Evidence map›Paper›PMID 28184452›Full record

ArticleJournal of public health (Oxford, England)2017

Evidence-based medicine meets democracy: the role of evidence-based public health guidelines in local government.

M P Kelly, L Atkins, C Littleford, G Leng, S Michie

Open access · hybridAbstract read
In one paragraph

Article in Journal of public health (Oxford, England), 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed, 1 pooled it
5.4field-weighted citation impact, top 5% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

9 citing papers in PubMed, 1 synthesis or guideline pooled it, 24 citations in OpenAlex.

  1. Pooled it
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors at 3 institutions in 1 country.

M P KellyPrimary Care Unit, Institute of Public Health, University of Cambridge, Cambridge, CB2 0SR, UK.
L AtkinsCentre for Behaviour Change, University College London, 1-19 Torrington Place, London WC1E 7HB, UK.
C LittlefordCentre for Behaviour Change, University College London, 1-19 Torrington Place, London WC1E 7HB, UK.
G LengNational Institute for Health and Care Excellence, 10 Spring Gardens, London SW1A 2BU, UK.
S MichieCentre for Behaviour Change, University College London, 1-19 Torrington Place, London WC1E 7HB, UK.
University College London · GBNational Institute for Health and Care Excellence · GBUniversity of Cambridge · GB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: In 2013, many public health functions transferred from the National Health Service to local government in England. From 2006 NICE had produced public health guidelines based on the principles of evidence-based medicine. This study explores how the guidelines were received in the new environment in local government and related issues raised relating to the use of evidence in local authoritites. Methods: In depth, interviews with 31 elected members and officers, including Directors of Public Health, from four very different local government organizations ('local authorities'). Results: Participants reported that (i) there were tensions between evidence-based, and political decision-making; (ii) there were differences in views about what constituted 'good' evidence and (iii) that organizational life is an important mediator in the way evidence is used. Conclusions: Democratic political decision-making does not necessarily naturally align with decision-making based on evidence from the international scientific literature, and local knowledge and local evidence are very important in the ways that public health decisions are made.

Indexed as

Decision MakingEvidence-Based MedicineInterprofessional RelationsLocal GovernmentPoliticsPublic Health AdministrationDemocracyEnglandGuidelines as TopicHumansInterviews as TopicPublic HealthState Medicinecommunitiesmethodsorganizations

Identifiers

PMID28184452
PMCPMC5896614
OpenAlexW2586417035

What Socratic holds

Textmetadata
LicenceCC BY-NC
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.