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Generating the evidence base for the National Service Framework for Long Term Conditions: a new research typology

Lynne Turner-Stokes, Richard Harding, Judith Sergeant, Carol Lupton and Kath McPherson
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DOI: https://doi.org/10.7861/clinmedicine.6-1-91
Clin Med January 2006
Lynne Turner-Stokes
2Academic Rehabilitation, Northwick Park Hospital and King's College London, UK
Roles: Herbert Dunhill Professor of Medicine
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Richard Harding
1Department of Palliative Care and Policy, King's College London, UK
Roles: Lecturer, Department of Palliative Care Medicine
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Judith Sergeant
3Department of Health, UK
Roles: Development Team
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Carol Lupton
3Department of Health, UK
Roles: Research and Development
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Kath McPherson
44Auckland University of Technology, Auckland, New Zealand
Roles: Professor of Rehabilitation
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Abstract

The UK National Service Framework (NSF) for Long Term Conditions was published in May 2005. This article describes the challenges and some proffered solutions towards development of the evidence base to support best practice in the management of life-long neurological conditions, which are the principal focus of the NSF. The inherent limits in current systems for appraisal of evidence and their lack of applicability to these conditions are discussed. A new typology of evidence is proposed, which acknowledges the importance of expert opinion from users, carers and professionals as well as encompassing a broad range of research designs. To apply the typology, a brief evaluation tool is presented, which provides simple assessment of both qualitative and quantitative research evidence in terms of design, quality and applicability, and is practical for use by clinicians. Preliminary testing and application in development of the evidence base for the NSF are described.

  • evidence appraisal
  • long-term conditions
  • National Service Framework
  • research
  • © 2006 Royal College of Physicians
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Generating the evidence base for the National Service Framework for Long Term Conditions
Lynne Turner-Stokes, Richard Harding, Judith Sergeant, Carol Lupton, Kath McPherson
Clinical Medicine Jan 2006, 6 (1) 91-97; DOI: 10.7861/clinmedicine.6-1-91

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Generating the evidence base for the National Service Framework for Long Term Conditions
Lynne Turner-Stokes, Richard Harding, Judith Sergeant, Carol Lupton, Kath McPherson
Clinical Medicine Jan 2006, 6 (1) 91-97; DOI: 10.7861/clinmedicine.6-1-91
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