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Evidence-based practice revisited.

G M Leung1

  • 1Department of Community Medicine, University of Hong Kong, Pokfulam, China.

Asia-Pacific Journal of Public Health
|February 25, 2003
PubMed
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This paper provides an updated overview of evidence-based practice (EBP), detailing its origins, application in clinical and public health, and the five A's process. It also addresses limitations and future directions for EBP, particularly in Asia.

Area of Science:

  • Health Sciences
  • Clinical Practice
  • Public Health

Background:

  • The evidence-based practice (EBP) movement has gained significant global traction over the past decade.
  • EBP integrates the best available research evidence with clinical expertise and patient values.

Purpose of the Study:

  • To provide an updated narrative overview of EBP from both clinical and public health viewpoints.
  • To describe the origins, definition, and implementation of EBP for healthcare professionals.
  • To highlight the five A's process of EBP: assess, ask, acquire, appraise, and apply.

Main Methods:

  • A narrative review approach was employed to synthesize existing literature on EBP.
  • The paper outlines the process of incorporating EBP into routine clinical and public health practices.

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  • Discussion includes limitations and common misperceptions surrounding EBP.
  • Main Results:

    • The core principles and practical steps for adopting EBP are detailed.
    • The five A's framework is presented as a structured method for EBP implementation.
    • Identified limitations and potential solutions are discussed to enhance EBP adoption.

    Conclusions:

    • EBP is a crucial philosophy for advancing healthcare quality and patient outcomes.
    • Addressing limitations and clarifying misperceptions can foster wider EBP adoption.
    • Future work in EBP is essential, with a specific focus on the Asian context, including Hong Kong.