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Evaluating change in professional behaviour
 — issues in design and analysis
Author(s)Nick Freemantle, John Wood, James Mason
Corporate AuthorCentre for Health Economics, University of York
PublisherUniversity of York, York, 1999
Pages21 pp (Centre for Health Economics Discussion paper 171)
SourcePublications Centre, Centre for Health Economics, University of York YO1 5DD.
KeywordsMedical workers ; Attitude ; Drugs ; Econometrics ; Evaluation ; Methodology.
AnnotationImplementing the findings of research to change the behaviour of health care professionals has become an increasingly prominent issue. However, designing valid studies to evaluate different methods of achieving changes requires considerable care, and there are a number of pitfalls evident from published previous work. The various steps in the development of an implementation method and issues arising are explored in this text: knowledge of the design of studies evaluating health care treatments is assumed. The importance of undertaking initial qualitative work is discussed. The characteristics of experimental and quasi-experimental studies and the interpretation of their results are reviewed. Next, the authors consider issues affecting the choice of the unit of analysis in evaluations of interventions intended to change practice. They explore block study designs as a mechanism for dealing with problems of variation and bias peculiar to implementation. Lastly, they examine design issues for the inclusion of economics. An ongoing, large, randomised trial of educational outreach visits by trained pharmacists is used to illustrate some of the issues. (RH).
Accession NumberCPA-990727212 B
ClassmarkQT: DP: LLD: WE: 4C: 3D

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