The need for a complex systems model of evidence for public health
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Rutter, H., Savona, N., Glonti, K., Bibby, J., Cummins, S., Finegood, D., Greaves, F., et al. (2017). The need for a complex systems model of evidence for public health. The Lancet, 390 (10112), 2602-2604. https://doi.org/10.1016/S0140-6736(17)31267-9
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.
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.
Wellcome Trust (087636/Z/08/Z)
External DOI: https://doi.org/10.1016/S0140-6736(17)31267-9
This record's URL: https://www.repository.cam.ac.uk/handle/1810/263581
Attribution-NonCommercial-NoDerivatives 4.0 International
Licence URL: http://creativecommons.org/licenses/by-nc-nd/4.0/