Evidence-based medicine meets democracy: the role of evidence-based public health guidelines in local government.
J Public Health (Oxf)
; 39(4): 678-684, 2017 12 01.
Article
de En
| MEDLINE
| ID: mdl-28184452
ABSTRACT
Background:
In 2013, many public health functions transferred from the National Health Service to local government in England. From 2006 NICE had produced public health guidelines based on the principles of evidence-based medicine. This study explores how the guidelines were received in the new environment in local government and related issues raised relating to the use of evidence in local authoritites.Methods:
In depth, interviews with 31 elected members and officers, including Directors of Public Health, from four very different local government organizations ('local authorities').Results:
Participants reported that (i) there were tensions between evidence-based, and political decision-making; (ii) there were differences in views about what constituted 'good' evidence and (iii) that organizational life is an important mediator in the way evidence is used.Conclusions:
Democratic political decision-making does not necessarily naturally align with decision-making based on evidence from the international scientific literature, and local knowledge and local evidence are very important in the ways that public health decisions are made.Mots clés
Texte intégral:
1
Collection:
01-internacional
Base de données:
MEDLINE
Sujet principal:
Politique
/
Administration de la santé publique
/
Médecine factuelle
/
Prise de décision
/
Relations interprofessionnelles
/
Administration locale
Type d'étude:
Guideline
/
Prognostic_studies
/
Qualitative_research
Limites:
Humans
Pays/Région comme sujet:
Europa
Langue:
En
Journal:
J Public Health (Oxf)
Année:
2017
Type de document:
Article
Pays d'affiliation:
Royaume-Uni