The art and science of non-evaluation evaluation
- Courtyard Room, Park House
- Lectures Talks and Workshops, Research, Social Sciences
Speaker: Dr Lorelei Jones Senior Research Associate, Department of Applied Health Research, UCL.
There is growing recognition of the limitations of realist evaluation, and other theory-driven approaches to evaluation, in the context of healthcare policies. These approaches, which seek to surface ‘programme theories’ or construct ‘logic models’, are often unable to account for empirical observations of policy implementation in real-life situations. In this paper we argue that this failure stems from insufficient theoretical elaboration of the social, cultural, and political dimensions of healthcare policies. Drawing from institutional theory, critical theory and discourse theory, and from organizational ethnography, we set out an alternative approach to research on healthcare reform. We illustrate with examples from our own experience of research on acute care ‘reconfiguration’, integrated health and social care and other forms of major system change in the NHS in England.