From evidence-based practice to evidence-informed public health: a narrative review

Detalhes bibliográficos
Autor(a) principal: Wachholz, Patrick Alexander
Data de Publicação: 2018
Outros Autores: Lima, Silvana Andre Molina, Villas Boas, Paulo Jose Fortes
Tipo de documento: Artigo
Idioma: por
eng
Título da fonte: Revista Brasileira em Promoção da Saúde
Texto Completo: https://ojs.unifor.br/RBPS/article/view/6753
Resumo: Objective: To review the literature about the description of concepts and the use of scientific evidence in Public Health (PH). Methods: A narrative review was carried out using and combining the keywords “Public Health” OR “Collective Health”; “Evidence-based medicine” and “Evidence-informed policy” to consult the Lilacs, SciELO and MedLine databases. The searches were limited to articles published between January 1990 and December 2016 in Portuguese and/or English. The studies were selected by two independent authors who read the title, abstract and full text. For the synthesis process, the themes found were grouped into three main guiding axes: health evidence and practice, PH evidence, and the advances and challenges of Evidence-Informed Public Health (EIPH). Results: The findings of this review point out that decision making in PH is more complex than individual clinical decisions as it involves assessment of budgetary and political impacts, thus reinforcing the relevance of adopting evidence-informed practice in this field. Conclusion: The means of appropriation and use of evidence in the PH field are complex because they involve assumptions of plausibility and adequacy that are not always observed in individual interventions. Yet, the field benefits from the approach observed in EIPH and, particularly, in health decision making.
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spelling From evidence-based practice to evidence-informed public health: a narrative reviewDe la práctica basada en evidencias para la salud colectiva informada por evidencias: revisión narrativaDa prática baseada em evidências para a saúde coletiva informada por evidências: revisão narrativaPublic HealthEvidence-based MedicineDecision Making.Salud PúblicaMedicina Basada en la EvidenciaToma de Decisiones.Saúde PúblicaMedicina Baseada em EvidênciasTomada de Decisões.Objective: To review the literature about the description of concepts and the use of scientific evidence in Public Health (PH). Methods: A narrative review was carried out using and combining the keywords “Public Health” OR “Collective Health”; “Evidence-based medicine” and “Evidence-informed policy” to consult the Lilacs, SciELO and MedLine databases. The searches were limited to articles published between January 1990 and December 2016 in Portuguese and/or English. The studies were selected by two independent authors who read the title, abstract and full text. For the synthesis process, the themes found were grouped into three main guiding axes: health evidence and practice, PH evidence, and the advances and challenges of Evidence-Informed Public Health (EIPH). Results: The findings of this review point out that decision making in PH is more complex than individual clinical decisions as it involves assessment of budgetary and political impacts, thus reinforcing the relevance of adopting evidence-informed practice in this field. Conclusion: The means of appropriation and use of evidence in the PH field are complex because they involve assumptions of plausibility and adequacy that are not always observed in individual interventions. Yet, the field benefits from the approach observed in EIPH and, particularly, in health decision making.Objetivo: Revisar en la literatura la descripción de los conceptos y el empleo de las evidencias científicas en el ámbito de la Salud Colectiva (SC). Métodos: Se realizó una revisión narrativa utilizando y mesclando las palabras-clave "Salud Pública" OR "Salud Colectiva"; "Medicina basada en la evidencia" AND "Política informada por evidencias" a través de la consulta en las bases de datos LILACS, SciELO y MEDLINE. Las búsquedas se han limitado al período entre enero de 1990 y diciembre de 2016 en los idiomas portugués y/o inglés. La selección de los estudios se dio por dos autores de modo independiente a través de la lectura del título, resumen y texto completo. Para el proceso de síntesis se han unido las temáticas encontradas en tres grandes ejes norteadores: las evidencias y la práctica en salud, las evidencias en SC y los avances y desafíos de la Salud Colectiva Informada por las Evidencias (SCIE). Resultados: Los hallazgos de esta revisión apuntan que las tomas de decisiones de la SC son más complejas que las decisiones clínicas individuales pues implican evaluaciones de impactos políticos y de presupuesto con refuerzo para la importancia de prácticas informadas por las evidencias en este campo. Conclusión: Los medios de apropiación y empleo de las evidencias para el campo de la SC son complejos pues implican presupuestos de plausibilidad y adecuación no observados en intervenciones individuales. Aun así, el campo se beneficia de la aproximación observada en la SCIE y, en particular, de las tomas de decisiones en salud.Objetivo: Revisar na literatura a descrição dos conceitos e o emprego das evidências científicas no âmbito da Saúde Coletiva (SC). Métodos: Realizou-se uma revisão narrativa utilizando e combinando as palavras-chave "Saúde Pública" OR "Saúde Coletiva"; "Medicina baseada em evidências" e "Política informada por evidências" por meio da consulta as bases de dados Lilacs, SciELO e MedLine. As buscas foram limitadas ao período entre janeiro de 1990 a dezembro de 2016, no idioma português e/ou inglês. A seleção dos estudos foi realizada por dois autores, de modo independente, por meio da leitura do título, resumo e texto completo. Para o processo de síntese, as temáticas encontradas foram agrupadas em três grandes eixos norteadores: as evidências e a prática em saúde, as evidências em SC, e os avanços e desafios da Saúde Coletiva Informada pelas Evidências (SCIE). Resultados: Os achados desta revisão apontam que as tomadas de decisão na SC são mais complexas do que as decisões clínicas individuais, pois envolvem avaliações de impactos orçamentários e políticos, reforçando a relevância da adoção de práticas informadas pelas evidências neste campo. Conclusão: Os meios de apropriação e emprego das evidências no campo da SC são complexos, pois envolvem pressupostos de plausibilidade e adequação nem sempre observados em intervenções individuais. Ainda assim, o campo beneficia-se da aproximação observada na SCIE e, em particular, na tomada de decisões em saúde.Universidade de Fortaleza2018-06-21info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersion"Peer-reviewed Article""Avaliado pelos pares""Avaliado pelos pares"application/pdfapplication/pdfhttps://ojs.unifor.br/RBPS/article/view/675310.5020/18061230.2017.6753Brazilian Journal in Health Promotion; Vol. 31 No. 2 (2018)Revista Brasileña en Promoción de la Salud; Vol. 31 Núm. 2 (2018)Revista Brasileira em Promoção da Saúde; v. 31 n. 2 (2018)1806-1230reponame:Revista Brasileira em Promoção da Saúdeinstname:Universidade de Fortaleza (Unifor)instacron:UFORporenghttps://ojs.unifor.br/RBPS/article/view/6753/pdfhttps://ojs.unifor.br/RBPS/article/view/6753/pdf_1Copyright (c) 2018 Revista Brasileira em Promoção da Saúdeinfo:eu-repo/semantics/openAccessWachholz, Patrick AlexanderLima, Silvana Andre MolinaVillas Boas, Paulo Jose Fortes2022-02-16T12:39:23Zoai:ojs.ojs.unifor.br:article/6753Revistahttps://periodicos.unifor.br/RBPS/oai1806-12301806-1222opendoar:2022-02-16T12:39:23Revista Brasileira em Promoção da Saúde - Universidade de Fortaleza (Unifor)false
dc.title.none.fl_str_mv From evidence-based practice to evidence-informed public health: a narrative review
De la práctica basada en evidencias para la salud colectiva informada por evidencias: revisión narrativa
Da prática baseada em evidências para a saúde coletiva informada por evidências: revisão narrativa
title From evidence-based practice to evidence-informed public health: a narrative review
spellingShingle From evidence-based practice to evidence-informed public health: a narrative review
Wachholz, Patrick Alexander
Public Health
Evidence-based Medicine
Decision Making.
Salud Pública
Medicina Basada en la Evidencia
Toma de Decisiones.
Saúde Pública
Medicina Baseada em Evidências
Tomada de Decisões.
title_short From evidence-based practice to evidence-informed public health: a narrative review
title_full From evidence-based practice to evidence-informed public health: a narrative review
title_fullStr From evidence-based practice to evidence-informed public health: a narrative review
title_full_unstemmed From evidence-based practice to evidence-informed public health: a narrative review
title_sort From evidence-based practice to evidence-informed public health: a narrative review
author Wachholz, Patrick Alexander
author_facet Wachholz, Patrick Alexander
Lima, Silvana Andre Molina
Villas Boas, Paulo Jose Fortes
author_role author
author2 Lima, Silvana Andre Molina
Villas Boas, Paulo Jose Fortes
author2_role author
author
dc.contributor.author.fl_str_mv Wachholz, Patrick Alexander
Lima, Silvana Andre Molina
Villas Boas, Paulo Jose Fortes
dc.subject.por.fl_str_mv Public Health
Evidence-based Medicine
Decision Making.
Salud Pública
Medicina Basada en la Evidencia
Toma de Decisiones.
Saúde Pública
Medicina Baseada em Evidências
Tomada de Decisões.
topic Public Health
Evidence-based Medicine
Decision Making.
Salud Pública
Medicina Basada en la Evidencia
Toma de Decisiones.
Saúde Pública
Medicina Baseada em Evidências
Tomada de Decisões.
description Objective: To review the literature about the description of concepts and the use of scientific evidence in Public Health (PH). Methods: A narrative review was carried out using and combining the keywords “Public Health” OR “Collective Health”; “Evidence-based medicine” and “Evidence-informed policy” to consult the Lilacs, SciELO and MedLine databases. The searches were limited to articles published between January 1990 and December 2016 in Portuguese and/or English. The studies were selected by two independent authors who read the title, abstract and full text. For the synthesis process, the themes found were grouped into three main guiding axes: health evidence and practice, PH evidence, and the advances and challenges of Evidence-Informed Public Health (EIPH). Results: The findings of this review point out that decision making in PH is more complex than individual clinical decisions as it involves assessment of budgetary and political impacts, thus reinforcing the relevance of adopting evidence-informed practice in this field. Conclusion: The means of appropriation and use of evidence in the PH field are complex because they involve assumptions of plausibility and adequacy that are not always observed in individual interventions. Yet, the field benefits from the approach observed in EIPH and, particularly, in health decision making.
publishDate 2018
dc.date.none.fl_str_mv 2018-06-21
dc.type.driver.fl_str_mv info:eu-repo/semantics/article
info:eu-repo/semantics/publishedVersion
"Peer-reviewed Article"
"Avaliado pelos pares"
"Avaliado pelos pares"
format article
status_str publishedVersion
dc.identifier.uri.fl_str_mv https://ojs.unifor.br/RBPS/article/view/6753
10.5020/18061230.2017.6753
url https://ojs.unifor.br/RBPS/article/view/6753
identifier_str_mv 10.5020/18061230.2017.6753
dc.language.iso.fl_str_mv por
eng
language por
eng
dc.relation.none.fl_str_mv https://ojs.unifor.br/RBPS/article/view/6753/pdf
https://ojs.unifor.br/RBPS/article/view/6753/pdf_1
dc.rights.driver.fl_str_mv Copyright (c) 2018 Revista Brasileira em Promoção da Saúde
info:eu-repo/semantics/openAccess
rights_invalid_str_mv Copyright (c) 2018 Revista Brasileira em Promoção da Saúde
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv application/pdf
application/pdf
dc.publisher.none.fl_str_mv Universidade de Fortaleza
publisher.none.fl_str_mv Universidade de Fortaleza
dc.source.none.fl_str_mv Brazilian Journal in Health Promotion; Vol. 31 No. 2 (2018)
Revista Brasileña en Promoción de la Salud; Vol. 31 Núm. 2 (2018)
Revista Brasileira em Promoção da Saúde; v. 31 n. 2 (2018)
1806-1230
reponame:Revista Brasileira em Promoção da Saúde
instname:Universidade de Fortaleza (Unifor)
instacron:UFOR
instname_str Universidade de Fortaleza (Unifor)
instacron_str UFOR
institution UFOR
reponame_str Revista Brasileira em Promoção da Saúde
collection Revista Brasileira em Promoção da Saúde
repository.name.fl_str_mv Revista Brasileira em Promoção da Saúde - Universidade de Fortaleza (Unifor)
repository.mail.fl_str_mv
_version_ 1808844183666950144

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