Preventive home visits to elderly people: Their effectiveness cannot be judged by randomised controlled trials

摘要: Papers p 719 In preventive health services the old axiom that lack of evidence is not important. No one should be surprised meta-analysis undertaken by Elkan et al (p 719), systematic reviews Stuck and van Haastregt al, randomised controlled trials these other researchers produce apparently conflicting results.1-3 Most importantly, a clear justification for home visits to older people, in terms outcomes mortality, institutionalisation, particular measures function, used as an excuse discontinuing service. Some limitations meta-analyses were identified correspondence followed publication Haastregt's review.3 The reliance approaches on recognises such are most rigorous form assessing effectiveness medical interventions but fails recognise they may adequate or appropriate …