Evidence-based medicine meets democracy: the role of evidence-based public health guidelines in local government.
Evidence-based medicine meets democracy: the role of evidence-based public health guidelines in local government.
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DOI：
10.1093/pubmed/fdx002
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发表时间：
2017-12-01
期刊：
影响因子：
--
通讯作者：
Michie S
中科院分区：
文献类型：
--
作者：
Kelly MP;Atkins L;Littleford C;Leng G;Michie S
2013年，英国许多公共卫生职能从国民保健署转移到地方政府。自2006年起，NICE根据循证医学原则制定了公共卫生指南。本研究探讨了在新的环境中，地方政府是如何接受这些准则的，以及在地方当局使用证据方面提出的相关问题。深入采访了来自四个非常不同的地方政府组织（“地方当局”）的31名当选成员和官员，包括公共卫生主任。与会者报告说，（一）有证据为基础的，政治决策之间的紧张关系;（二）有什么构成的“好”的证据和（三），组织生活是一个重要的调解人在使用证据的方式的意见分歧。民主政治决策并不一定与基于国际科学文献证据的决策自然一致，当地知识和当地证据对公共卫生决策的方式非常重要。
In 2013, many public health functions transferred from the National Health Service to local government in England. From 2006 NICE had produced public health guidelines based on the principles of evidence-based medicine. This study explores how the guidelines were received in the new environment in local government and related issues raised relating to the use of evidence in local authoritites. In depth, interviews with 31 elected members and officers, including Directors of Public Health, from four very different local government organizations (‘local authorities’). Participants reported that (i) there were tensions between evidence-based, and political decision-making; (ii) there were differences in views about what constituted ‘good’ evidence and (iii) that organizational life is an important mediator in the way evidence is used. Democratic political decision-making does not necessarily naturally align with decision-making based on evidence from the international scientific literature, and local knowledge and local evidence are very important in the ways that public health decisions are made.
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影响因子：
4.4
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