Chapter 1 - Evidence-based Public Health Flashcards
- Provision of safe water and food
- Sewage treatment and disposal
- Tobacco use prevention and cessation
- Control of infectious diseases through immunization, etc.
Public Health Achievement
EBPH means applying the principles of evidence-based medicine (EBM) to the field of public health
Evidence-Based Public Health (EBPH)
Randomized clinical trials
What is the gold standard in Evidence-based medicine (EBM)?
Can be defined as a process of integrating evidence from scientific research and practice to improve the health of the target population
Defining Evidence-Based Public Health
- Access to more and higher quality information on what works
- A higher likelihood of successful programs and policies being implemented
- Greater workforce productivity, and more efficient use of public and private resources
Benefits of EBPH include:
- Political environmental (including lack of political will)
- Deficits in relevant and timely research, information systems, resources, leadership, organizational culture
- Inability to connect research to policy
Barriers to implementing EBPH
- epidemiologic data
- results of program or policy evaluations
- qualitative data
These data are used to make judgement or decisions
- Absence of evidence
- Lack of conceptual framework regarding how much evidence is sufficient to judge and evaluate our policy decisions
the most critical problem for EBPH id the:
causes of disease/ health issue
- magnitude
- severity
Risk factors (preventable)
Based on the evidence, something should be done
Type 1 Evidence
are the examples of effective interventions? what works?
Based on what works, this should be done
type 2 evidence
what works for whom? In what context was the intervention implemented? How was it received?
How should the intervention be implemented?
type 3 evidence
- public health practitioners
- policymakers
- stakeholders
- researchers
Audiences for EBPH
- Assess Needs
- Develop a program implementation & Evaluation Plan
- Implement Program Plan Track Fidelity Track Process
- Evaluate Outcomes & Impact
- Share the Results
Overview: The Program Planning, Implementation and Evaluation Cycle