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Beyond evidence--to ethics

A decision-making framework for health promotion, public health and health improvement

Bibliographic Data

ID22944973
AuthorsAndrew Tannahill (Public Health Scotland, corresponding author)
Year2008
Volume23
Issue4
Pages380-390
Publication date2008-08-28
Peer ReviewedYes
Open AccessYes
TypeARTICLE
VenueHealth Promotion International (JOURNAL)
Journal identifiersISSN: 0957-4824 • E-ISSN: 1460-2245
PublisherOxford University Press (OUP) (PUBLISHER)
DOI10.1093/heapro/dan032
PMID18971394
OpenAlexW2155993373
LanguageEN
Citations received18
References cited14

Echoing the rise of 'evidence-based medicine', the concept of evidence-based policy and practice in the inter-related fields of health promotion, public health and health improvement has attracted increasing attention over the past two decades. More recently, again with roots traceable to biomedical thinking, there has been growing interest in ethics in relation to these fields. This paper links these two topical themes in a practical way. It explores the extent to which policies and activities 'on the ground' can and should be based on evidence, and considers the relative places of evidence and ethics in decision-making. It goes on to present the 'decision-making triangle', a framework that gives primacy to a set of ethical principles--with available evidence and plausible theory being used to inform the application of these. After introducing the concept of 'ethical logic modelling', the paper concludes by suggesting an 'ethical imperative' for health promotion, public health and health improvement: to make decisions based on the explicit application of ethical principles, using available evidence and theory appropriately.

Engineering ethics · Environmental health · Health promotion · Political science · Public health · Public relations · Engineering · Health Policy Implementation Science · Healthcare cost, quality, practices · Medicine · Nursing · Psychology · Public Health Policies and Education · Health Policy

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Unique citing works18
Citations per year1,13
Citation span2010 - 2023 (14)
Citation velocityhistorical
Highly citedNo
Citation typesNeutral: 18

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