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Critical Global Health: Evidence, Efficacy, Ethnography
Metrics: What Counts in Global Health
Duke University Press
Copyright:
This content is made freely available by the publisher. It may not be redistributed or altered. All rights reserved.
ISBN electronic:
978-0-8223-7448-0
Publication date:
2016
Book Chapter
Storied Metrics
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Published:March 2016
Reliance on the unembellished metrics and austere research design of the randomized controlled trial has far-reaching implications not only for health but for entire health care infrastructures. Drawing from research in the largest integrated health care system in the United States, the Veterans Health Administration, this chapter examines some of the challenges of bringing qualitative data and research methodologies to bear within the politically charged, outcome-driven context of a U.S. government institution. An rct among veterans with spinal cord injury serves as a case study for this chapter. While these models decipher certain outcomes and can determine optimal modes of...
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