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dc.contributor.authorHumphreys, John S
dc.contributor.authorKuipers, Pim
dc.contributor.authorWakerman, John
dc.contributor.authorWells, Robert
dc.contributor.authorJones, Judith A
dc.contributor.authorKinsman, Leigh D
dc.date.accessioned2017-05-03T13:01:51Z
dc.date.available2017-05-03T13:01:51Z
dc.date.issued2009
dc.date.modified2011-08-19T06:44:38Z
dc.identifier.issn0156-5788
dc.identifier.doi10.1071/AH090592
dc.identifier.urihttp://hdl.handle.net/10072/40143
dc.description.abstractPolicy makers and researchers increasingly look to systematic reviews as a means of connecting research and evidence more effectively with policy. Based on Australian research into rural and remote primary health care services, we note some concerns regarding the suitability of systematic review methods when applied to such settings. It suggests that rural and other health services are highly complex and researching them is akin to dealing with "wicked" problems. It proposes that the notion of "wicked" problems may inform our understanding of the issues and our choice of appropriate methods to inform health service policy. Key issues including the complexity of health services, methodological limitations of traditional reviews, the nature of materials under review, and the importance of the service context are highlighted. These indicate the need for broader approaches to capturing relevant evidence. Sustained, collaborative synthesis in which complexity, ambiguity and context is acknowledged is proposed as a way of addressing the wicked nature of these issues.
dc.description.peerreviewedYes
dc.description.publicationstatusYes
dc.languageEnglish
dc.language.isoeng
dc.publisherCSIRO Publishing
dc.publisher.placeAustralia
dc.relation.ispartofstudentpublicationN
dc.relation.ispartofpagefrom592
dc.relation.ispartofpageto600
dc.relation.ispartofissue4
dc.relation.ispartofjournalAustralian Health Review
dc.relation.ispartofvolume33
dc.rights.retentionY
dc.subject.fieldofresearchHealth and community services
dc.subject.fieldofresearchcode420305
dc.titleHow far can systematic reviews inform policy development for "wicked' rural health service problems?
dc.typeJournal article
dc.type.descriptionC1 - Articles
dc.type.codeC - Journal Articles
gro.date.issued2009
gro.hasfulltextNo Full Text
gro.griffith.authorKuipers, Pim


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