Good morning/afternoon/evening Ramesesians.

 

I am working with colleagues to conduct a realist review to examine how (and why) investing in different core functions of primary care services/systems (e.g. care coordination, first-contact care, continuity of care, person-centredness/holistic care) may lead to economic impacts or savings, from a health system perspective.

 

So …

Q2. Does anyone know of any good examples of realist reviews that have sought to identify and evidence causal pathways between the such core functions/principles within health systems/services, and the performance* of those health systems/services?

* e.g. effectiveness, efficiency, cost.

 

I appreciate this is a somewhat broader question than my Q1!!

 

Many thanks,

Rob

 

 

I aspire to achieve a sensible work-life balance:

I don’t expect a reply to any emails outside of your normal working hours. Similarly please expect the same from me.

 

Rob Anderson
Associate Professor of Health Services and Implementation Research

 

Director of ESMI research group

Programme Director of MSc in Applied Health Services Research

 

+44 (0)1392 726085

ESMI, South Cloisters, St. Luke’s campus

 

Quote of the month(-ish):

 

“An accurate concise, and unbiased synthesis of available evidence is arguably one of the most valuable contributions a research community can offer decision makers.”

“ … there needs to be a culture shift so that evidence synthesis is recognised as an exciting, intellectually challenging, high-status and respected activity for researchers.”

 

From Donnelly et al 2018 ‘Four principles for synthesizing evidence’. Nature, Vol.558, 361-364.

Encouragingly, the co-authors include Prof Chris Whitty, Chief Scientific Adviser to the Department of Health and Social Care, so also leads the NIHR.