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New approaches to evaluating complex health and care systems
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Lamont, Tara, Barber, Nicholas, Pury, John de, Fulop, Naomi, Garfield-Birkbeck, Stephanie, Lilford, Richard, Mear, Liz, Raine, Rosalind and Fitzpatrick, Ray (2016) New approaches to evaluating complex health and care systems. BMJ, 352 (i154). doi:10.1136/bmj.i154
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Official URL: http://dx.doi.org/10.1136/bmj.i154
Abstract
The NHS has many examples of effective service changes that took too long to implement, from structured patient education in diabetes1 to enhanced recovery programmes in surgery.2 Other initiatives have seemed promising but didn’t deliver—or made things worse. For example, telephone triage and some types of case management increase demand for services rather than divert pressure from urgent care.3 Without the right evaluation, it is difficult to know which innovations are worth adopting. The scale of opportunity and real costs of implementing untested innovations and ignoring lessons learnt elsewhere are substantial.
| Item Type: | Journal Article | ||||||
|---|---|---|---|---|---|---|---|
| Journal or Publication Title: | BMJ | ||||||
| Publisher: | BMJ Publishing Group Ltd. | ||||||
| ISSN: | 0959-535X | ||||||
| Official Date: | 1 February 2016 | ||||||
| Dates: |
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| Volume: | 352 | ||||||
| Number: | i154 | ||||||
| DOI: | 10.1136/bmj.i154 | ||||||
| Status: | Peer Reviewed | ||||||
| Publication Status: | Published | ||||||
| Access rights to Published version: | Restricted or Subscription Access |
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