Dhesi Surindar, Stewart Jill
University of Manchester, UK.
University of Birmingham, UK.
Sage Open. 2015 Oct 26;5(4):2158244015611711. doi: 10.1177/2158244015611711. eCollection 2015 Oct.
There has been renewed recognition that proactive strategies and interventions can address the social determinants of health, and the environmental health profession is well placed to effect positive change in many of these determinants. This qualitative research has revealed differences in the perceptions, experiences, and understandings of evidence-based practice among public health professionals from different backgrounds across different services in health care and local government in England. The absence of a strong tradition of evidence-based practice in environmental health appears to be a disadvantage in securing funding and playing a full role, as it has become the expectation in the new public health system. This has, at times, resulted in tensions between professionals with different backgrounds and frustration on the part of environmental health practitioners, who have a tradition of responding quickly to new challenges and "getting on with the job." There is generally a willingness to develop evidence-based practice in environmental health; however, this will take time and investment.
人们重新认识到，积极主动的策略和干预措施能够解决健康的社会决定因素，而环境卫生专业在影响其中许多决定因素方面具有良好的条件来实现积极变革。这项定性研究揭示了英格兰医疗保健和地方政府不同服务部门中不同背景的公共卫生专业人员在循证实践的认知、经验和理解方面存在差异。环境卫生领域缺乏强大的循证实践传统，这在获取资金和充分发挥作用方面似乎是一个劣势，因为这已成为新公共卫生系统的期望。这有时导致了不同背景专业人员之间的紧张关系，以及环境卫生从业者的沮丧情绪，他们有着迅速应对新挑战并“着手工作”的传统。环境卫生领域总体上愿意发展循证实践；然而，这需要时间和投入。
