Towards a new framework for evidence-based public health

Sheena Asthana and Joyce Halliday

in What works in tackling health inequalities?

Published by Policy Press

Published in print March 2006 | ISBN: 9781861346742
Published online March 2012 | e-ISBN: 9781447304258 | DOI:
Towards a new framework for evidence-based public health

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This chapter explores the growing critique of the narrow, hierarchical approach to evidence in public health which continues to be dominated by the systematic review. It discusses the limitations of this approach, including the questionable relevance of results yielded in controlled, scientific and well-resourced conditions to routine service delivery and the lack of evidence that has been forthcoming about the cost-effectiveness of public health and preventative policies. It suggests that international comparison of policies and interventions adopted by different public health regimes can provide a useful analytical framework and recommends that search strategies for information on public health interventions should be opened up to include qualitative as well as quantitative material.

Keywords: public health; systematic review; preventive policies; analytical framework; hierarchical approach

Chapter.  14389 words.  Illustrated.

Subjects: Public Health and Epidemiology

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