Rational, aims, and objectives: Qualitative research has been promoted as an important component of the evaluation of complex interventions to support the scale up and spread of health service interventions, but is currently not being maximized in practice. We aim to identify and explore the sociocultural and structural factors that impact the uses (and misuses) of qualitative research in the evaluation of complex health services interventions.
Methods: We conducted a qualitative analysis of data collected in a multiple case study of the evaluation and scale up and spread of three health service intervention.
Results: Our findings demonstrate the challenges of meaningfully integrating qualitative research in evaluation programmes lead by clinicians with limited qualitative expertise and operating within an environment dominated by biomedical research, even with methodological support.
Conclusions: Based on these findings we encourage ongoing engagement of qualitative researchers in evaluation programmes to begin to refine our methodological understanding, while also suggesting changes to medical education and evaluation funding models to create fertile environments for interdisciplinary collaborations.
Keywords: evaluation; health policy; health services research.
© 2020 John Wiley & Sons, Ltd.
The Effectiveness of Integrated Care Pathways for Adults and Children in Health Care Settings: A Systematic Review.JBI Libr Syst Rev. 2009;7(3):80-129. doi: 10.11124/01938924-200907030-00001. JBI Libr Syst Rev. 2009. PMID: 27820426
How has the impact of 'care pathway technologies' on service integration in stroke care been measured and what is the strength of the evidence to support their effectiveness in this respect?Int J Evid Based Healthc. 2008 Mar;6(1):78-110. doi: 10.1111/j.1744-1609.2007.00098.x. Int J Evid Based Healthc. 2008. PMID: 21631815
IMPRoving Outcomes for children exposed to domestic ViolencE (IMPROVE): an evidence synthesis.Southampton (UK): NIHR Journals Library; 2016 Dec. NIHR Journals Library. 2016. PMID: 27977089 Free Books & Documents. Review.
Participation in environmental enhancement and conservation activities for health and well-being in adults: a review of quantitative and qualitative evidence.Cochrane Database Syst Rev. 2016 May 21;2016(5):CD010351. doi: 10.1002/14651858.CD010351.pub2. Cochrane Database Syst Rev. 2016. PMID: 27207731 Free PMC article. Review.
Primary Care Research Team Assessment (PCRTA): development and evaluation.Occas Pap R Coll Gen Pract. 2002 Feb;(81):iii-vi, 1-72. Occas Pap R Coll Gen Pract. 2002. PMID: 12049028 Free PMC article.
- Simmons R, Fajans P, Ghiron L. Scaling Up Health Service Delivery: From Pilot Innovations to Policies and Programmes. World Health Organization; 2007.
- Bégin HM, Eggertson L, Macdonald N. A country of perpetual pilot projects. Can. Med. Assoc. J. 2009.
- Øvretveit J, Bate P, Robert G, Fulop N, Øvretveit J, Dixon-Woods M. How does context affect quality improvement. Perspectives on context: a selection of essays considering the role of context in successful quality improvement. London, England: The Health Foundation; 2014: 59-85.
- Dixon-Woods M. The problem of context in quality improvement. Perspectives on context: a selection of essays considering the role of context in successful quality improvement. London, England: The Health Foundation; 2014: 87-101.
- Craig P, Katikireddi SV, Leyland A, Popham F. Natural experiments: an overview of methods, approaches, and contributions to public health intervention research. Annu Rev Public Health. 2017;38:39-56.