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Evidence-based public health: not only whether it works, but how it can be made to work practicably at scale
Because public health must operate at scale in widely diverse, complex situations, randomized controlled trials (RCTs) have limited utility for public health. Other methodologies are needed. A key conceptual backbone is a detailed “theory of change” to apply appropriate evidence for each operational...
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Formato: | Online Artículo Texto |
Lenguaje: | English |
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Global Health: Science and Practice
2014
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Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4168632/ https://www.ncbi.nlm.nih.gov/pubmed/25276583 http://dx.doi.org/10.9745/GHSP-D-14-00066 |
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author | Shelton, James D |
author_facet | Shelton, James D |
author_sort | Shelton, James D |
collection | PubMed |
description | Because public health must operate at scale in widely diverse, complex situations, randomized controlled trials (RCTs) have limited utility for public health. Other methodologies are needed. A key conceptual backbone is a detailed “theory of change” to apply appropriate evidence for each operational component. Synthesizing patterns of findings across multiple methodologies provides key insights. Programs operating successfully across a variety of settings can provide some of the best evidence. Challenges include judging the quality of such evidence and assisting programs to apply it. WHO and others should shift emphasis from RCTs to more relevant evidence when assessing public health issues. |
format | Online Article Text |
id | pubmed-4168632 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2014 |
publisher | Global Health: Science and Practice |
record_format | MEDLINE/PubMed |
spelling | pubmed-41686322014-09-30 Evidence-based public health: not only whether it works, but how it can be made to work practicably at scale Shelton, James D Glob Health Sci Pract Editorials Because public health must operate at scale in widely diverse, complex situations, randomized controlled trials (RCTs) have limited utility for public health. Other methodologies are needed. A key conceptual backbone is a detailed “theory of change” to apply appropriate evidence for each operational component. Synthesizing patterns of findings across multiple methodologies provides key insights. Programs operating successfully across a variety of settings can provide some of the best evidence. Challenges include judging the quality of such evidence and assisting programs to apply it. WHO and others should shift emphasis from RCTs to more relevant evidence when assessing public health issues. Global Health: Science and Practice 2014-08-31 /pmc/articles/PMC4168632/ /pubmed/25276583 http://dx.doi.org/10.9745/GHSP-D-14-00066 Text en © Shelton. http://creativecommons.org/licenses/by/3.0 This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are properly cited. To view a copy of this license, visit http://creativecommons.org/licenses/by/3.0/ |
spellingShingle | Editorials Shelton, James D Evidence-based public health: not only whether it works, but how it can be made to work practicably at scale |
title | Evidence-based public health: not only whether it works, but how it can be made to work practicably at scale |
title_full | Evidence-based public health: not only whether it works, but how it can be made to work practicably at scale |
title_fullStr | Evidence-based public health: not only whether it works, but how it can be made to work practicably at scale |
title_full_unstemmed | Evidence-based public health: not only whether it works, but how it can be made to work practicably at scale |
title_short | Evidence-based public health: not only whether it works, but how it can be made to work practicably at scale |
title_sort | evidence-based public health: not only whether it works, but how it can be made to work practicably at scale |
topic | Editorials |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4168632/ https://www.ncbi.nlm.nih.gov/pubmed/25276583 http://dx.doi.org/10.9745/GHSP-D-14-00066 |
work_keys_str_mv | AT sheltonjamesd evidencebasedpublichealthnotonlywhetheritworksbuthowitcanbemadetoworkpracticablyatscale |