Abstract

Abstract: This article discusses the utility of realist evaluation in influencing policies aimed at reducing health inequities and improving population health. Using an example of a National Demonstration program in Scotland, the article discusses how realist evaluation can help in several aspects of policy implementation: exploring “loss in translation” from policy aspirations to program design, interrogating the program design, developing a range of learnings from conducting the evaluation, and aligning the learning with policy priorities. Conditions under which evaluations can lead to positive influence on policy makers and future policies are discussed.

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