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Autor
Włodarczyk Włodzimierz C. (Uniwersytet Jagielloński Collegium Medicum)
Tytuł
Polityka zdrowia publicznego opartego na dowodach i pandemia COVID-19
Evidence Based Public Health Policy and the COVID-19 Pandemic
Źródło
Zdrowie Publiczne i Zarządzanie, 2021, t. 19, nr 3-4, s. 139-152, tab., bibliogr. 69 poz.
Słowa kluczowe
COVID-19, Polityka zdrowotna, Zdrowie publiczne
COVID-19, Health care policy, Public health
Uwagi
summ.
Abstrakt
W wielowiekowej tradycji działań podejmowanych przez zdrowie publiczne ich wczesne, w antyku jeszcze stosowane rozstrzygnięcia były uzasadniane opartą na uporczywej obserwacji intuicją. Z czasem obserwacje stawały się coraz bardziej systematyczne i podporządkowywane coraz bardziej rygorystycznym wymogom, formułowanym przez różne dyscypliny naukowe. W końcu XX w. sformułowany został program wykorzystywania w zdrowiu publicznym potwierdzonych naukowo dowodów - opartego na dowodach zdrowia publicznego (evidence based public health - EBPH). Posługiwanie się dowodami miało dawać gwarancję podejmowania interwencji skutecznych i efektywnych, co dawało szansę ochrony ludzi przed zdrowotnym nieszczęściem. Kiedy pojawiło się światowe zagrożenie pandemią Covid 19, wydawało się, że jest to znakomita okazja, by EBPH potwierdziło swoją wartość. Społeczeństwa, a także rządy, mogły mieć nadzieję, że naukowo wyekwipowane zdrowie publiczne będzie w stanie dobrze radzić sobie z zagrożeniem. Rzeczywisty przebieg zdarzeń ujawnił jednak, że nadzieje te nie były w pełni uzasadnione. (fragment tekstu)

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. (original abstract)
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ISSN
1731-7398
Język
pol
URI / DOI
https://doi.org/10.4467/20842627OZ.21.018.15772
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