Education and debate

Trials should inform structures and processes needed for tailoring interventions

BMJ 2005; 330 doi: 10.1136/bmj.330.7492.665 (Published 17 March 2005)
Cite this as: BMJ 2005;330:665

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  1. Jean Macq, researcher (jmacq@ulb.ac.be)1
  1. 1 Department of Health Systems and Policies, School of Public Health, Université Libre de Bruxelles, CP 597, Route de Lennik 808, 1070 Brussels, Belgium

    Coordinating care for people with multiple needs is inherently complex as it relies strongly on social dynamics at various levels of the health systems. Designing fruitful regulation policies to make care efficient requires a proper systems analysis for tailoring the care model to the context. The SA HealthPlus trial was original for its ambition to test one coordinated care model for people with multiple needs across different chronic conditions and local healthcare systems in South Australia, and it seems to have been tailored realistically to local services and needs.1 The key elements—targeting patients who need coordinated …

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