How to evaluate psychiatric services

In this section we consider research designs that may be applicable for psychiatric service evaluation. Different types of evidence produced using these designs cannot be considered as equivalent. A hierarchical order has been proposed by Geddes and Harrison, (42) as shown in Table. ...5. Further information is provided in Chapte.L1.12. We shall consider briefly each source of evidence in turn, with the exception of evidence from expert committee reports and the clinical experience of respected authorities, which cannot be considered as types of formal evaluation.

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Table 5 A hierarchy of evidence

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