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4 - Evidence-Based Health-Care

from Part 1 - The Public Health Toolkit

Published online by Cambridge University Press:  01 December 2023

Kirsteen Watson
Affiliation:
University of Cambridge
Jan Yates
Affiliation:
NHS England and NHS Improvement
Stephen Gillam
Affiliation:
University of Cambridge
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Summary

How much of what health and other professionals do is based soundly in science? Answers to the question, ‘Is our practice evidence based?’ depend on what we mean by practice and evidence.

The expansion of evidence-based medicne (EBM) has been a major influence on medical practice over the past 25 years. In this chapter, we examine the nature of what is nowadays more broadly referred to as evidence-based health-care (EBHC) and discuss its limitations. It is worth noting that in the UK this field continues to expand, particularly into the arena of social care, which often goes hand in hand with the provision of health-care. Increasingly, the term ‘evidence-based practice’ (EBP) is used as a catch-all. While this chapter focuses on health-care, the principles of EBP we describe apply equally to other disciplines, including public health and policy.

Type
Chapter
Information
Essential Public Health
Theory and Practice
, pp. 82 - 94
Publisher: Cambridge University Press
Print publication year: 2023

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References

Smith, R., Where is the wisdom … ? British Medical Journal 303(6806), 1991, 798–9.CrossRefGoogle ScholarPubMed
Michaud, G., McGowan, J. L., van der Jagt, R. et al., Are therapeutic decisions supported by evidence from health care research? Archives of Internal Medicine 158(15), 1998, 1665–8.CrossRefGoogle ScholarPubMed
Sackett, D. L., Rosenberg, W. M., Gray, J. A. et al., Evidence based medicine: What it is and what it isn’t, British Medical Journal 312, 1996, 71–2.CrossRefGoogle ScholarPubMed
Baron, J., A brief history of evidence-based policy, Annals of the American Academy of Political & Social Science 678(1), 2017, 4050.CrossRefGoogle Scholar
DiCenso, A., Guyatt, G. and Ciliska, D., Evidence-Based Nursing: A Guide to Clinical Practice, St. Louis, MO, Mosby, 2005.Google Scholar
Choudry, N. K., Fletcher, R. H. and Soumerai, S. B., Systematic review: The relationship between clinical experience and quality of health care, Annals of Internal Medicine 142(4), 2005, 260–73.Google Scholar
Ramsey, P. G., Carline, J. D., Inui, T. S. et al., Changes over time in the knowledge base of practicing internists, Journal of the American Medical Association 266(8), 1991, 1103–7.Google ScholarPubMed
Easterbrook, P. J., Berlin, J. A., Gopalan, R. and Matthews, D. R., Publication bias in clinical research, The Lancet 337(8746), 1991, 867–72.CrossRefGoogle ScholarPubMed
Dickersin, K., The existence of publication bias and risk factors for its occurrence, Journal of the American Medical Association 263(10), 1990, 1385–9.Google ScholarPubMed
Scottish Intercollegiate Guidelines Network, SIGN 50: A guideline developer’s handbook, Annex B. Edinburgh, SIGN. Available at: www.sign.ac.uk/assets/sign50_2011.pdfGoogle Scholar
OCEBM Levels of Evidence Working Group, The Oxford Levels of Evidence 2. Oxford Centre for Evidence-Based Medicine. Available at: www.cebm.ox.ac.uk/resources/levels-of-evidence/ocebm-levels-of-evidenceGoogle Scholar
Pope, C. and Mays, N. (eds.), Qualitative Research in Health Care, 3rd ed., Oxford, Blackwell Publishing/BMJ Books, 2006.CrossRefGoogle Scholar
PubMed, PubMed Clinical Queries. Available at: www.ncbi.nlm.nih.gov/pubmed/clinicalGoogle Scholar
Critical Appraisal Skills Programme, CASP checklists. Available at: https://casp-uk.net/casp-tools-checklists/Google Scholar
Sackett, D. L., Strauss, S. E., Richardson, W. S. et al., Evidence-Based Medicine: How to Practise and Teach EBM, 2nd ed., Edinburgh, Churchill Livingstone, 2000.Google Scholar
Antman, E. M., Lau, J., Kupelnick, B. et al., A comparison of results of meta-analyses of randomized control trials and recommendations of clinical experts, Journal of the American Medical Association 268(2), 1992, 240–8.Google ScholarPubMed
University of York, Centre for Reviews and Dissemination, Getting evidence into practice, Effective Health Care Bulletin 5, 1999. Available at: www.york.ac.uk/media/crd/ehc51.pdfGoogle Scholar
Ernst, E., A systematic review of systematic reviews of homeopathy, British Journal of Clinical Pharmacology 54(6), 2000, 577–82.Google Scholar
Medicines and Healthcare products Regulatory Agency (MHRA), Public perception of herbal medicines, Drug Safety Update, March 2009. Available at: www.mhra.gov.uk/Safetyinformation/DrugSafetyUpdate/CON088122Google Scholar
Doran, T., Fullwood, C., Gravelle, H. et al., Pay-for-performance programs in family practices in the United Kingdom, New England Journal of Medicine 355(4), 2006, 375–84.CrossRefGoogle ScholarPubMed
Roski, J., Jeddeloh, R., An, L. et al., The impact of financial incentives and a patient registry on preventive care quality: Increasing provider adherence to evidence-based smoking cessation practice guidelines, Preventative Medicine 36(3), 2003, 291–9.CrossRefGoogle Scholar
Charlton, B. G. and Miles, A., The rise and fall of EBM, Quarterly Journal of Medicine 91(5), 1998, 371–4.CrossRefGoogle ScholarPubMed
Popay, J. and Williams, G., Qualitative research and evidence-based healthcare, Journal of the Royal Society of Medicine 91(Suppl. 35), 1998, 32–7.CrossRefGoogle ScholarPubMed
Pearson, H., How COVID broke the evidence pipeline, Nature, 12 May 2021.CrossRefGoogle Scholar
Editorial. Evidence-based medicine: How Covid can drive positive change, Nature, 12 May 2021.Google Scholar
Greenhalgh, T. and Maskrey, N., Evidence based medicine: A movement in crisis? British Medical Journal 348, 2014, g3725.CrossRefGoogle ScholarPubMed
Djulbegovic, B. and Guyatt, G., Progress in evidence-based medicine: A quarter century on, The Lancet 390, 2017, 415–23.CrossRefGoogle ScholarPubMed
Straus, S. E. and McAlister, F. A., Evidence-based medicine: A commentary on common criticisms, Canadian Medical Association Journal 163(7), 2000, 837–41.Google ScholarPubMed

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