As public health issues have gained an increasingly high political profile, the need for policy and management decisions to be informed by robust evidence of the effectiveness is now viewed as crucial. While evidence-based medicine is a well accepted feature in clinical health care, public health interventions are inherently more complex and present both significant challenges and opportunities for advancing this approach.
In England, developments include the setting up of the Centre of Public Health Excellence, at the National Institute for Health and Clinical Excellence (NICE), with the responsibility for providing evidence and guidelines on the effectiveness of interventions and programmes in priority areas of public health. Further important contributions are also being made by many other research centres and groups. This book presents many of these contributions and provides a state of the art compendium on this subject. Inequality in health is a widespread problem, and the themes discussed here can be used for international comparison and application.
Public health evidence examines: international trends in social inequalities in health; the role of evidence in public health policy development and practice; the infrastructure of the UK evidence-based approach; selected examples of how evidence is being applied to reduce health inequalities in England; the methodological challenges involved in evaluating interventions and the synthesis of evidence; and how to take this approach forward.
The key message is that tackling health inequalities and implementing the evidence-based approach will require commitment from all those involved; researchers, academics, policy makers, the public and private sector, practitioners, the NHS, and local government. But health inequalities are a common problem facing more developed countries, and the book has international relevance. This timely contribution pushes the boundaries of thinking on research in public health.
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Recensione:
Although we have a wealth of information about evidence-based practice in healthcare very little has been written about evidence-based public health to date. This year has seen the emergence of the first texts along thsee lines and one would hope that they will encourage the principles of evidence-based practice to filter into public health practice....[recommended] to individuals working in applied public health settings, particularly newcomers to the field, researchers, and students on public health courses. ( Critical Public Health)
...this book provides a useful picture of the current level of development of evidence-based public health policy and practice, and specifically action to address health inequalities in the UK. It has a practical 'real life' focus and will be of interest primarily to academics and public health practitioners based in the UK. ...Overall, cause for optimism isprovided with some significant advances being made in public health research methods and creative ideas about future directions being displayed. s
Contenuti:
- SECTION 1: TOWARDS EVIDENCE-BASED POLICY AND PRACTICE: CHALLENGES AND OPPORTUNITIES
- 1: Mel Bartley, Martin Bobak, Michael Marmot: Patterns and trends in inequalities in health: an international phenomenon
- 2: Michael Kelly: The development of an evidence based approach to tackling health inequalities in England
- 3: Hilary Graham: Social determinants and public health policy in the UK
- SECTION 2: SYSTEMS AND STRUCTURES FOR DEVELOPING AN EVIDENCE-BASED APPROACH TO TACKLING HEALTH INEQUALITIES
- 4: Christine McGuire: Building the evidence base - the contribution of the Department of Health's Policy Research Programme (England)
- 5: Amanda Sowden, Julie Glanville: The Centre for Reviews and Dissemination (CRD)
- 6: Mike Clarke: The Cochrane Collaboration
- 7: Sandy Oliver, James Thomas, Angela Harden, Ann Oakley: Accumulating evidence to bring policy, practice and research together
- 8: M Petticrew, M Whitehead, C Bambra, M Egan, H Graham, S MacIntyre, E McDermott: The Centre for Evidence-based Public Health Policy: part of the ESRC Evidence Network
- 9: Kristin Liabo, Sarah Frost, Di McNeish, Helen Roberts, Trevor Sheldon: What Works for Children?
- 10: Peter Littlejohns: The National Institute for Health and Clinical Excellence
- 11: Alison Weightman, E Coyle: Health Evidence Bulletins Wales
- 12: Erica Wimbush, H Harper, D Wright, L Gruer, L Lowther, J Gordon, S Fraser: Evidence, policy and practice - developing collaborative approaches in Scotland
- SECTION 3: CONCEPTS AND METHODS FOR EVALUATION AND SYNTHESIS OF THE EVIDENCE: ISSUES AND CHALLENGES
- 13: Ray Pawson: Simple Principles for the Evaluation of Complex Programmes
- 14: Martyn Hammersley: Systematic or Unsystematic, is that the question? Some reflections on the science, art and politics of reviewing research evidence
- 15: Sandy Oliver, James Thomas, Angela Harden, Jonathan Shepherd, Ann Oakley: Research synthesis for tackling health inequalities: lessons from methods developed within systematic reviews with a focus on marginalised groups
- 16: Mary Dixon-Woods: Evidence from qualitative and quantitative research
- 17: Catherine Swann, Bhash Naidoo, Michael P Kelly: Evidence for public health practice: conceptual and methodological challenges
- 18: Helen Roberts, Lisa Arai, Katrina Roen, Jennie Popay: What evidence do we have on implementation?
- 19: Jack Dowie: The Bayesian approach to decision making
- SECTION 4: PUTTING EVIDENCE INTO POLICY AND PRACTICE: EXAMPLES AND LESSONS
- 20: Catherine Dennison, Geraldine McCormick: Teenage pregnancy policy and practice: the application of evidence
- 21: Amanda Killoran, Lesley Owen, Linda Bauld: Smoking cessation: an evidence-based approach to tackling health inequalities?
- 22: Mark Johnson: Ethnicity
- 23: Jean Peters, Elizabeth Goyder: Tackling health inequalities at the community level: Neighbourhood Renewal and the New Deal for Communities
- 24: Dione Hill, Elliott Stern: Healthy Living Centres
- 25: Michaela Benzeval: Health Action Zones
- 26: Diane Ketley, Rose Gollop: Evidence into practice for service improvement in health care: experience from the NHS Modernisation Agency
- SECTION 5: DEVELOPMENTS AND EXPERIENCES INTERNATIONALLY
- 27: Meri Koivusalo: Public policies and inequalities and health - challenges and lessons from Finland
- 28: Bernt Lundgren, Sven Andréasson, Sven Bremberg, Carina Källestål, Paul Nordgren, Liselotte Schäfer Elinder, Eva Wallin: Sweden
- 29: John Frank, Cam Mustard, Jim Dunn, Nancy Ross, Ericia Di Ruggiero: Assessing and Addressing Health Inequalities: The Canadian Experience
- 30: Lesley Boydell, Jane Wilde: An evidence based approach to public health and tackling health inequalities in Ireland and Northern Ireland
- SECTION 6: THE FUTURE OPPORTUNITIES AND CHALLENGES
- 31: Phil Hanlon: Bringing about social change-implications for health
- 32: Hilary Graham: Tackling health inequalities: improving the health of poor groups, narrowing health gaps and reducing health gradients
- 33: Michael P Kelly: Mapping the life world: a future research priority for public health
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