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Decommissioning care: The need for rigorous multifaceted evaluations of decisions to withdraw health services


In this Perspective on the two clinical trials of Terry Haines and colleagues that incrementally removed and reinstated allied healthcare services, Aziz Sheikh discusses the evidence base for the routine provision of such services.


Vyšlo v časopise: Decommissioning care: The need for rigorous multifaceted evaluations of decisions to withdraw health services. PLoS Med 14(10): e32767. doi:10.1371/journal.pmed.1002413
Kategorie: Perspective
prolekare.web.journal.doi_sk: https://doi.org/10.1371/journal.pmed.1002413

Souhrn

In this Perspective on the two clinical trials of Terry Haines and colleagues that incrementally removed and reinstated allied healthcare services, Aziz Sheikh discusses the evidence base for the routine provision of such services.


Zdroje

1. Haines T, Bowles KA, Mitchell D, O’Brien L, Markham D, Plumb S, et al. (2017) Impact of disinvestment from weekend allied health services across acute medical and surgical wards: Two randomised controlled trials. PLoS Med 14(10): e1002412.

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8. CBS News. Decision reversed to close some Alberta Hospital beds. Available from: http://www.cbc.ca/news/canada/edmonton/decision-reversed-to-close-some-alberta-hospital-beds-1.908707 (last accessed 21 July 2017).

9. Haines T, O'Brien L, McDermott F, Markham D, Mitchell D, Watterson D, et al (2014) A novel research design can aid disinvestment from existing health technologies with uncertain effectiveness, cost-effectiveness, and/or safety. J Clin Epidemiol 67(2): 144–151. doi: 10.1016/j.jclinepi.2013.08.014 24275500

10. Shepperd S, Lewin S, Straus S, Clarke M, Eccles MP, Fitzpatrick R, et al (2009) Can we systematically review studies that evaluate complex interventions? PLoS Med 6(8): e1000086. doi: 10.1371/journal.pmed.1000086 19668360

11. Keyhani S, Falk R, Howell EA, Bishop T, Korenstein D (2013) Overuse and systems of care: a systematic review. Med Care 51(6): 503–508. doi: 10.1097/MLR.0b013e31828dbafe 23552430

12. Curran GM, Bauer M, Mittman B, Pyne JM, Stetler C (2012) Effectiveness-implementation hybrid designs: combining elements of clinical effectiveness and implementation research to enhance public health impact. Med Care 50(3): 217–226. doi: 10.1097/MLR.0b013e3182408812 22310560

Štítky
Interné lekárstvo

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PLOS Medicine


2017 Číslo 10
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