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International Journal of Public Health

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01-06-2012 | Original Article

Use of evidence in local public health work in Denmark

Authors: Maja Larsen, Gabriel Gulis, Kjeld Møller Pedersen

Published in: International Journal of Public Health | Issue 3/2012

Abstract

Objective

The aim was to investigate how and on which level evidence is used in policy processes related to local public health work in Denmark.

Method

A survey was carried out in municipalities in Denmark (n = 98, response rate 81%) with health managers as respondents.

Results

A large variation in understanding of the concept of evidence was found. Less than half of the health managers expressed that evidence is used at a high level. The health managers’ emphasis on use of evidence, political desire for use of evidence and evidence capacity were associated with the actual use. The health managers’ educational background and size of municipalities had no association to this. A request for more use of evidence was found. Barriers for this were conditions connected to time and competences. Increased collaboration between municipalities, collaboration with research units, and guidelines for evidence use were suggested as facilitators.

Conclusion

There is a need for development and dissemination of methods for working with evidence-based public health in Danish municipalities.

Andersen PT, Jensen JJ (2009) Healthcare reform in Denmark. Scand J Public Health 38(3):246–252PubMedCrossRef

Aro AR, Smith J, Dekker J (2008) Contextual evidence in clinical medicine and health promotion. Eur J Public Health 18(6):548–549PubMedCrossRef

Banta HD, European Advisory Committee on Health Research, World Health Organization Regional Office for Europe (2003) Considerations in defining evidence for public health: the European Advisory Committee on Health Research, World Health Organization Regional Office for Europe. Int J Technol Assess health Care 19(3):559–572PubMedCrossRef

Bernard C, Pang T, Lin V, Puska P, Sherman G, Goddard M, Ackland MJ, Sainsbury P, Stachenko S, Morrison H, Clottey C et al (2005) Can scientists and policy-makers work together? J Epidemiol Community Health 59:632–637CrossRef

Black N (2001) Evidence-based policy: proceed with care. BMJ 323(7307):275–279PubMedCrossRef

Brownson RC, Gurney JG, Land G (1999) Evidence-based decision making in public health. J Public Health Manag Pract 5:86–97PubMed

Brownson RC, Baker EA, Leet TL, Gillespie KN (2003) Evidence-based public health. Oxford University Press, New York

Brownson RC, Fielding JE, Maylahn CM (2009) Evidence-based public health: a fundamental concept for public health practice. Annu Rev Public Health 30:175–201PubMedCrossRef

Glasziou P, Longbottom H (1999) Evidence-based public health practice. Aust NZ J Publ Health 23:436–440CrossRef

Hanney SR, Gonzales-Block MA, Buxton MJ, Kogan M (2003) The utilisation of health research in policy-making: concepts, examples and methods of assessment. Health Res Policy Syst 1(1):2PubMedCrossRef

Jenicek M (1997) Epidemiology, evidence-based medicine, and evidence-based public health. J Epidemiol 7(4):187–197PubMedCrossRef

Kohatsu BD, Robinson JG, Torner JC (2004) Evidence-based public health—an evolving concept. Am J Prev Med 27(5):417–421PubMed

Landry R, Amara N, Lamari M (2001) Climbing the ladder of research utilization. Sci Commun 22(4):396–422CrossRef

Nonaka I, Takeuchi H (2005) The knowledge creating company. Oxford University Press, New York

Nutbeam D (1996) Achieving ‘best practice’ in health promotion; improving the fit between research and practice. Health Educ Res 11(3):317–326PubMedCrossRef

Nutley SM, Walter I, Davis TO (2007) Using evidence, how research can inform public services. The Policy Press, Bristol

Oh C (1996) Linking social science information to policy-making. JAI Press, Greenwich

Orme J, Powell J, Taylor P, Harrison T, Grey M (2003) Public health for the 21st century—new perspectives on policy, participation and practice. Open University Press, England

Pedersen KM (2006) Strukturreformen: hvorfor, indhold og mulige konsekvenser. Månedsskrift for Praktisk Lægegerning 84(11):1219–1233 (The structural reform: why, content and possible consequences)

Rogers E (2003) Diffusion of innovations. Free Press, New York

Rychetnik L, Hawo P, Waters E, Barrat A, Frommer M (2004) A glossary for evidence-based public health. J Epidemiol Community Health 58(7):538–545PubMedCrossRef

Skovgaard T, Nielsen MBD, Aro AR (2008) Evidence in health promotion and disease prevention. Danish National Board of Health

Victora CG, Habicht JP, Bryce J (2004) Evidence-based public health: moving beyond randomized trials. Am J Public Health 94(3):400–405PubMedCrossRef

Weightmann A, Ellis S, Cullum A, Sander L, Turley R (2005) Grading evidence and recommendations for public health interventions: developing and piloting a framework. The National Institute of Clinical Excellence (NICE), Health Development Agency, London

Weiss CH (1979) The many meanings of research utilisation. Public Adm Rev 39(5):426–436CrossRef

World Health Organization (1948) Preamble to the constitution of the World Health Organization as adopted by the International Health Conference, New York, 19–22 June 1946, and entered into force on 7 April 1948

Title: Use of evidence in local public health work in Denmark
Authors: Maja Larsen
Gabriel Gulis
Kjeld Møller Pedersen
Publication date: 01-06-2012
Publisher: SP Birkhäuser Verlag Basel
Published in: International Journal of Public Health / Issue 3/2012
Print ISSN: 1661-8556
Electronic ISSN: 1661-8564
DOI: https://doi.org/10.1007/s00038-011-0324-y

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Use of evidence in local public health work in Denmark

Abstract

Objective

Method

Results

Conclusion

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

Objective

Method

Results

Conclusion

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