[Public health work needs new evaluation models. Primary care projects are more effective than large scale campaigns].
The need both of critical assessment of community intervention programmes and of alternatives to randomised controlled studies is discussed in the article. Examples are drawn from a review recently completed for the Swedish Council on Technology Assessment in Health Care [Statens Beredning för Utvärdering av medicinsk metodik (SBU)], and from the evaluation of a cardiovascular disease prevention programme currently in progress in northern Sweden.
Weinehall
L
L
Samhällsmedicin, länsutvecklingsenheten, Västerbottens läns landsting, Umeå.
Janlert
U
U
Asplund
K
K
Wall
S
S
D002318:Cardiovascular Diseases / Q000517:prevention & control*; D003153:Community Health Services / Q000592:standards; D005069:Evaluation Studies as Topic; D015438:Health Behavior; D006801:Humans; D011314:Preventive Health Services / Q000592:standards*; D011320:Primary Health Care / Q000592:standards*; D011322:Primary Prevention; D011634:Public Health; D016032:Randomized Controlled Trials as Topic; D012041:Regional Medical Programs / Q000592:standards; D012307:Risk Factors; D011795:Surveys and Questionnaires; D013548:Sweden
Folkhälsoarbetet behöver nya utvärderingsmodeller. Primärvårdsstödda program når djupare än storskaliga kampanjer.