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J Public Health Manag Pract. 1999 Sep;5(5):86-97.

Evidence-based decision making in public health.

Author information

  • 1Department of Community Health at the Saint Louis University School of Public Health, MO, USA.

Abstract

A stronger focus on evidence-based decision making in day-to-day public health practice is needed. This article describes the rationale for this need, including (1) the inter-relationships between evidence-based medicine and evidence-based public health (EBPH); (2) commonly used analytic tools and processes; (3) keys to when public health action is warranted; (4) a strategic, six-step approach to more analytic decision making; and (5) summary barriers and opportunities for widespread implementation of EBPH. The approach outlined is being tested through a series of courses for mid-level managers in the Missouri Department of Health--initial results from a pilot test are encouraging. It is hoped that the greater use of an evidence-based framework in public health will lead to more effective programs.

PMID:
10558389
[PubMed - indexed for MEDLINE]
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