More complex evaluations
It is much easier to evaluate simple improvements introduced into an organization or care team than it is to make sense of system-wide changes.
For example, any evaluation of a national policy initiative or a big change that affects service delivery across a wide area will be surrounded by a political context. This means that
It can be difficult to disentangle intended and unintended outcomes.
Many key players, with varying perspectives on the aims of the policy or service improvement project will be involved.
So RealWorld evaluations often
- examine the political issues surrounding change
- report on intended and unintended outcomes and on the processes by which those outcomes have come about.
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