The Scientific World Journal

The Scientific World Journal / 2010 / Article

Research Article | Open Access

Volume 10 |Article ID 482613 |

Said Shahtahmasebi, Luis Villa, Helen Nielsen, Hilary Graham-Smith, "Proposal of a Holistic Model to Support Local-Level Evidence-Based Practice", The Scientific World Journal, vol. 10, Article ID 482613, 10 pages, 2010.

Proposal of a Holistic Model to Support Local-Level Evidence-Based Practice

Academic Editor: Joav Merrick
Received16 May 2010
Revised13 Jun 2010
Accepted17 Jun 2010


In response to a central drive for evidence-based practice, there have been many research support schemes, setups, and other practices concentrating on facilitating access to external research, such as the Centre for Evidence Based Healthcare Aotearoa, the Cochrane Collaboration, and the York Centre for Reviews and Dissemination. Very little attention has been paid to supporting internal research in terms of local evidence and internal research capabilities. The whole evidence-based practice movement has alienated internal decision makers and, thus, very little progress has been made in the context of evidence informing local policy formation. Health and social policies are made centrally based on dubious claims and often evidence is sought after implementation. For example, on record, most health care practitioners appear to agree with the causal link between depression and mental illness (sometimes qualified with other social factors) with suicide; off the record, even some psychiatrists doubt that such a link is applicable to the population as a whole. Therefore, be it through misplaced loyalty or a lack of support for internal researchers/decision makers, local evidence informing local decision making may have been ignored in favour of external evidence. In this paper, we present a practical holistic model to support local evidence-based decision making. This approach is more relevant in light of a new approach to primary health care of “local knowledge” complementing external evidence. One possible outcome would be to network with other regional programmes around the world to share information and identify “best” practices, such as the “Stop Youth Suicide Campaign”(

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