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Evidence-based decision making in public health.

R C Brownson1, J G Gurney, G H Land

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

Journal of Public Health Management and Practice : JPHMP
|November 11, 1999
PubMed
Summary

Implementing evidence-based public health (EBPH) decision-making is crucial for effective public health practice. This article outlines a strategic approach to enhance analytic decision-making and improve program outcomes.

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Area of Science:

  • Public Health
  • Health Policy
  • Health Management

Background:

  • A need exists for stronger evidence-based decision-making in daily public health practice.
  • Evidence-based public health (EBPH) integrates evidence-based medicine principles into public health.
  • Current practices often lack a systematic, evidence-driven approach.

Purpose of the Study:

  • To describe the rationale and framework for evidence-based public health (EBPH).
  • To present a strategic, six-step approach for analytic decision-making in public health.
  • To identify barriers and opportunities for implementing EBPH.

Main Methods:

  • Review of inter-relationships between evidence-based medicine and EBPH.
  • Description of analytic tools and processes for public health decision-making.

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  • Outline of a six-step strategic approach to analytic decision-making.

    • Main Results:

    • A pilot test of the EBPH approach with mid-level managers in the Missouri Department of Health shows encouraging initial results.
    • The described approach provides a structured framework for public health action.
    • Barriers and opportunities for EBPH implementation are summarized.

    Conclusions:

    • Widespread adoption of an evidence-based framework in public health is expected to enhance program effectiveness.
    • The strategic approach offers a practical method for improving public health decision-making.
    • Further testing and implementation are needed to realize the full potential of EBPH.