Evidence-based public health practice
Evidence-based public health practice
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DOI：
10.1111/j.1467-842x.1999.tb01291.x
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发表时间：
1999-08-01
影响因子：
3.5
通讯作者：
Longbottom, H
中科院分区：
文献类型：
--
作者：
Glasziou, P;Longbottom, H
我们没有为政策或日常决策获得最佳的可用证据。在临床医学中，对这一问题的回应是循证医学(EBM)的发展。正如Muir Gray所说，“循证医学不是关于虚无主义，而是关于使用所有最好的可用证据来做出决定。临床医生需要在几分钟内获得与当前问题相关的最佳主要研究证据，而不是几天或几周。然而，由于医疗信息处于如此混乱的状态，这需要代表证据生产者和消费者的协调行动。循证医学的原则与公共卫生实践相关吗？我们相信是这样的。考虑一下下面的场景。你是一个繁忙的公共卫生部门的主任。像往常一样，本周有许多棘手的问题需要解决：(A)最近的一份州报告显示，你所在地区的中风发病率远远高于预期，正在进行审计，以检查可改变的风险因素。(B)你担任主席的一个跨部门委员会正在考虑在儿童和青少年时期预防伤害的当地方法，并就不同方法的有效性进行辩论。
W do not get the best available evidence for policy or daily decision making. In clinical medicine, the response to this problem has been the growth of evidence-based medicine (EBM). As suggested by Muir Gray,’EBM is not about nihilism, but about making decisions using all the best available evidence. Clinicians need access to the best primary research evidence relevant to current questions within minutes, not days or weeks. However, because medical information is in such a mess, this requires concerted action on behalf of both the producers and consumers of evidence. Are the principles of evidencebased medicine relevant to public health practice? We believe so.Consider the following scenario. You are the director of a busy Public Health Unit. As usual the week brings a number of difficult issues to grapple with:(a) A recent state report shows that your local area has a much higher than expected rate of stroke, and an audit is under way to check modifiable risk factors.(b) An intersectoral committee you chair is considering local approaches to injury prevention in childhood and adolescence and are arguing about the effectiveness of different approaches.