einstein (São Paulo). 01/Oct/2017;15(4):7-10.

Public health policies and scientific evidence

Wanderley Marques Bernardo

DOI: 10.1590/S1679-45082017ED4314

Patients are the same all over the world. Evidence is the same in the entire world. However, care policies are not the same. This is impossible to understand and unacceptable, since there is no different evidence for public and private care; it is not a matter of being capitalist or socialist, of presence or distribution of money; it is the fight against consumerist, untruthful and voracious capitalism, encouraging licit “robbery”; it is an issue of equity and ethics; of assured constitutional rights; in which doing something means always doing it correctly and for everyone; where there is no freedom and no prohibition at the same time; where everything starts at standardization; where there is no room for futility; where excesses are banned; where not only is there orientation as to what to do, but also as to what not to do; where the patient is not the means, but the end; where variation by VALUE is combated; and where the concept of VALUE considers costs, as well as benefits and damage.()

Nevertheless, how is it possible to not use evidence in health policies? Since evidence defines what is necessary and what is superfluous; provides options of equivalent benefits and forbidden practices; informs about the estimated amount of benefit and damage, and regarding the adoption of new practices with no benefit; defines the concept of value and the use of money with discrimination; leads the market towards its function and the media towards appropriate criticism; gives orientation as to priorities and strategies; reduces variations in practice and conflicts; and balances interests.()

Public health policies and scientific evidence