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Evaluating complex interventions
 — one size does not fit all
Author(s)Mhairi Mackenzie, Catherine O'Donnell, Emma Halliday
Journal titleBritish Medical Journal, no 7743, 20 February 2010
Pagespp 401-403
Sourcewww.bmj.com BMJ 2010;340:c814
KeywordsHealth services ; Health [elderly] ; Social policy ; Evaluation ; Literature reviews.
AnnotationAlthough planning of new health policy could be improved to enable more robust evaluation, the authors argue that randomised controlled trials (RCTs) are not always suitable or practical. The Medical Research Council (MRC) introduced guidance on use of RCTs in 2002, a framework that was updated in 2008. This article uses the example of Keep Well (the Scottish Government's major investment in cardiovascular anticipatory care launched in 2006) to show the problems of implementing the MRC recommendations for national policy initiatives. The authors also cite a more recent report from the House of Commons Health Committee, 'Health inequalities' (TSO, 2009). The Committee criticised missed opportunities to conduct controlled studies of recent policy interventions, and has called for policy makers to develop interventions that could be better evaluated. (RH).
Accession NumberCPA-100319209 A
ClassmarkL: CC: TM2: 4C: 64A *

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