A rational model for assessing and evaluating complex interventions in health care
A rational model for assessing and evaluating complex interventions in health care
Background: understanding how new clinical techniques, technologies and other complex interventions become normalized in practice is important to researchers, clinicians, health service managers and policy-makers. This paper presents a model of the normalization of complex interventions.
Methods: between 1995 and 2005 multiple qualitative studies were undertaken. These examined: professional-patient relationships; changing patterns of care; the development, evaluation and implementation of telemedicine and related informatics systems; and the production and utilization of evidence for practice. Data from these studies were subjected to (i) formative re-analysis, leading to sets of analytic propositions; and to (ii) a summative analysis that aimed to build a robust conceptual model of the normalization of complex interventions in health care.
Results: a normalization process model that enables analysis of the conditions necessary to support the introduction of complex interventions is presented. The model is defined by four constructs: interactional workability; relational integration; skill set workability and contextual integration. This model can be used to understand the normalization potential of new techniques and technologies in healthcare settings
Conclusion: the normalization process model has face validity in (i) assessing the potential for complex interventions to become routinely embedded in everyday clinical work, and (ii) evaluating the factors that promote or inhibit their success and failure in practice
86-[11pp]
May, Carl
17697f8d-98f6-40d3-9cc0-022f04009ae4
July 2006
May, Carl
17697f8d-98f6-40d3-9cc0-022f04009ae4
May, Carl
(2006)
A rational model for assessing and evaluating complex interventions in health care.
BMC Health Services Research, 6 (1), .
(doi:10.1186/1472-6963-6-86).
Abstract
Background: understanding how new clinical techniques, technologies and other complex interventions become normalized in practice is important to researchers, clinicians, health service managers and policy-makers. This paper presents a model of the normalization of complex interventions.
Methods: between 1995 and 2005 multiple qualitative studies were undertaken. These examined: professional-patient relationships; changing patterns of care; the development, evaluation and implementation of telemedicine and related informatics systems; and the production and utilization of evidence for practice. Data from these studies were subjected to (i) formative re-analysis, leading to sets of analytic propositions; and to (ii) a summative analysis that aimed to build a robust conceptual model of the normalization of complex interventions in health care.
Results: a normalization process model that enables analysis of the conditions necessary to support the introduction of complex interventions is presented. The model is defined by four constructs: interactional workability; relational integration; skill set workability and contextual integration. This model can be used to understand the normalization potential of new techniques and technologies in healthcare settings
Conclusion: the normalization process model has face validity in (i) assessing the potential for complex interventions to become routinely embedded in everyday clinical work, and (ii) evaluating the factors that promote or inhibit their success and failure in practice
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Published date: July 2006
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Local EPrints ID: 163375
URI: http://eprints.soton.ac.uk/id/eprint/163375
ISSN: 1472-6963
PURE UUID: 50ec2b05-1d16-44bd-a163-01e788ec4570
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Date deposited: 08 Sep 2010 07:42
Last modified: 14 Mar 2024 02:04
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Author:
Carl May
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