Journal of General Internal Medicine

, Volume 26, Issue 6, pp 658-660

First online:

Open Access This content is freely available online to anyone, anywhere at any time.

Moving from Evidence-Based Medicine to Evidence-Based Health

  • David MoskowitzAffiliated withDivision of General Internal Medicine, University of California San Francisco, San Francisco General Hospital Email author 
  • , Thomas BodenheimerAffiliated withCenter for Excellence in Primary Care, Department of Family and Community Medicine, University of California San Francisco


While evidence-based medicine (EBM) has advanced medical practice, the health care system has been inconsistent in translating EBM into improvements in health. Disparities in health and health care play out through patients’ limited ability to incorporate the advances of EBM into their daily lives. Assisting patients to self-manage their chronic conditions and paying attention to unhealthy community factors could be added to EBM to create a broader paradigm of evidence-based health. A perspective of evidence-based health may encourage physicians to consider their role in upstream efforts to combat socially patterned chronic disease.


chronic disease prevention community health self-management support