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Evidence-Based Public Health: Finding and Appraising Relevant Resources. Medical Library Association Continuing Education Course May 21, 2004. Course Objectives. Understand the characteristics of evidence-based public health.
Medical Library Association
Continuing Education Course
May 21, 2004
“the conscientious, explicit, and judicious use of current best evidence in making decisions about the care of communities and populations in the domain of health protection, disease prevention, health maintenance and improvement.”
Jenicek M. Epidemiology, evidenced-based medicine, and evidence-based public health. J Epidemiol. Dec 1997;7(4):187-197.
“the development, implementation, and evaluation of effective programs and policies in public health through application of principles of scientific reasoning, including systematic uses of data and information systems, and appropriate use of behavioral science theory and program planning models.”
Brownson RC, Gurney JG, Land GH. Evidence-based decision making in public health. J Public Health Manag Pract. Sep 1999;5(5):86-97.
“Some things have simply always been done a certain way – are common practice, but there is really no research to back it up.”
“I make a lot of decisions about how money is going to be spent, and I would like to always be able to back it up and say that this is proven, or evidence-based.”
“Politics always overlays decision-making on everything that is not evidence-based in the public health world. Everything we do is imbued with political priorities and funding decisions.”
EBM → EBPH
How does public health
relate to medicine?
Medicine: Health of Individuals
Prevention & health promotion
Environment & human behavior interventions
Diverse workforce, variable education & certifications
Social sciences integral; clinical sciences peripheral to education
Observational studies: case- control & cohort studies
Focus on individuals
Diagnosis & treatment
Well-established profession, standardized education & certification
Clinical sciences integral; social sciences less emphasized
Experimental studies with control groups: RCTs.
Interaction of Public Health & Medicine:
Public Health Functions Project, U.S. Dept. of Health and Human Services
From: The Medical Research Library of Brooklyn, http://servers.medlib.hscbklyn.edu/ebm/2100.htm
Animal Control Officers
Health Care Administrators
Mental Health Workers
Substance Abuse Counselors
Disaster Relief Workers
Lab TechniciansThe Public Health Workforce
Vital Statistics & Surveillance
Health Services Administration
Social & Behavioral Sciences
Health Promotion & Education
Maternal & Child Health
Public Health Nursing
Disaster Control & Emergency Services
Public Health Laboratory Sciences
Public Health Informatics
Identified Knowledge Domains
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