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- Title
How do you modernize a health service? A realist evaluation of whole-scale transformation in london.
- Authors
Greenhalgh, Trisha; Humphrey, Charlotte; Hughes, Jane; Macfarlane, Fraser; Butler, Ceri; Pawson, Ray
- Abstract
Large-scale, whole-systems interventions in health care require imaginative approaches to evaluation that go beyond assessing progress against predefined goals and milestones. This project evaluated a major change effort in inner London, funded by a charitable donation of approximately $21 million, which spanned four large health care organizations, covered three services (stroke, kidney, and sexual health), and sought to "modernize" these services with a view to making health care more efficient, effective, and patient centered.
- Publication
The Milbank quarterly, 2009, Vol 87, Issue 2, p391
- ISSN
1468-0009
- Publication type
Journal Article
- DOI
10.1111/j.1468-0009.2009.00562.x