Catálogo de publicaciones - revistas
Journal of Health Services Research and Policy
Resumen/Descripción – provisto por la editorial
No disponible.
Palabras clave – provistas por la editorial
No disponibles.
Disponibilidad
Institución detectada | Período | Navegá | Descargá | Solicitá |
---|---|---|---|---|
No detectada | desde ene. 2001 / hasta jun. 2015 | EBSCOHost |
Información
Tipo de recurso:
revistas
ISSN impreso
1355-8196
Editor responsable
SAGE Publishing (SAGE)
País de edición
Estados Unidos
Fecha de publicación
2001-
Cobertura temática
Tabla de contenidos
Entangled complexity: Why complex interventions are just not complicated enough
Simon Cohn; Megan Clinch; Chris Bunn; Paul Stronge
<jats:p> The shift of health care burden from acute to chronic conditions is strongly linked to lifestyle and behaviour. As a consequence, health services are attempting to develop strategies and interventions that can attend to the complex interactions of social and biological factors that shape both. In this paper we trace one of the most influential incarnations of this ‘turn to the complex’: the Medical Research Council (MRC) guidance on developing and evaluating complex interventions. Through an analysis of the key publications, and drawing on social scientific approaches to what might constitute complexity in this context, we suggest that such initiatives need to adjust their conceptualisation of ‘the complex’. We argue that complexity needs to be understood as a dynamic, ecological system rather than a stable, albeit complicated, arrangement of individual elements. Crucially, in contrast to the experimental logic embedded in the MRC guidance, we question whether the Randomised Controlled Trial (RCT) is the most appropriate method through which to engage with complexity and establish reliable evidence of the effectiveness of complex interventions. </jats:p>
Palabras clave: Public Health, Environmental and Occupational Health; Health Policy.
Pp. 40-43