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Evaluating Complex Interventions

In: Handbook of Integrated Care

Author

Listed:
  • Apostolos Tsiachristas

    (University of Oxford)

  • Maureen P. M. H. Rutten-van Mölken

    (Erasmus University Rotterdam)

Abstract

This chapter explores the evolving landscape of evaluating complex interventions in healthcare, driven by the increasing need for evidence-based resource allocation and improved patient outcomes. It discusses the defining characteristics of complex interventions, such as multiple interacting components, contextual adaptability, and non-linear causal pathways, and contrasts them with simpler technologies. Drawing from frameworks like the MRC guidance and RE-AIM, it outlines the rationale, challenges, and methodological approaches for their evaluation, including formative and summative assessment, process evaluation, and both experimental and quasi-experimental study designs. Special attention is given to integrated care as a paradigmatic example of complexity in healthcare. The chapter emphasizes the importance of context, fidelity, and stakeholder perspectives in designing and reporting evaluations that are robust, transferable, and policy-relevant.

Suggested Citation

  • Apostolos Tsiachristas & Maureen P. M. H. Rutten-van Mölken, 2025. "Evaluating Complex Interventions," Springer Books, in: Volker Amelung & Viktoria Stein & Esther Suter & Nicholas Goodwin & Ran Balicer & Anna-Sophia Beese (ed.), Handbook of Integrated Care, edition 0, chapter 43, pages 819-836, Springer.
    • Handle: RePEc:spr:sprchp:978-3-031-96286-8_36
    DOI: 10.1007/978-3-031-96286-8_36
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