Evaluating impact of clinical guidelines using a realist evaluation framework

Reddy, Sandeep, Wakerman, John, Westhorp, Gill and Herring, Sally 2015, Evaluating impact of clinical guidelines using a realist evaluation framework, Journal of evaluation in clinical practice, vol. 21, no. 6, pp. 1114-1120, doi: 10.1111/jep.12482.

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Title Evaluating impact of clinical guidelines using a realist evaluation framework
Author(s) Reddy, SandeepORCID iD for Reddy, Sandeep orcid.org/0000-0002-5824-4900
Wakerman, John
Westhorp, Gill
Herring, Sally
Journal name Journal of evaluation in clinical practice
Volume number 21
Issue number 6
Start page 1114
End page 1120
Total pages 7
Publisher Wiley
Place of publication Chichester, Eng.
Publication date 2015-12
ISSN 1365-2753
Keyword(s) clinical guidelines
evidence-based medicine
realist evaluation
remote healthcare
Science & Technology
Life Sciences & Biomedicine
Health Care Sciences & Services
Medical Informatics
Medicine, General & Internal
General & Internal Medicine
Summary RATIONALE, AIMS AND OBJECTIVES: The Remote Primary Health Care Manuals (RPHCM) project team manages the development and publication of clinical protocols and procedures for primary care clinicians practicing in remote Australia. The Central Australian Rural Practitioners Association Standard Treatment Manual, the flagship manual of the RPHCM suite, has been evaluated for accessibility and acceptability in remote clinics three times in its 20-year history. These evaluations did not consider a theory-based framework or a programme theory, resulting in some limitations with the evaluation findings. With the RPHCM having an aim of enabling evidence-based practice in remote clinics and anecdotally reported to do so, testing this empirically for the full suite is vital for both stakeholders and future editions of the RPHCM. METHODS: The project team utilized a realist evaluation framework to assess how, why and for what the RPHCM were being used by remote practitioners. A theory regarding the circumstances in which the manuals have and have not enabled evidence-based practice in the remote clinical context was tested. The project assessed this theory for all the manuals in the RPHCM suite, across government and aboriginal community-controlled clinics, in three regions of Australia. CONCLUSION: Implementing a realist evaluation framework to generate robust findings in this context has required innovation in the evaluation design and adaptation by researchers. This article captures the RPHCM team's experience in designing this evaluation.
Language eng
DOI 10.1111/jep.12482
Field of Research 111799 Public Health and Health Services not elsewhere classified
1117 Public Health And Health Services
Socio Economic Objective 920499 Public Health (excl. Specific Population Health) not elsewhere classified
HERDC Research category C1.1 Refereed article in a scholarly journal
ERA Research output type C Journal article
Copyright notice ©2015, John Wiley & Sons Ltd.
Persistent URL http://hdl.handle.net/10536/DRO/DU:30085508

Document type: Journal Article
Collections: Faculty of Health
School of Medicine
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