Prevention Research Center in St. Louis, Brown School; Department of Surgery and Alvin J. Siteman Cancer Center, Washington University School of Medicine, Washington University in St. Louis, St. Louis, Missouri 63130, USA; email:
Fielding School of Public Health and Geffen School of Medicine, University of California, Los Angeles, California 90095, USA; email:
Annu Rev Public Health. 2018 Apr 1;39:27-53. doi: 10.1146/annurev-publhealth-040617-014746. Epub 2017 Nov 20.
Timely implementation of principles of evidence-based public health (EBPH) is critical for bridging the gap between discovery of new knowledge and its application. Public health organizations need sufficient capacity (the availability of resources, structures, and workforce to plan, deliver, and evaluate the preventive dose of an evidence-based intervention) to move science to practice. We review principles of EBPH, the importance of capacity building to advance evidence-based approaches, promising approaches for capacity building, and future areas for research and practice. Although there is general agreement among practitioners and scientists on the importance of EBPH, there is less clarity on the definition of evidence, how to find it, and how, when, and where to use it. Capacity for EBPH is needed among both individuals and organizations. Capacity can be strengthened via training, use of tools, technical assistance, assessment and feedback, peer networking, and incentives. Modest investments in EBPH capacity building will foster more effective public health practice.
及时实施循证公共卫生(EBPH)原则对于缩小新知识发现与应用之间的差距至关重要。公共卫生组织需要有足够的能力(规划、提供和评估循证干预措施的预防剂量所需的资源、结构和劳动力的可用性)将科学转化为实践。我们回顾了 EBPH 的原则、能力建设对于推进循证方法的重要性、有前途的能力建设方法,以及未来的研究和实践领域。尽管从业者和科学家普遍同意 EBPH 的重要性,但对于证据的定义、如何找到证据以及何时、何地使用证据,认识并不明确。个人和组织都需要具备 EBPH 的能力。能力可以通过培训、使用工具、技术援助、评估和反馈、同行网络和激励措施来增强。对 EBPH 能力建设进行适度投资将促进更有效的公共卫生实践。