Health Services Research
Our health services and primary care research is focused on identifying factors impairing the quality of care in the UK and other countries, and identifying health technologies and ways of delivering them that are effective, efficient, equitable and acceptable. Health services research is mostly done through the Department of Population Health and Primary Care.
Randomised Controlled Trials
A cornerstone of our research is evaluation of the effectiveness and cost effectiveness of health care and public health interventions with clinical trials, especially randomised controlled trials of complex or non-pharmacological health service interventions. These are typically large scale pragmatic trials, assessing effectiveness in realistic situations with widespread implementation. Most RCTs are complemented by and integrated with economic and qualitative evaluations.
Observational studies of effectiveness, quality and safety of health care
When RCTs are not feasible we carry out quasi-experimental and patient cohort studies, aimed at investigating and minimising biases inherent in observational studies of effectiveness. Other observational studies use original methods to identify problems with the quality of care in community-based populations.
Diagnostic accuracy and screening
We carry out clinical epidemiological evaluations of the effectiveness and accuracy of diagnostic technologies and screening programmes, such as diabetic retinopathy screening, osteoporosis screening, and diagnosis of pre-diabetes.
We do methodological studies of methods for systematic review and meta-analysis, including publication bias, indirect treatment comparison and network meta-analysis, evaluation of complex healthcare interventions, and methods for evaluating data on adverse effect. We also do health technology assessments, systematic reviews and meta-analysis of randomised controlled trials, observational studies, and studies of diagnostic tests on a wide range of health topics.
For more information visit our Research Evidence Studies page.
Our research combines clinical, epidemiological and social sciences methods to extend knowledge that addresses the core challenges of primary care. We focus our research on patient needs, working both with quantitative and qualitative approaches, and addressing issues both at the level of individual patients and populations. Some key current research areas are: health literacy and the consequences of diagnosis for predictive medicine, quality of care and relevance of guideline evidence to primary care, effectiveness of screening interventions, impacts of patient and public involvement, models of disability, and the ethics of reproductive technologies.
Medical statistics provides statistical support for a range of research activities within the Norwich Medical School including clinical trials and epidemiological studies and leads research into statistical methods for clinical trials.
This major area of health services research includes economic evaluation, public health economics and welfare economics.
Our Research and External Partners
Knowledge Translation Unit, University of Cape Town Medical School