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复杂干预措施还是复杂系统？对卫生经济评估的影响。

Complex interventions or complex systems? Implications for health economic evaluation.

作者信息

Shiell Alan, Hawe Penelope, Gold Lisa

机构信息

Population Health Intervention Research Centre, University of Calgary, Calgary T2N 4N1, Canada.

出版信息

BMJ. 2008 Jun 7;336(7656):1281-3. doi: 10.1136/bmj.39569.510521.AD.

DOI:10.1136/bmj.39569.510521.AD
PMID:18535071
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC2413333/
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. ,, and explain why it is important to distinguish the two types of complexity

摘要

尽管存在评估复杂干预措施的指南，但在处理医院等复杂系统中干预措施的多重影响时，这些指南可能帮助不大。……并解释区分这两种复杂性为何重要。

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本文引用的文献

1
Causality in complex interventions.复杂干预中的因果关系。
Med Health Care Philos. 2009 Mar;12(1):77-90. doi: 10.1007/s11019-008-9140-4. Epub 2008 May 9.
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A simple guide to chaos and complexity.混沌与复杂性简易指南。
J Epidemiol Community Health. 2007 Nov;61(11):933-7. doi: 10.1136/jech.2006.054254.
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Designing and evaluating complex interventions to improve health care.设计与评估旨在改善医疗保健的复杂干预措施。
BMJ. 2007 Mar 3;334(7591):455-9. doi: 10.1136/bmj.39108.379965.BE.
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Use of social network analysis to map the social relationships of staff and teachers at school.运用社会网络分析来描绘学校教职工的社会关系。
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Development of a complex intervention for secondary prevention of coronary heart disease in primary care using the UK Medical Research Council framework.运用英国医学研究委员会框架，在初级保健中开发一种用于冠心病二级预防的复杂干预措施。
Am J Manag Care. 2006 May;12(5):261-6.
6
Using complexity theory to build interventions that improve health care delivery in primary care.运用复杂性理论构建干预措施，以改善基层医疗服务中的医疗保健提供情况。
J Gen Intern Med. 2006 Feb;21 Suppl 2(Suppl 2):S30-4. doi: 10.1111/j.1525-1497.2006.00360.x.
7
Process evaluation in randomised controlled trials of complex interventions.复杂干预随机对照试验中的过程评估
BMJ. 2006 Feb 18;332(7538):413-6. doi: 10.1136/bmj.332.7538.413.
8
Systems thinking and modeling for public health practice.公共卫生实践中的系统思维与建模
Am J Public Health. 2006 Mar;96(3):403-5. doi: 10.2105/AJPH.2005.082842. Epub 2006 Jan 31.
9
Realist review--a new method of systematic review designed for complex policy interventions.现实主义综述——一种为复杂政策干预设计的系统综述新方法。
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