Watson, Samuel I. and Lilford, Richard (2016) Essay 1 : integrating multiple sources of evidence : a Bayesian perspective. Health Services Delivery Research, 4 (16). pp. 1-18. doi:10.3310/hsdr04160
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Abstract
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: | Journal Article |
|---|---|
| Subjects: | R Medicine > R Medicine (General) |
| Divisions: | Faculty of Science, Engineering and Medicine > Medicine > Warwick Medical School > Health Sciences Faculty of Science, Engineering and Medicine > Medicine > Warwick Medical School > Health Sciences > Population, Evidence & Technologies (PET) Faculty of Science, Engineering and Medicine > Medicine > Warwick Medical School |
| Library of Congress Subject Headings (LCSH): | Health planning -- Decision making -- Mathematical models, Health planning -- Decision making -- Statistics, Bayesian statistical decision theory |
| Journal or Publication Title: | Health Services Delivery Research |
| Publisher: | NIHR Journals Library |
| Book Title: | Challenges, solutions and future directions in the evaluation of service innovations in health care and public health. |
| Editor: | Raine, R. and Fitzpatrick, R. and Barratt, H. and Bevan, G. and Black, N. and Boaden, R. and Bower, P. and Campbell, M. and Denis, J-L. and Devers, K. and Dixon-Woods, M. and Fallowfield, L. and Forder, J. and Foy, R. and Freemantle, N. and Fulop, N. J. and Gibbons, E. and Gillies, C. and Goulding, L. and Grieve, R. and Grimshaw, J. and Howarth, E. and Lilford, R. J. and McDonald, R. and Moore, G. and Newhouse, R. and O'Cathain, A. and Or, Z. and Papoutsi, C. and Prady, S. and Rycroft-Malone, J. and Sekhon, J. and Turner, S and Watson, S. I. and Zwarenstein, M. |
| Official Date: | 3 May 2016 |
| Dates: | Date Event 3 May 2016 Published |
| Volume: | 4 |
| Number: | 16 |
| Page Range: | pp. 1-18 |
| DOI: | 10.3310/hsdr04160 |
| Status: | Peer Reviewed |
| Publication Status: | Published |
| Access rights to Published version: | Open Access (Creative Commons open licence) |
| Date of first compliant deposit: | 20 March 2018 |
| Date of first compliant Open Access: | 21 March 2018 |
| RIOXX Funder/Project Grant: | Project/Grant ID RIOXX Funder Name Funder ID |
| Open Access Version: | |
| URI: | https://wrap.warwick.ac.uk/100087/ |
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