摘要：There is a tension between 2 alternative approaches to implementing community-based interventions. The evidence-based public health movement emphasizes the scientific basis of prevention by disseminating rigorously evaluated interventions from academic and governmental agencies to local communities. Models used by local health departments to incorporate community input into their planning, such as the community health improvement process (CHIP), emphasize community leadership in identifying health problems and developing and implementing health improvement strategies. Each approach has limitations. Modifying CHIP to formally include consideration of evidence-based interventions in both the planning and evaluation phases leads to an evidence-driven community health improvement process that can serve as a useful framework for uniting the different approaches while emphasizing community ownership, priorities, and wisdom. Two approaches to implementing community health improvement interventions are in use, each with strengths and limitations. Research-driven approaches such as evidence-based public health 1 emphasize the scientific basis of prevention by disseminating rigorously evaluated interventions from academic and governmental agencies to local communities. These approaches acknowledge that the efficacy of an intervention in controlled trials frequently does not carry over to wide implementation in communities. 2 Other approaches to incorporating community input into local health department planning, such as the community health improvement process (CHIP), 3 Mobilizing for Action Through Planning and Partnerships, 4 and PRECEDE-PROCEED, 5 emphasize community leadership in identifying high-priority health problems and in developing and implementing health improvement strategies. We designed the evidence-driven community health improvement process (EDCHIP) to unite these different approaches to community health planning, implementation, and evaluation and emphasize community ownership, priorities, and wisdom.
