The Utility of a Realist Evaluation Approach in Implementing and Evaluating Health Equity Policy

This article discusses the utility of realist evaluation in inuencing 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.