Letters Reform reform

Good research is essential for service improvement

BMJ 2013; 347 doi: https://doi.org/10.1136/bmj.f7431 (Published 16 December 2013) Cite this as: BMJ 2013;347:f7431
  1. Martin Marshall, lead1,
  2. Dominique Allwood, improvement science fellow1
  1. 1Improvement Science London, London W1T 7HA, UK
  1. martin.marshall{at}islondon.org

Oldham describes “death by research” as one of the barriers to effective reform of health services.1 He is correct that established approaches to generating and using research often have little impact on efforts to improve care. But his assertion that the “culture of evidence” is incompatible with a culture of …

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