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What works in tackling health inequalities?Pathways, policies and practice through the lifecourse$
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Sheena Asthana

Print publication date: 2006

Print ISBN-13: 9781861346742

Published to Policy Press Scholarship Online: March 2012

DOI: 10.1332/policypress/9781861346742.001.0001

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Towards a new framework for evidence-based public health

Towards a new framework for evidence-based public health

(p.564) (p.565) Fourteen Towards a new framework for evidence-based public health
What works in tackling health inequalities?

Sheena Asthana

Joyce Halliday

Policy Press

This chapter explores the growing critique of the narrow, hierarchical approach to evidence in public health which continues to be dominated by the systematic review. It discusses the limitations of this approach, including the questionable relevance of results yielded in controlled, scientific and well-resourced conditions to routine service delivery and the lack of evidence that has been forthcoming about the cost-effectiveness of public health and preventative policies. It suggests that international comparison of policies and interventions adopted by different public health regimes can provide a useful analytical framework and recommends that search strategies for information on public health interventions should be opened up to include qualitative as well as quantitative material.

Keywords:   public health, systematic review, preventive policies, analytical framework, hierarchical approach

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