Tag Archives: Health

What constitutes “evidence”? Implications for cutting-edge, tailored treatments, and small sub-populations

In the medical profession in particular, there are some very rigid beliefs about what constitutes good enough “evidence of effectiveness” to justify offering, recommending, allowing patients to try, or even just not vehemently opposing a particular type of treatment for a patient.

There are some glimmers of hope in other sectors (e.g. in the Best Evidence Synthesis work here in New Zealand). But there are still three areas where there are very serious challenges in building a credible evidence base given the kinds of constraints and realities surrounding them. They are: (1) cutting-edge treatments; (2) treatments that are by their very nature tailored/individualized rather than standardized across patients or populations; and (3) learning what works for small sub-populations Continue reading

Posted in Causal inference, Community programs, Development, Education, Government programs, Health, Strategic policy evaluation | Tagged , , , , , , , , , , | 12 Comments

The Friday Funny: A review of RCTs on parachute use

We recently stumbled across this all-time classic that Genuine Evaluation readers may well appreciate!

Smith, G. C. S. & Pell, J. P. (2003, December). Parachute use to prevent death and major trauma related to gravitational challenge: systematic review of randomised controlled trials. BMJ, 327, 1459-1461. Continue reading

Posted in Causal inference, Friday Funnies, Health | Tagged , , , , | 1 Comment

Long-term effects; what to do with them and without them

Greetings, genuwiners! Thought I’d toss a small puzzle into the stream of discussions to start my visit. Ideally, almost all program evaluations need to include a long term follow up, but almost none of the clients can wait for long-term … Continue reading

Posted in Adequate scope, Appropriate inference, Health | Tagged , , , , , | 6 Comments