TY - GEN T1 - Evidence-based decisionmaking for community health programs A1 - Jackson, Catherine A., 1952- A2 - Derose, Kathryn Pitkin, 1963- A2 - Kington, Raynard LA - English PP - Santa Monica, CA PB - Rand YR - 1998 UL - https://ebooks.jgu.edu.in/Record/ebsco_acadsubs_ocm47009636 AB - With the increase in information derived from clinical research and technology, many in clinical medicine have adopted an evidence-based approach to inform treatment decisionmaking. Such a process forces the physician to obtain relevant scientific information (evidence) from a variety of sources including the patient, and to evaluate continually decisions made against patient health outcomes. Among the various proposed community-based health programs, how do foundations or health care systems decide which programs to fund? Can the evidence-based decisionmaking paradigm adopted by the clinical community support decisionmaking concerning community-based health programs? A literature review was conducted to ascertain what types of evidence concerning community-based health program effectiveness and costs were available. Focus groups and telephone interviews were conducted with persons involved in community-based health program funding decisions to learn how decisions were made and what types of information were used to support those decisions. While there was general support for using more evidence regarding program effectiveness and costs in making funding decisions about community-based programs, there was consensus that little evidence was readily available. There was also a widely held belief that funding decisions could (and should) also take into consideration issues beyond that which can be expressed as evidence. The report concludes with some suggestions regarding how health care systems and private funders can move toward an evidence-based approach to community-based program decisionmaking. OP - 85 NO - "Prepared for the Main Line Health System." CN - RA425 .J32 1998eb SN - 0585346135 SN - 9780585346137 SN - 0833025732 SN - 9780833025739 KW - Community health services : United States : Decision making. KW - Evidence-based medicine : United States. KW - Evidence-based medicine. KW - Community Health Services KW - Evidence-Based Medicine KW - United States KW - Médecine factuelle : États-Unis. KW - Médecine factuelle. KW - HEALTH & FITNESS : Health Care Issues. KW - MEDICAL : Public Health. KW - MEDICAL : Health Policy. KW - HEALTH & FITNESS : Diseases : General. KW - MEDICAL : Diseases. KW - MEDICAL : Health Care Delivery. KW - Community health services : Decision making KW - Evidence-based medicine KW - Public Health - General. KW - Public Health. KW - Health & Biological Sciences. ER -