Some currently provided health services have an absence of evidence for effectiveness, cost-effectiveness and/or safety. These are candidates for disinvestment. It is possible that such services would prove valuable if trials were to be conducted however, making disinvestment a clear risk. Provision of these services in the context of usual care is a considerable barrier to conducting a conventional trial of these interventions. Our team has recently developed a novel research approach to conduct a trial in this context. In this paper, we describe the first application of this design.
Haines, T. P., Skinner, E.
, Mitchell, D., O'Brien, E. J., Bowles, K-A., Markham, D.
, Plumb, S., Chui, T., May, K., Haas, R.
, Lescai, D., Philip, K., & McDermott, F. M.
(2014). Application of a novel disinvestment research design to the use of weekend allied health services on acute medical and surgical wards - randomised trial and economic evaluation protocol
. BMC Health Services Research
(Suppl 2), 53. https://doi.org/10.1186/1472-6963-14-S2-P53