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. 2020 Dec 22;10(12):e044049. doi: 10.1136/bmjopen-2020-044049

Table 4.

Relationship between data source, analysis approaches and research objectives

Stage Data source Data analysis Objectives
1 Qualitative:
  • Interviews with programme designers, supporting and evaluation staff from implementation support agencies

  • Public and internal programme documents

Qualitative:
  • Retroductive, theory-driven realist analysis

  • Documentary analysis

(a) Identify the change strategies, processes and theorised mechanisms through which implementation of the seven value-based care initiatives influenced implementation and programme outcomes.
(b) Investigate the impact of different contextual circumstances and agents on the mechanisms of initiative implementation over varying timelines.
2 Qualitative:
  • Interviews with local hospital network staff


Quantitative:
  • Programme evaluation data

  • Hospital administrative data

  • Implementation outcome surveys

Qualitative:
  • Retroductive, theory-driven realist analysis


Quantitative:
  • Descriptive and inferential statistical analysis

3 Data from stage 1, 2 and 3 Mixed methods:
  • Realist triangulation

(c) Develop macro-level, meso-level and micro-level implementation models for successful value-based initiatives in healthcare, based on a mix of implementation strategies and mechanisms in specific contexts that achieve desired implementation outcomes.