Skip to main content

Table 1 Context, Mechanisms, Outcomes, modified from [42]

From: A critical realist evaluation of an integrated care project for vulnerable families in Sydney, Australia

Context

Mechanisms related to

Outcomes

Structure - Institutional/Organisational

roles, practices, resources, processes

(T), (I) or (R) of institutional/organisational structure

Culture - Institutional/Organisational

group ideas and propositional formulations about the institution/organisation

(T), (I) or (R) of institutional/organisational culture

Agency

individual beliefs and reasons for actions or non-action

(T), (I) or (R) of individual agency within the institution/organisation

Relations

maintaining, adjusting or redistributing power/duties/responsibilities

(T), (I) or (R) of institutional/organisational relations

  1. Note. Transformation (T): indicates mechanisms related to different parts of context, and activated by the social program, are producing some anticipated/desired outcomes
  2. Invariance (I): indicates that mechanisms related to different parts of context, undergo changes in attributes irrelevant to transformation or reproduction of the context (e.g. doctor-patient relation remains, though different persons may fill the roles)(cf. Sayer, 1992)
  3. Reproduction (R): indicates relevant mechanisms related to different parts of context have not been adequately activated by the social program, thereby reproducing outcomes the social program aimed to change
Back to article page

BMC Health Services Research

ISSN: 1472-6963

Contact us