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Evaluating whole system reforms: A structured approach for selecting multiple outcomes

Author

Listed:
  • Fatimah, Alfariany
  • Britteon, Philip
  • Turner, Alex J
  • Anselmi, Laura
  • Gillibrand, Stephanie
  • Wilson, Paul
  • Sutton, Matt
  • Lau, Yiu-Shing

Abstract

Whole-system reforms, including devolution and integration of health and social care services, have the potential to impact multiple dimensions of health system performance. Most evaluations focus on a single or narrow subsets of outcomes amenable to change. This approach may not: (i) capture the overall effect of the reform, (ii) identify the mechanisms through which system-wide changes may have occurred, (iii) prevent post-hoc selection of outcomes based on significant results; and (iv) facilitate comparisons across settings.

Suggested Citation

  • Fatimah, Alfariany & Britteon, Philip & Turner, Alex J & Anselmi, Laura & Gillibrand, Stephanie & Wilson, Paul & Sutton, Matt & Lau, Yiu-Shing, 2023. "Evaluating whole system reforms: A structured approach for selecting multiple outcomes," Health Policy, Elsevier, vol. 138(C).
    • Handle: RePEc:eee:hepoli:v:138:y:2023:i:c:s016885102300218x
    DOI: 10.1016/j.healthpol.2023.104933
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