PMID: 11967417Apr 23, 2002Paper

Rational decision-making in mental health: the role of systematic reviews

The Journal of Mental Health Policy and Economics
Simon M. Gilbody, Mark Petticrew

Abstract

BACKGROUND: "Systematic reviews" have come to be recognized as the most rigorous method of summarizing confusing and often contradictory primary research in a transparent and reproducible manner. Their greatest impact has been in the summarization of epidemiological literature - particularly that relating to clinical effectiveness. Systematic reviews also have a potential to inform rational decision-making in healthcare policy and to form a component of economic evaluation. AIMS OF THE STUDY: This article aims to introduce the rationale behind systematic reviews and, using examples from mental health, to introduce the strengths and limitations of systematic reviews, particularly in informing mental health policy and economic evaluation. METHODS: Examples are selected from recent controversies surrounding the introduction of new psychiatric drugs (anti-depressants and anti-schizophrenia drugs) and methods of delivering psychiatric care in the community (case management and assertive community treatment). The potential for systematic reviews to (i) produce best estimates of clinical efficacy and effectiveness, (ii) aid economic evaluation and policy decision-making and (iii) highlight gaps in the primary research knowledge base a...Continue Reading

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Citations

Apr 23, 2002·The Journal of Mental Health Policy and Economics·Roland Sturm
Oct 2, 2013·PharmacoEconomics·Susan M JoyJohn F P Bridges
Oct 21, 2004·The Cochrane Database of Systematic Reviews·S NolteG Lachford
Jan 17, 2008·Child and Adolescent Psychiatry and Mental Health·Michael Schlander
Oct 3, 2006·The British Journal of Psychiatry : the Journal of Mental Science·Simon GilbodyPaula Whitty
Jul 23, 2016·Advances in Physiology Education·Tracy LinderholmMary Beth Yarbrough
Oct 20, 2005·The Cochrane Database of Systematic Reviews·S GilbodyT A Sheldon
Jan 22, 2003·The Cochrane Database of Systematic Reviews·S M GilbodyT A Sheldon
Dec 26, 2002·Canadian Journal of Psychiatry. Revue Canadienne De Psychiatrie·Elliot M Goldner
Apr 23, 2002·The Journal of Mental Health Policy and Economics·Dirk Sauerland

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