From evidence-based practice to evidence-informed public health: a narrative review ; De la práctica basada en evidencias para la salud colectiva informada por evidencias: revisión narrativa ; Da prática baseada em evidências para a saúde coletiva informada por evidências: revisão narrativa
Objective: To review the literature about the description of concepts and the use of scientific evidence in Public Health (PH). Methods: A narrative review was carried out using and combining the keywords "Public Health" OR "Collective Health"; "Evidence-based medicine" and "Evidence-informed policy" to consult the Lilacs, SciELO and MedLine databases. The searches were limited to articles published between January 1990 and December 2016 in Portuguese and/or English. The studies were selected by two independent authors who read the title, abstract and full text. For the synthesis process, the themes found were grouped into three main guiding axes: health evidence and practice, PH evidence, and the advances and challenges of Evidence-Informed Public Health (EIPH). Results: The findings of this review point out that decision making in PH is more complex than individual clinical decisions as it involves assessment of budgetary and political impacts, thus reinforcing the relevance of adopting evidence-informed practice in this field. Conclusion: The means of appropriation and use of evidence in the PH field are complex because they involve assumptions of plausibility and adequacy that are not always observed in individual interventions. Yet, the field benefits from the approach observed in EIPH and, particularly, in health decision making. ; Objetivo: Revisar en la literatura la descripción de los conceptos y el empleo de las evidencias científicas en el ámbito de la Salud Colectiva (SC). Métodos: Se realizó una revisión narrativa utilizando y mesclando las palabras-clave "Salud Pública" OR "Salud Colectiva"; "Medicina basada en la evidencia" AND "Política informada por evidencias" a través de la consulta en las bases de datos LILACS, SciELO y MEDLINE. Las búsquedas se han limitado al período entre enero de 1990 y diciembre de 2016 en los idiomas portugués y/o inglés. La selección de los estudios se dio por dos autores de modo independiente a través de la lectura del título, resumen y texto completo. Para el proceso ...