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Evidence based public health: A review of the experience of the National Institute of Health and Clinical Excellence (NICE) of developing public health guidance in England

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  • Kelly, Michael
  • Morgan, Antony
  • Ellis, Simon
  • Younger, Tricia
  • Huntley, Jane
  • Swann, Catherine

Abstract

This paper describes the application of the principles of evidence based medicine to public health. It recounts the experience of the National Institute for Health and Clinical Excellence in England (NICE) which acquired a remit to develop public health guidance in 2005. Some of the history of the origins of the evidence based approach is described in the writings of Cochrane and others, and the way that this came to be a critical part of the NICE approach to developing clinical cost effectiveness is outlined. The challenge of applying these methods to an evidence base which is social and psychological as well as biomedical is considered. Key problems are identified: the breadth of the evidence base, different analytic levels of explanation, and the length of the causal chain between interventions and outcomes in public health.

Suggested Citation

  • Kelly, Michael & Morgan, Antony & Ellis, Simon & Younger, Tricia & Huntley, Jane & Swann, Catherine, 2010. "Evidence based public health: A review of the experience of the National Institute of Health and Clinical Excellence (NICE) of developing public health guidance in England," Social Science & Medicine, Elsevier, vol. 71(6), pages 1056-1062, September.
    • Handle: RePEc:eee:socmed:v:71:y:2010:i:6:p:1056-1062
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    3. Kris Hoang & Steven E. Salterio & Jim Sylph, 2018. "Barriers to Transferring Auditing Research to Standard Setters," Accounting Perspectives, John Wiley & Sons, vol. 17(3), pages 427-452, September.
    4. Salterio, Steven E. & Hoang, Kris & Luo, Yi, 2021. "Communication is a two-way street: Analyzing practices undertaken to systematically transfer audit research knowledge to policymakers," Accounting, Organizations and Society, Elsevier, vol. 94(C).
    5. Cyr, Pascale Renée & Jain, Vageesh & Chalkidou, Kalipso & Ottersen, Trygve & Gopinathan, Unni, 2021. "Evaluations of public health interventions produced by health technology assessment agencies: A mapping review and analysis by type and evidence content," Health Policy, Elsevier, vol. 125(8), pages 1054-1064.
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    7. Flitcroft, Kathy & Gillespie, James & Salkeld, Glenn & Carter, Stacy & Trevena, Lyndal, 2011. "Getting evidence into policy: The need for deliberative strategies?," Social Science & Medicine, Elsevier, vol. 72(7), pages 1039-1046, April.
    8. Radu-Mihai Dumitrescu, 2019. "The approach of medical malpractice phenomenon within theoretical framework of medical sociology," Journal of Community Positive Practices, Catalactica NGO, issue 4, pages 46-79.
    9. Dana Rad & Gavril Rad, 2021. "Theory of Change and agile community digital psychological interventions," Technium Social Sciences Journal, Technium Science, vol. 20(1), pages 632-642, June.
    10. Taipale, Jaakko & Hautamäki, Lotta, 2021. "Clinical practice guidelines in courts’ representation of medical evidence and testimony," Social Science & Medicine, Elsevier, vol. 275(C).
    11. van Bon-Martens, Marja J.H. & van de Goor, Ien A.M. & van Oers, Hans A.M., 2017. "Concept mapping as a method to enhance evidence-based public health," Evaluation and Program Planning, Elsevier, vol. 60(C), pages 213-228.

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