학술논문

Beyond Causality: Additional Benefits of Randomized Controlled Trials for Improving Health Care Delivery.
Document Type
Article
Source
Milbank Quarterly. Dec2021, Vol. 99 Issue 4, p864-881. 18p. 1 Diagram.
Subject
*HEALTH policy
*EVALUATION of medical care
*HEALTH services accessibility
*SCIENTIFIC observation
*IMMUNIZATION
*MEDICAL care
*HEALTH status indicators
*RANDOMIZED controlled trials
*QUALITY assurance
*HEALTH insurance
*INTERPROFESSIONAL relations
*COVID-19 pandemic
Language
ISSN
0887-378X
Abstract
Policy PointsPolicymakers at federal and state agencies, health systems, payers, and providers need rigorous evidence for strategies to improve health care delivery and population health. This is all the more urgent now, during the COVID‐19 pandemic and its aftermath, especially among low‐income communities and communities of color.Randomized controlled trials (RCTs) are known for their ability to produce credible causal impact estimates, which is why they are used to evaluate the safety and efficacy of drugs and, increasingly, to evaluate health care delivery and policy. But RCTs provide other benefits, allowing policymakers and researchers to: 1) design studies to answer the question they want to answer, 2) test theory and mechanisms to help enrich understanding beyond the results of a single study, 3) examine potentially subtle, indirect effects of a program or policy, and 4) collaborate closely to generate policy‐relevant findings.Illustrating each of these points with examples of recent RCTs in health care, we demonstrate how policymakers can utilize RCTs to solve pressing challenges. [ABSTRACT FROM AUTHOR]