Journal
HEALTHCARE-THE JOURNAL OF DELIVERY SCIENCE AND INNOVATION
Volume 2, Issue 3, Pages 170-172Publisher
ELSEVIER SCIENCE BV
DOI: 10.1016/j.hjdsi.2014.05.002
Keywords
Clinical trials; Systems interventions
Funding
- Office of the Director, National Institutes of Health [1DP5OD017897-01]
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Unintended consequences of health care interventions are unavoidable. For example, computerized order entry systems, implemented to reduce prescription errors, catalyze novel errors of their own, with providers unexpectedly relying on these systems to provide default dosing information rather than locating appropriate treatment guidelines. We argue that unintended behavioral responses by patients and physicians to health care interventions may explain why certain health care interventions that seem logical and foolproof fail to demonstrate real-world benefits. We argue that compensatory markers which measure behavioral responses in clinical trials should be implemented to better understand why real-world benefits fail to materialize. (C) 2014 Elsevier Inc. All rights reserved.
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