Complex interventions or complex systems? Implications for health economic evaluation
Shiell, Alan, Hawe, Penelope and Gold, Lisa 2008, Complex interventions or complex systems? Implications for health economic evaluation, BMJ, vol. 336, no. 7656, pp. 1281-1283.
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Health researchers commonly use the notion of complexity to indicate the problems faced in evaluating the effectiveness of many non-drug interventions.1-3 However, although it is rarely delineated, complexity has two meanings. In the first it is a property of the intervention, and in the second it is a property of the system in which the intervention is implemented. We examine the implications of these two views for economic evaluation.
Notes
This article has been published in the BMJ : Shiell, Alan, Hawe, Penelope and Gold, Lisa 2008-06-07, Complex interventions or complex systems? Implications for health economic evaluation, BMJ, vol. 336, no. 7656, pp. 1281-1283., and can also be viewed on the journal’s website at www.bmj.com
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