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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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Social care: rhetoric and reality

Social care: rhetoric and reality

Chapter:
(p.117) Six Social care: rhetoric and reality
Source:
What works?
Author(s):

Geraldine Macdonald

Publisher:
Policy Press
DOI:10.1332/policypress/9781861341914.003.0006

The approach to decision making exemplified by evidence-based healthcare has also been urged upon social services. This chapter outlines the sometimes acrimonious debates that have arisen as a result. There is no consensus about the nature of evidence in social care, and only a minority voice in favour of the need for experimentation, particularly randomised controlled trials. Nevertheless, there have been several notable regional initiatives to develop evidence-based social care, and parts of the voluntary sector are pioneering in this area. The chapter concludes with a summary of the strengths and weaknesses of outcome research in social care.

Keywords:   evidence-based healthcare, social care, social services, voluntary sector

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