Evaluating the effectiveness continuous quality improvement program in primary health care: developing a realist theory of change

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Variation in effectiveness of continuous quality improvement (CQI) interventions between services is commonly reported, but with little explanation of how contextual and other factors may interact to produce this variation. 


Therefore, there is scant information available on which policy makers can draw to inform effective implementation in different settings. 

In this paper, the authors explore how patterns of change in delivery of services may have been achieved in a diverse range of health centers participating in a wide-scale program to achieve improvements in quality of care for Indigenous Australians.