Designing for complex innovations in health care: design theory and realist evaluation combined

Innovations in health care are often characterized by complexity and fuzzy boundaries, involving both the elements of the innovation and the organizational structure required for a full implementation. Evaluation in health care is traditionally based on the collection and dissemination of evidence-based knowledge stating the randomized controlled trial, and the quasi-experimental study design as the most rigorous and ideal approaches. These evaluation approaches capture neither the complexity of innovations in health care, nor the characteristics of the organizational structure of the innovation. As a result, the reasons for innovations in health care not being disseminated are not fully explained. The aim of the paper is to present a design – evaluation framework for complex innovations in health care in order to understand what works for whom under what circumstances by combining design theory and realist evaluation. The framework is based on research findings of a case study of a...

• Type: Conference
• Year: 2009
• Where: DESRIST
• Authors: Christina Keller, Klas Gäre, Mats Edenius, Staffan Lindblad
• Keywords: Complex Innovations, Design, DESRIST 2009, Education, Health Care