Repository logo
 

The need for a complex systems model of evidence for public health

Accepted version
Peer-reviewed

Type

Article

Change log

Authors

Rutter, H 
Savona, N 
Glonti, K 
Bibby, J 
Cummins, S 

Abstract

Despite major investment in both research and policy, many pressing contemporary public health challenges remain. To date, the evidence underpinning responses to these challenges has largely been generated by tools and methods that were developed to answer questions about the effectiveness of clinical interventions, and as such are grounded in linear models of cause and effect. Identification, implementation, and evaluation of effective responses to major public health challenges require a wider set of approaches1,2 and a focus on complex systems.

Description

Keywords

Evidence-Based Practice, Humans, Models, Theoretical, Public Health, Public Health Administration, Systems Analysis

Journal Title

The Lancet

Conference Name

Journal ISSN

0140-6736
1474-547X

Volume Title

390

Publisher

Elsevier
Sponsorship
Medical Research Council (MR/K023187/1)
Wellcome Trust (087636/Z/08/Z)
Economic and Social Research Council (ES/G007462/1)
This work was funded by a grant from The Health Foundation (London, UK) that supported HR, KG, and NS. HR was also supported by the UK National Institute for Health Research (NIHR) Collaboration for Leadership in Applied Health Research and Care (CLAHRC) North Thames at Bart's Health NHS Trust. LM is supported by the UK Medical Research Council ( MC_UU_12017/14 ) and the Chief Scientist Office ( SPHSU14 ). MW is funded in part by the UK NIHR as Director of its Public Health Research Programme.