How should we evaluate the impacts of policy? The case of Payment by Results and the 18 Week Patient Pathway in English hospitals

摘要: Today, qualitative researchers are framing the relationship between case studies and quantitative evaluation research in positivist terms, seeking dialogue with on basis that hold potential to develop theory for programmes improve quality of research. In UK health policy literature, however, recent evaluations major government reform have been conducted under largely econometric strategies involving baskets indicators, or routinely collected hospital statistics, set against central stated aims programme: namely, quality, efficiency, responsiveness, output equity. For wider we detail results a study impact two key reforms, 18 Week Patient Pathway Payment by Results, four English hospitals, demonstrating value frame based o...