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The concept of pragmatism is controversial, and there are questions about whether pragmatic trials can replace tests for explanations or if they should be an addition to them. Schwartz and Lellouch1 suggested a distinction between explanatory studies, which prove the validity of a physiological or clinical hypothesis, and pragmatic trials, which inform policy and practice decision-making. They also suggested the framework for pragmatic trials, which they called PRECIS.2 This tool sought to define the features of a practical trial, including recruitment, design and delivery of the intervention, as well as the follow-up. 프라그마틱 정품확인방법 of pragmatic trials is growing. A recent Medline query that used the words pragmatic and naturalistic, limited to randomised controlled trials (RCTs) returned 34 articles. They are displayed in red on Figure 2. This is an indication that the health sciences community is becoming more acquaint to the issue of pragmatics. It is important to keep in mind, however, that the majority of studies were conducted in primary-care settings.