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E Chelimsky

Publications and source records attributed to E Chelimsky.

4 recordsLinked to original sources

Producing credible evaluations of federal health programs.

Based on extensive experience as a reviewer of evaluations of federal health programs, the author distinguishes and discusses two sources of evidence for the credibility of an evaluation. Substantive credibility is indicated by the quality of the literature review; the evaluative understanding manifest in the description of the program or treatment; the relation between the study questions and the study design; the expertise and candor displayed in the methods discussion; and the degree to which stated findings and recommendations are supported by methods and data. Presentational credibility is undermined by language that reveals subjectivity or advocacy, but it is supported by the competent organization and readability of the report.

Government↗

A new form of meta-analysis for combining results from randomized clinical trials and medical-practice databases.

Cross-design synthesis is a new (and still evolving) strategy for providing quantitative results that capture the strengths and minimize the weaknesses of different kinds of research. The strategy, which is being developed to answer questions about the effects of treatment in medical practice, includes (a) identifying complementary research designs and studies conducted according to those designs; (b) completing an in-depth assessment of each study with respect to the chief potential bias(es) that are associated with its design; (c) making "secondary adjustments" of study results to correct known biases; and (d) developing synthesis frameworks and models that will minimize the impact of hidden biases.

Databases, Factual↗