W. Włodarczyk
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引用次数: 0

摘要

公共卫生部门一直寻求在促进健康的活动中利用科学发现。在二十世纪末,制定了一项在公共卫生中使用科学验证证据的计划-基于证据的公共卫生(EBPH)。严格应用证据应该保证有效和高效的干预措施。当Covid - 19大流行的全球威胁出现时,EBPH似乎是重申其价值的绝佳机会。社会和政府本可以希望科学装备的公共卫生能够很好地应对这一威胁。然而,现实带来了失望。事实证明,公共卫生没有足够的确凿证据来支持政策制定者。在许多情况下,政治家和医生都不得不在没有书面证据的情况下做出迅速和不可避免的直觉决定。大流行迫使人们必须更快地寻找证据,但它也提出了一个问题,即验证证据的程序是否必须像过去建议的那样严格。在新出现的需求的压力下,已编写了一些基于证据的建议,并提供给决策者使用。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Polityka zdrowia publicznego opartego na dowodach i pandemia COVID-19
Evidence based public health policy and the COVID-19 pandemic Public health has always sought to use scientific findings in health-enhancing activities. At the end of the twentieth century, a program to use scientifically validated evidence in public health – evidence based public health (EBPH) – was formulated. Rigorous application of evidence was supposed to guarantee effective and efficient interventions. When the global threats of Covid 19 pandemic appeared, it seemed to be a great opportunity for EBPH to reaffirm its value. Societies, as well as governments, could have hoped that scientifically equipped public health would be able to cope well with the threat. However, reality has brought disappointment. It turned out that public health does not have enough confirmed evidence to support policymakers. In many situations, both politicians and medical doctors had to make quick and inevitably intuitive decisions, without documented evidence. The pandemic has forced the need to search for evidence more quickly, but it has raised the question of whether the procedure for validating evidence must be as rigorous as it had been recommended in the past. Under pressure emerging needs, a number of evidence-based recommendations have been prepared and offered to decisionmakers to be used.
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