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Effectiveness and Efficiency: Random Reflections on Health Services

A. L. Cochrane

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  • Mark LeonardRecommended to shareholders
    Leonard explicitly proposes that shareholders read this Cochrane book. He connects the pair’s challenge to established medical practice with the need to test business practices and managers’ claims. His edition is unknown.
    Source

Summary

A. L. Cochrane asks whether health services can show that their treatments work. His 1972 text argues for randomized controlled trials as a way to distinguish effective treatment from interventions supported mainly by habit or professional confidence.

The argument concerns both the benefit of care and the use of limited resources. Leonard reads it as a sharp challenge to an established profession and asks similar questions about business practice. The public Nuffield edition identifies the work; no unverified ISBN is assigned here.

  • SourceEffectiveness and Efficiency: Random Reflections on Health Services — original publication or publisher · Nuffield’s original publication description and suggested citation identify Cochrane’s 1972 text and its argument for randomized trials.
  • SourceMark Leonard — 2015 reporting-year letter, signed 26 April 2016 · PDF pp. 10–11: explicit recommendation and business application.

Why read it Our view

Before adding a management practice, define the benefit you expect and how you would detect harm. Leonard explicitly connects Cochrane’s critique to business managers and calls for more tests of hypotheses in place of plausible anecdotes.