Methods For Sytematic Reviews
Study Title |
Study Lead |
Health & Social Care Partner Organisations
|
Lay Summary |
The 'beyond synthesis impact chain'. Review methodologies and reporting techniques that maximise impact and uptake in educational policy and practice |
Dr Celia Taylor, University of Warwick |
University of Essex and University of Birmingham |
Looking at how the use of research findings relating to medical education can be used most effectively. |
Publication bias in health services and delivery research |
Prof Richard Lilford, University of Warwick |
Looking at what studies are likely to be published and why in health services and delivery research. |
|
Systematic overview of early childhood cognitive Interventions for promoting child development |
Prof Richard Lilford, University of Warwick |
(Systematic review) |
Systematic overview of early childhood cognitive interventions for promoting child development. |
Literature review for High Intensity Specialist Led Acute Care (HISLAC): systematic review on weekend effects and literature review on consultant effects to facilitate economic modelling |
Dr Yen-Fun Chen, University of Warwick |
University Hospitals Birmingham NHS Foundation Trust |
Evaluating seven day consultant cover in hospitals. |
Integrating Multiple Sources of Evidence |
Dr Sam Watson, University of Warwick |
Health Foundation |
In this essay we explore methods for synthesising multiple sources of evidence in health services research. The evaluation of policies or structural interventions in the healthcare system are complicated by the difficulty of linking the intervention to patient level outcomes. Proxy variables are often used in the place of important clinical outcomes such as mortality and quality of life. The researcher must therefore synthesise various forms of evidence from across a causal pathway that links the intervention to the outcomes of interest. We firstly discuss whether the complex nature of a healthcare system hinders understanding of the relevant causal pathways, and whether such systems are amenable to modelling and the synthesis of multiple forms of evidence. An important distinction is drawn between the underlying phenomena that generalise across contexts and the complex data from which they are inferred. We then explore the available methods a researcher might adopt and consider three steps: (i) the design of a causal model; (ii) the identification of the available evidence; and, (iii) the synthesis of multiple forms of evidence including quantitative and qualitative evidence. While many of the methods are well documented, further work is required to develop their use in combination, and understanding how to deal with different study designs, each with their own inherent biases, is still at an early stage. Nevertheless, there exist powerful tools for the synthesis of multiple forms of evidence in health services research. |