In Search of a Pony: Sources, Methods, Outcomes, and Motivated Reasoning

Med Care. 2018 May;56(5):375-381. doi: 10.1097/MLR.0000000000000895.

Abstract

It is highly desirable to be able to evaluate the effect of policy interventions. Such evaluations should have expected outcomes based upon sound theory and be carefully planned, objectively evaluated and prospectively executed. In many cases, however, assessments originate with investigators' poorly substantiated beliefs about the effects of a policy. Instead of designing studies that test falsifiable hypotheses, these investigators adopt methods and data sources that serve as little more than descriptions of these beliefs in the guise of analysis. Interrupted time series analysis is one of the most popular forms of analysis used to present these beliefs. It is intuitively appealing but, in most cases, it is based upon false analogies, fallacious assumptions and analytical errors.

Publication types

  • Kommentar

MeSH terms

  • Health Policy*
  • Interrupted Time Series Analysis*
  • Policy Making