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  • 4 - Evidence-Based Health-Care

  • from Part 1 - The Public Health Toolkit
  • Edited by Kirsteen Watson, University of Cambridge, Jan Yates, NHS England and NHS Improvement, Stephen Gillam, University of Cambridge
  • Book:
    Essential Public Health
    Published online:
    01 December 2023
    Print publication:
    14 December 2023, pp 82-94

  • Summary

    How much of what health and other professionals do is based soundly in science? Answers to the question, ‘Is our practice evidence based?’ depend on what we mean by practice and evidence.

    The expansion of evidence-based medicne (EBM) has been a major influence on medical practice over the past 25 years. In this chapter, we examine the nature of what is nowadays more broadly referred to as evidence-based health-care (EBHC) and discuss its limitations. It is worth noting that in the UK this field continues to expand, particularly into the arena of social care, which often goes hand in hand with the provision of health-care. Increasingly, the term ‘evidence-based practice’ (EBP) is used as a catch-all. While this chapter focuses on health-care, the principles of EBP we describe apply equally to other disciplines, including public health and policy.