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Specifics of evidence-based practice guidelines for public health domain and proposal of an algorithm for their development and evaluation


Authors: M. Špačková 1,2;  Kateřina Ivanová 1;  R. Líčeník 3
Authors‘ workplace: Ústav veřejného zdravotnictví Lékařské Fakulty Univerzity Palackého, Olomouc, Vedoucí: prof. MUDr. Dagmar Horáková, Ph. D. 1;  Státní zdravotní ústav Praha, Centrum epidemiologie a mikrobiologie, Oddělení epidemiologie infekčních nemocí, Vedoucí: MUDr. Jan Kynčl, Ph. D. 2
Published in: Prakt. Lék. 2021; 101(6): 291-300
Category: Reviews

Overview

Evidence-based public health integrates the best available evidence with the knowledge and judgment of experts and other stakeholders to improve health and protect the population from infectious and environmental risks. Good public health best practices should always identify and take into account the quality of the evidence-making process (such as the design and quality of the study performed), the transparency of the methods and processes used to obtain evidence, and whether the strength of supporting evidence has been assessed. The basic tools for obtaining evidence for public health include systematic review (SR), risk assessment, economic analysis (cost-effectiveness studies), surveillance and expert panels or consensus conferences. SRs represent the most important and most valuable types of studies. They summarize all the research published so far, assess its quality and determine the strength of the recommendations, thus providing decision-making powers to public health professionals and policy makers. This article aims to describe the basic focus of practice guidelines in public health and presents a brief proposal of an algorithm for the development, adaptation, implementation and evaluation of evidence-based guidelines in the field of public health.

Keywords:

public health – health policy – practice guidelines – evidence-based public health


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