Evidence-based medicine (EBM) and occupational health surveillance: A review of the principles and experiences in occupational health

Evidence-Based Medicine (EBM) is the conscientious, explicit, judicious, and reasonable use of up-to-date best evidence in making decisions about the care of individuals. Narrative-Based Medicine (NBM) is a new model that postulates the application of narrative ideas and new ways of communication to...

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Main Authors: Francesco CHIRICO, Angelo SACCO, Nicola MAGNAVITA
Format: Article
Language:English
Published: Edizioni FS Publisher 2022-06-01
Series:GIornale Italiano di Psicologia e Medicina del Lavoro
Subjects:
Online Access:https://gipmel.it/wp-content/uploads/10.690882022LMDC2.pdf
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author Francesco CHIRICO
Angelo SACCO
Nicola MAGNAVITA
author_facet Francesco CHIRICO
Angelo SACCO
Nicola MAGNAVITA
author_sort Francesco CHIRICO
collection DOAJ
description Evidence-Based Medicine (EBM) is the conscientious, explicit, judicious, and reasonable use of up-to-date best evidence in making decisions about the care of individuals. Narrative-Based Medicine (NBM) is a new model that postulates the application of narrative ideas and new ways of communication to the practice of medicine. Occupational physicians should apply both principles in workplace activities-. The health surveillance activity, which does not produce randomized controlled trials (RCTs) because exposing workers to risk would not be ethical, will be based on evidence obtained from systematic reviews and meta-analyses, according to EBM principles. However, qualitative or mixed-design methods research following the NBM principles can be appropriate for understanding complex interactions, behavioral, and social predictors of risk factors and conditions affecting the effectiveness of preventive measures. In this commentary, the authors describe how to apply EBM and NBM in occupational health surveillance.
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spelling doaj-art-40bcbcc3bf9341e38c26bde5f1925a4a2025-07-10T10:23:54ZengEdizioni FS PublisherGIornale Italiano di Psicologia e Medicina del Lavoro2785-13382022-06-012162410.69088/2022/LMDC2Evidence-based medicine (EBM) and occupational health surveillance: A review of the principles and experiences in occupational healthFrancesco CHIRICO0Angelo SACCO1Nicola MAGNAVITA2Scuola di Specializzazione in Medicina del Lavoro, Università Cattolica del Sacro Cuore, Roma, ItaliaServizio di Prevenzione e Sicurezza degli ambienti di lavoro (SPreSAL), Azienda Sanitaria Locale ASL Roma 4, Civitavecchia, Italia. E-mail: angelo.saccoe.@alice.itDipartimento di Scienze della Donna, del Bambino e di Sanità Pubblica, Fondazione Policlinico Agostino Gemelli IRCCS, Roma, Italia. E-mail: nicola.magnavita@unicatt.itEvidence-Based Medicine (EBM) is the conscientious, explicit, judicious, and reasonable use of up-to-date best evidence in making decisions about the care of individuals. Narrative-Based Medicine (NBM) is a new model that postulates the application of narrative ideas and new ways of communication to the practice of medicine. Occupational physicians should apply both principles in workplace activities-. The health surveillance activity, which does not produce randomized controlled trials (RCTs) because exposing workers to risk would not be ethical, will be based on evidence obtained from systematic reviews and meta-analyses, according to EBM principles. However, qualitative or mixed-design methods research following the NBM principles can be appropriate for understanding complex interactions, behavioral, and social predictors of risk factors and conditions affecting the effectiveness of preventive measures. In this commentary, the authors describe how to apply EBM and NBM in occupational health surveillance.https://gipmel.it/wp-content/uploads/10.690882022LMDC2.pdfevidence-based medicineeffectivenessoccupational physicianspreventive measures
spellingShingle Francesco CHIRICO
Angelo SACCO
Nicola MAGNAVITA
Evidence-based medicine (EBM) and occupational health surveillance: A review of the principles and experiences in occupational health
GIornale Italiano di Psicologia e Medicina del Lavoro
evidence-based medicine
effectiveness
occupational physicians
preventive measures
title Evidence-based medicine (EBM) and occupational health surveillance: A review of the principles and experiences in occupational health
title_full Evidence-based medicine (EBM) and occupational health surveillance: A review of the principles and experiences in occupational health
title_fullStr Evidence-based medicine (EBM) and occupational health surveillance: A review of the principles and experiences in occupational health
title_full_unstemmed Evidence-based medicine (EBM) and occupational health surveillance: A review of the principles and experiences in occupational health
title_short Evidence-based medicine (EBM) and occupational health surveillance: A review of the principles and experiences in occupational health
title_sort evidence based medicine ebm and occupational health surveillance a review of the principles and experiences in occupational health
topic evidence-based medicine
effectiveness
occupational physicians
preventive measures
url https://gipmel.it/wp-content/uploads/10.690882022LMDC2.pdf
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