CES and their associated uses demonstrated complex relationships that should be explored in further research, though the study indicates that recreation as an indicator is too coarse for assessments at this level.
If the period of time since the previous prescription that is used in our indicator is too short, many prescriptions that are in fact second choice prescriptions for the same indication/diagnosis, after failure of the first treatment, would incorrectly be labeled as new prescriptions by our indicator.
‡‡Analyses for indicators covering medication review in epilepsy (EPI3/7), follow-up of severe mental health disorders (MH7), and spirometry (COPD2) could not be done, as indicators were too complex to model in CPRD (MH7) or respective code lists failed to capture plausible trends and levels compared with those reported under Quality and Outcomes Framework (EPI3/7, COPD2).
The gap between a relatively poor performing indicator in one institution against another institution with a relatively high value for that indicator may be too wide and result in inhibiting change rather than facilitating it.
Furlong (2006) criticised the NEET indicator for being too narrow because, for example, precarious jobs that can also be associated with a high risk of social exclusion are not included.
Though financial markets have calmed and some economic indicators have stabilized, he said it was too early to declare a turning point.
"Too often, we are focussed on indicators that are too early," Kourembanas said.
Policy makers still rely on metrics, such as monthly unemployment rate and the growth of national output, that go back to the early decades of the 20th century—indicators that are "too blunt to deal with today's highly networked world," Mandel says.
On the other hand, to follow the second idea, we had to have only three indicators which are too little, causing poor analysis and less discriminating power.
Even our expanded list of indicators may be too few for sweeping generalizations, but the analysis identifies evidence that contradicts the deinstitutionalization argument.
