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Medicina
Special Issues
Evidence-Based Public Health: A Fundamental Concept for Public Health Practice
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Evidence-Based Public Health: A Fundamental Concept for Public Health Practice

A special issue of Medicina (ISSN 1648-9144). This special issue belongs to the section "Epidemiology & Public Health".

Deadline for manuscript submissions: 10 November 2026 | Viewed by 1373

Special Issue Editor

Dr. Giovanni Gaetti

E-Mail Website
Guest Editor
SIMED—Società Italiana di Medicina e Divulgazione Scientifica, 43125 Parma, Italy
Interests: public health; value-based medicine; performance evaluation systems

Special Issue Information

Dear Colleagues,

Since the 1990s, evidence-based public health (EBPH) has progressively evolved from a theoretical framework to an operational approach capable of guiding policy design, health promotion strategies, and resource allocation. The increasing complexity of health systems and the growing demand for accountability have further underscored the need to apply rigorous methods for evaluating public health interventions, measuring their outcomes, and continuously improving performance.

This Special Issue will explore the development, implementation, and validation of methods to assess performance, measure health system indicators, and translate evidence into policy and practice. The issue intends to offer an interdisciplinary perspective, bridging public health, health services research, epidemiology, and health management.

Topics of interest include the development of performance measurement systems, validation of quality and safety indicators, evaluation of complex interventions, use of real-world data to inform decision-making, and methodological innovations in evidence synthesis.

We invite high-quality contributions, including original research articles, systematic reviews, methodological papers, and policy analyses. Submissions should address, but are not limited to, the design and validation of performance indicators; the application of evidence-based frameworks to guide public health programmes; the impact assessment of interventions; and the integration of measurement and evaluation into routine practice. Comparative analyses across health systems are especially welcome.

Dr. Giovanni Gaetti
Guest Editor

Manuscript Submission Information

Manuscripts should be submitted online at www.mdpi.com by registering and logging in to this website. Once you are registered, click here to go to the submission form. Manuscripts can be submitted until the deadline. All submissions that pass pre-check are peer-reviewed. Accepted papers will be published continuously in the journal (as soon as accepted) and will be listed together on the special issue website. Research articles, review articles as well as short communications are invited. For planned papers, a title and short abstract (about 250 words) can be sent to the Editorial Office for assessment.

Submitted manuscripts should not have been published previously, nor be under consideration for publication elsewhere (except conference proceedings papers). All manuscripts are thoroughly refereed through a single-blind peer-review process. A guide for authors and other relevant information for submission of manuscripts is available on the Instructions for Authors page. Medicina is an international peer-reviewed open access monthly journal published by MDPI.

Please visit the Instructions for Authors page before submitting a manuscript. The Article Processing Charge (APC) for publication in this open access journal is 2200 CHF (Swiss Francs). Submitted papers should be well formatted and use good English. Authors may use MDPI's English editing service prior to publication or during author revisions.

Keywords

  • evidence-based public health
  • performance evaluation system
  • value-based medicine
  • triple aim
  • real-world data

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Published Papers (1 paper)

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Research

15 pages, 332 KB  
Article
Impact of Combined Interventions and Early Home Care Activation on 30-Day Hospital Readmissions: A Retrospective Observational Study
by Gianluca Azzellino, Patrizia Vagnarelli, Ernesto Aitella, Francesca Cerratti, Luca Mengoli, Lia Ginaldi and Massimo De Martinis
Medicina 2026, 62(3), 602; https://doi.org/10.3390/medicina62030602 - 23 Mar 2026
Viewed by 885
Abstract
Background and Objectives: Thirty-day hospital readmissions are a major clinical and economic challenge, particularly among frail older patients. Integrated protected discharge models, coordinated by nurse case managers and including multidimensional hospital-to-community interventions, may improve continuity of care and reduce inappropriate readmissions. Materials [...] Read more.
Background and Objectives: Thirty-day hospital readmissions are a major clinical and economic challenge, particularly among frail older patients. Integrated protected discharge models, coordinated by nurse case managers and including multidimensional hospital-to-community interventions, may improve continuity of care and reduce inappropriate readmissions. Materials and Methods: We conducted a retrospective observational study on 200 consecutive patients aged ≥65 years, discharged between January and December 2024 from a public hospital in Italy. Frailty was assessed using BRASS scores (≥11), ADL, and IADL. The primary outcome was 30-day hospital readmission. Logistic regression models evaluated the impact of individual interventions (Model 1) and combined interventions (Model 2), defined as the simultaneous presence of four components: nurse case manager involvement, telephone follow-up, activation of home care (ADI) within 24 h, and social worker support. Results: Overall, 65 patients (32.5%) were readmitted within 30 days. In the multivariate analysis, nurse case manager involvement was associated with lower odds of readmission (OR = 0.023; 95% CI 0.008–0.064; p < 0.001). Early ADI activation was not associated with readmission in the bivariate analysis (p = 0.195) but showed higher odds of readmission in the multivariable model (OR = 3.475; 95% CI 1.384–8.725; p = 0.008). The combined interventions variable was significantly associated with readmission in Model 2. Patients who did not receive combined interventions had higher odds of 30-day hospital readmission compared with those who did (OR = 26.1; 95% CI 10.1–67.5; p < 0.001). Conclusions: An integrated protected discharge model coordinated by a nurse case manager and including combined interventions was associated with lower odds of 30-day hospital readmission among frail older patients. These findings suggest that the potential benefit of transitional care may lie not in isolated interventions but in the multidimensional integration and coordination of clinical, functional, and social support strategies, highlighting the central role of nurse case managers in transitional care pathways. Full article
(This article belongs to the Special Issue Evidence-Based Public Health: A Fundamental Concept for Public Health Practice)
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