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27 March Reading and Discussion Questions

Posted by on March 25, 2013

Evidence-based public health: Moving beyond randomized trials.

A framework for public health action: The health impact pyramid.

 

Cesar et al. (2004). Evidence-based public health: Moving beyond randomized trials

 

  1. What is the difference between “efficacy” and “effectiveness”?  Why is this distinction important?

 

  1. Why are RCTs considered the gold standard for clinical decision-making?

 

  1. Why is it difficult to evaluate the impact of large-scale public health programs?

 

  1. Why are RCTs often inappropriate for assessing the impact of public health interventions?

 

  1. What should “true evidence-based” public health look like?

 

Frieden, T. (2010). A framework for public health action: The health impact pyramid

 

  1. What are the distinguishing features of the 5 tiers?

 

  1. What are the social determinants of health?  How do they affect health?

 

  1. What does it mean to make a “healthy option” a “default choice”? (591)

 

  1. Why is health education “generally the least effective type of intervention”? (592)

 

  1. What value, if any, does this 5-tier model have for conceptualizing the work of the CCE (beyond the specific activities of public health oriented student groups)?

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