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Stakeholder views on publication bias in health services research

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Williams, Iestyn, Ayorinde, Abimbola, Mannion, Russell, Skrybant, Magdalena, Song, Fujian, Lilford, Richard and Chen, Yen-Fu (2020) Stakeholder views on publication bias in health services research. Journal of Health Services Research & Policy, 25 (3). pp. 162-171. doi:10.1177/1355819620902185 ISSN 1758-1060.

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Official URL: https://doi.org/10.1177/1355819620902185

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Abstract

Objectives
While the presence of publication bias in clinical research is well documented, little is known about its role in the reporting of health services research. This paper explores stakeholder perceptions and experiences with regard to the role of publication and related biases in quantitative research relating to the quality, accessibility and organization of health services.

Methods
We present findings from semi-structured interviews with those responsible for the funding, publishing and/or conduct of quantitative health services research, primarily in the UK. Additional data collection includes interviews with health care decision makers as ‘end users’ of health services research, and a focus group with patient and service user representatives. The final sample comprised 24 interviews and eight focus group participants.

Results
Many study participants felt unable to say with any degree of certainty whether publication bias represents a significant problem in quantitative health services research. Participants drew broad contrasts between externally funded and peer reviewed research on the one hand, and end user funded quality improvement projects on the other, with the latter perceived as more vulnerable to selective publication and author over-claiming. Multiple study objectives, and a general acceptance of ‘mess and noise’ in the data and its interpretation was seen to reduce the importance attached to replicable estimates of effect sizes in health services research. The relative absence of external scrutiny, either from manufacturers of interventions or health system decision makers, added to this general sense of ‘low stakes’ of health services research. As a result, while many participants advocated study pre-registration and using protocols to pre-identify outcomes, others saw this as an unwarranted imposition.

Conclusions
This study finds that incentives towards publication and related bias are likely to be present, but not to the same degree as in clinical research. In health services research, these were seen as being offset by other forms of ‘novelty’ bias in the reporting and publishing of research findings.

Item Type: Journal Article
Subjects: R Medicine > RA Public aspects of medicine
Z Bibliography. Library Science. Information Resources > Z004 Books. Writing. Paleography
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
SWORD Depositor: Library Publications Router
Library of Congress Subject Headings (LCSH): Medical care -- Research, Scholarly publishing, Medical publishing -- Great Britain, Science publishing -- Great Britain, Qualitative research
Journal or Publication Title: Journal of Health Services Research & Policy
Publisher: SAGE Publications
ISSN: 1758-1060
Official Date: 1 July 2020
Dates:
DateEvent
1 July 2020Published
3 February 2020Available
3 February 2020Accepted
Volume: 25
Number: 3
Page Range: pp. 162-171
DOI: 10.1177/1355819620902185
Status: Peer Reviewed
Publication Status: Published
Access rights to Published version: Open Access (Creative Commons)
Copyright Holders: The Author(s) 2020
Date of first compliant deposit: 21 May 2020
Date of first compliant Open Access: 22 May 2020
RIOXX Funder/Project Grant:
Project/Grant IDRIOXX Funder NameFunder ID
15/71/06[NIHR] National Institute for Health Researchhttp://dx.doi.org/10.13039/501100000272
Is Part Of: 1
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