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Evidence-based public health: perspectives and specific implementation factors

Rehfuess, Eva A ; Zhelyazkova, Ana ; von Philipsborn, Peter ; Griebler, Ursula ; De Bock, Freia

Bundesgesundheitsblatt, Gesundheitsforschung, Gesundheitsschutz, 2021-05, Vol.64 (5), p.514 [Periódico revisado por pares]

Germany

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  • Título:
    Evidence-based public health: perspectives and specific implementation factors
  • Autor: Rehfuess, Eva A ; Zhelyazkova, Ana ; von Philipsborn, Peter ; Griebler, Ursula ; De Bock, Freia
  • Assuntos: Evidence-Based Medicine ; Germany ; Humans ; Public Health
  • É parte de: Bundesgesundheitsblatt, Gesundheitsforschung, Gesundheitsschutz, 2021-05, Vol.64 (5), p.514
  • Descrição: An evidence-based approach is considered a central requirement in the public health system. Five general principles apply in evidence-based medicine as well as in evidence-based public health (EBPH). These comprise a systematic approach, transparency in relation to uncertainty, integration and participation, management of conflicts of interest, and a structured, reflective process. This article aims to promote a common understanding of what taking an evidence-based approach entails in the field of public health.We explored the international understanding of EBPH through systematic literature searches of definitions, concepts, and models regarding an evidence-based approach in public health. In this manner, 20 English sources and one German source were identified and examined using content analysis. Beyond the above-described general principles, characteristics of these perspectives are concerned with a population orientation, the underlying concept of evidence, disciplines, and stakeholder groups to be involved in the process, as well as relevant criteria and necessary competencies for implementing an evidence-based approach.Based on this, and taking into account methodological developments to address complexity, four specific implementation factors of EBPH can be derived. These include theory, interdisciplinarity, context-sensitivity, and complexity as well as general societal aspects.The practical implementation of EBPH requires human and financial resources as well as competencies - among others, for conducting systematic reviews of the effectiveness of measures, examining other relevant questions in a scientific manner, and establishing transparent processes to formulate recommendations.
  • Editor: Germany
  • Idioma: Alemão
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  • Realização: ABCD-USP USP   Logos de Redes Sociais: Freepik

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