title: A public health framework for developing local preventive services guidelines.
abstract: In this article, we describe the San Francisco Department of Public Health's (SFDPH's) framework for developing evidence-based screening and vaccination recommendations. We first reviewed our local data using surveillance and syndemic data. We then compiled and compared existing federal, state, and local recommendations. Then we identified differences as compared with our local evidence; where more evidence was required to make a recommendation, we culled from additional data sources and conducted additional analyses. Lastly, we developed our guidelines by confirming existing recommendations or making new recommendations based on this process. In the end, we successfully developed evidence-based clinical screening and prevention guidelines that have been adopted by the SFDPH Health Commission. We encourage the use of this framework in other public health settings at the local level.
authors.affiliation: San Francisco Department of Public Health, Program Collaboration and Service Integration Work Group, San Francisco, CA.
authors.forename: Priscilla Lee
authors.initials: PL
authors.lastname: Chu
authors.affiliation: San Francisco Department of Public Health, Program Collaboration and Service Integration Work Group, San Francisco, CA.
authors.forename: Israel
authors.initials: I
authors.lastname: Nieves-Rivera
authors.affiliation: San Francisco Department of Public Health, Program Collaboration and Service Integration Work Group, San Francisco, CA.
authors.forename: Jennifer
authors.initials: J
authors.lastname: Grinsdale
authors.affiliation: San Francisco Department of Public Health, Program Collaboration and Service Integration Work Group, San Francisco, CA.
authors.forename: Sandra
authors.initials: S
authors.lastname: Huang
authors.affiliation: San Francisco Department of Public Health, Program Collaboration and Service Integration Work Group, San Francisco, CA.
authors.forename: Susan S
authors.initials: SS
authors.lastname: Philip
authors.affiliation: San Francisco Department of Public Health, Program Collaboration and Service Integration Work Group, San Francisco, CA.
authors.forename: Amy
authors.initials: A
authors.lastname: Pine
authors.affiliation: San Francisco Department of Public Health, Program Collaboration and Service Integration Work Group, San Francisco, CA.
authors.forename: Susan
authors.initials: S
authors.lastname: Scheer
authors.affiliation: San Francisco Department of Public Health, Program Collaboration and Service Integration Work Group, San Francisco, CA.
authors.forename: Tomás
authors.initials: T
authors.lastname: Aragón
mesh_terms: D000293:Adolescent; D000328:Adult; D000367:Age Factors; D000368:Aged; D015658:HIV Infections / Q000517:prevention & control; D006801:Humans; D009111:Local Government; D008403:Mass Screening / Q000592:standards; D008875:Middle Aged; D017410:Practice Guidelines as Topic / Q000592:standards; D011314:Preventive Health Services / Q000592:standards*; D011635:Public Health Administration / Q000592:standards; D012495:San Francisco; D012749:Sexually Transmitted Diseases / Q000517:prevention & control; D014397:Tuberculosis, Pulmonary / Q000517:prevention & control; D055815:Young Adult