Introduction
Evidence-based practice replaces the ambiguities and unfounded assumptions of practices based on anecdotal evidence or intuition. Moreover, evidence-based practices can mitigate the problems associated with cognitive biases. Especially important in the public health sector, evidence-based practices best inform public policy and institutional procedures. However, it is important to operationalize evidence-based practice so that its implementation is standardized across multiple departments and teams. The greatest challenges to evidence-based practices include the time and resources required to compile and then communicate evidence, and resistance to change.
What is Evidence-Based Public Health Practice?
Evidence-based public health practice has been referred to as a “paradigm” that is adopted by “an energetic intellectual community committed to making clinical practice more scientific and empirically grounded and thereby achieving safer, more consistent, and more cost effective care,” (Greenhalgh & Howick, 2014, p. 3725). Within the public health practice setting, evidence-based practice differs from evidence-based practice in other settings because of the fusion of public policy and economic considerations with epidemiology and health science outcomes. Ultimately, the goal of evidence-based public health practice should be to reduce overall disease burdens, identifying evidence-based interventions based on studies on similar population cohorts, and identifying misplaced global, national, or local resources to improve cost-effectiveness of public health programs (Prince, Wu, Guo, et al., 2015).
To make evidence-based decisions, public health practitioners need to retain a comprehensive overview of prevalence data, risk factors and risk management, and variables that mitigate risk, in order to make suggestions for strategic allocation of resources. Whether in the private or public sector, evidence-based public health practices refer to the application...
References
Greenhalgh, T. & Howick, J. (2014). Evidence-based medicine: a movement in crisis? BMJ 348(2014): 3725.
Lewis, S. (2015). Qualitative inquiry and research design. Health Promotion Practice 16(4): 473-475.
Prince, M.J., Wu, F., Guo, Y., et al. (2015). The burden of disease in older people and implications for health policy and practice. The Lancet 385(9967): 549-562.
Vaidya, N., Thota, A.B., Proia, K.K., et al. (2017). Practice-based evidence in community guide systematic reviews. American Journal of Public Health 107(3): 413-420.
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. Even when the child in a home where DV occurs is not physically harmed, most of the time, these children know about the violence. As a result, they may experience emotional and behavior problems (The Domestic Violence…, N.d.). A victim of DV needs to be reminded: She is not alone. She is not at fault. Help is available. In The physician's guide to domestic violence, P.R. Salber and E. Taliaferro (N.d.). about stress
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