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Do We Still Need a Randomized Trial to Prove Anything Featured Image
BlogReal-World Evidence
5 min

Do We Still Need a Randomized Trial to Prove Anything?

Do we still need RCTs to prove medical value? Dr. Bruce Ramshaw explains why healthcare needs a shift from reductionist trials to real-world systems science.

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Bruce Ramshaw (CMIO)
A multi-national, video-based qualitative study to refine training guidelines for assigning an “unsafe” score in laparoscopic cholecystectomy critical view of safety
PublicationReal-World Evidence
2 min

Value-based surgical care: barriers, facilitators and incentives. A meta-ethnographic synthesis

This academic paper examines the transition from traditional fee-for-service models to value-based care (VBC) in surgical settings, highlighting both its potential and its complexity. Based on a meta-ethnographic review of 24 qualitative studies, it demonstrates that while VBC can improve patient outcomes and reduce costs, its adoption remains inconsistent due to financial risks, infrastructure limitations, and resistance to change.

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Caresyntax