Complex interventions or complex systems? Implications for health economic evaluation
- PMID: 18535071
- PMCID: PMC2413333
- DOI: 10.1136/bmj.39569.510521.AD
Complex interventions or complex systems? Implications for health economic evaluation
Abstract
Although guidelines exist for evaluating complex interventions, they may be of little help in dealing with the multiple effects of interventions in complex systems such as hospitals. Alan Shiell, Penelope Hawe, and Lisa Gold explain why it is important to distinguish the two types of complexity
Conflict of interest statement
Competing interests: None declared.
Provenance and peer review: Not commissioned; externally peer reviewed.
References
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- Medical Research Council. A framework for the development and evaluation of randomised controlled trials for complex interventions to improve health London: MRC, 2000
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