title: Moving from evidence-based medicine to evidence-based health.
abstract: While evidence-based medicine (EBM) has advanced medical practice, the health care system has been inconsistent in translating EBM into improvements in health. Disparities in health and health care play out through patients' limited ability to incorporate the advances of EBM into their daily lives. Assisting patients to self-manage their chronic conditions and paying attention to unhealthy community factors could be added to EBM to create a broader paradigm of evidence-based health. A perspective of evidence-based health may encourage physicians to consider their role in upstream efforts to combat socially patterned chronic disease.
authors.affiliation: Division of General Internal Medicine, University of California San Francisco, San Francisco General Hospital, San Francisco, CA, USA. david.moskowitz@ucsf.edu
authors.forename: David
authors.initials: D
authors.lastname: Moskowitz
authors.forename: Thomas
authors.initials: T
authors.lastname: Bodenheimer
mesh_terms: D003920:Diabetes Mellitus / Q000517:prevention & control; D019317:Evidence-Based Medicine / Q000379:methods / Q000639:trends*; D015438:Health Behavior; D007722:Health Knowledge, Attitudes, Practice; D006304:Health Status; D006801:Humans; D009765:Obesity / Q000150:complications / Q000517:prevention & control; D012648:Self Care / Q000639:trends*; D012907:Smoking / Q000009:adverse effects; D000074606:Smoking Prevention