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Challenges, solutions and future directions in the evaluation of service innovations in health care and public health

Raine, Rosalind, Fitzpatrick, Ray, Barratt, Helen, Bevan, Gywn, Black, Nick, Boaden, Ruth, Bower, Peter, Campbell, Marion, Denis, Jean-Louis, Devers, Kelly, Dixon-Woods, Mary, Fallowfield, Lesley, Forder, Julien, Foy, Robbie, Freemantle, Nick, Fulop, Naomi J., Gibbons, Elizabeth, Gillies, Clare, Goulding, Lucy, Grieve, Richard, Grimshaw, Jeremy, Howarth, Emma, Lilford, Richard J., McDonald, Ruth, Moore, Graham ORCID:, Moore, Laurence Anthony Russell, Newhouse, Robin, O'Cathain, Alicia, Or, Zeynep, Papoutsi, Chrysanthi, Prady, Stephanie, Rycroft-Malone, Jo, Sekhon, Jasjeet, Turner, Simon, Watson, Samuel I. and Zwarenstein, Merrick 2016. Challenges, solutions and future directions in the evaluation of service innovations in health care and public health. Health Services and Delivery Research 4 (16) 10.3310/hsdr04160

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Policies and interventions in the health-care system may have a wide range of effects on multiple patient outcomes and operate through many clinical processes. This presents a challenge for their evaluation, especially when the effect on any one patient is small. In this essay, we explore the nature of the health-care system and discuss how the empirical evidence produced within it relates to the underlying processes governing patient outcomes. We argue for an evidence synthesis framework that first models the underlying phenomena common across different health-care settings and then makes inferences regarding these phenomena from data. Bayesian methods are recommended. We provide the examples of electronic prescribing and increased consultant provision at the weekend.

Item Type: Article
Date Type: Publication
Status: Published
Schools: Development and Evaluation of Complex Interventions for Public Health Improvement (DECIPHer)
Social Sciences (Includes Criminology and Education)
Subjects: R Medicine > RA Public aspects of medicine > RA0421 Public health. Hygiene. Preventive Medicine
Publisher: NIHR
ISSN: 2050-4349
Date of Acceptance: 1 March 2016
Last Modified: 07 Jul 2023 01:49

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