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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

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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:
DateEvent
1 February 2016Published
11 December 2015Accepted
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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