Thanks Geoff. From an alternative point of view, there is an emerging school of thought questioning the need for external program evaluation (whether it be method-oriented or theory-oriented evaluation). The view is that inbuilt quality improvement cycles like Deming’s PDSA (or as it has been modified in Japan: PDCA) are more cost-efficient and intrinsically valuable to the organisation/stakeholders. -Sandeep > On 3 Feb 2016, at 7:20 AM, Geoff Wong <[log in to unmask]> wrote: > > A common challenge that realist evaluators come across is in making a case for why a realist evaluation is the right approach to take. > Help comes in the form of this Analysis article in The BMJ (attached): > > New approaches to evaluating complex health and care systems > Tara Lamont, Nicholas Barber, John de Pury, Naomi Fulop, Stephanie Garfield-Birkbeck, Richard Lilford, Liz Mear, Rosalind Raine, Ray Fitzpatrick > BMJ 2016;352:i154 > > They argue the case that there are different valid approaches to evaluating complex interventions, amongst these approaches - realist evaluation :-) > > Geoff > > <New_approaches_to_evaluating_complex_interventions_BMJ_Feb_2016.pdf>