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What works?Evidence-based policy and practice in public services$
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Huw T.O. Davies, Sandra M. Nutley, and Peter C. Smith

Print publication date: 2000

Print ISBN-13: 9781861341914

Published to Policy Press Scholarship Online: March 2012

DOI: 10.1332/policypress/9781861341914.001.0001

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Healthcare: evidence to the fore

Healthcare: evidence to the fore

(p.43) Three Healthcare: evidence to the fore
What works?

Huw Davies

Sandra Nutley

Policy Press

This chapter suggests that evidence is well to the fore in healthcare, with an emerging consensus as to what constitutes evidence and a willingness to consider evidence as an essential component of decision making. Nonetheless, many obstacles remain in bridging the gap between what is known about effective care and the care that patients actually receive. Many of the larger policy questions – such as the formation of fundholding general practices, and their subsequent abandonment – are not so well supported as the more detailed service issues, such as choice of first-line therapy. The chapter focuses primarily on evidence relating to effectiveness, and is largely confined to exploring how evidence is used in health service delivery.

Keywords:   healthcare, decision making, effective care, first-line therapy, health service delivery

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