来区分语境。通过分析构成英语患者安全协作组织的主要情境-机制-结果配置,我们得出了影响实施和结果的情境分类法。上下文的类别是结构性的(网络,层次结构,市场和组织上下文);基于资源的(行为者,材料,财务);动机性(接受性,结果余量)和时间性(连续性,病史和趋同性)。除先前研究中发现的类别外,本研究还添加了三个时间上下文。

更新日期:2021-04-12
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