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Biomedical subjects

D Nutbeam

Publications and source records attributed to D Nutbeam.

62 records · Page 4Linked to original sources
PubMed1983

Smoking in hospitals.

Restricting smoking in public places is an important part of a smoking prevention strategy. To find out the extent to which smoking is restricted in health service premises a survey of 190 hospitals and health centres in the Wessex Region was done. It showed that the levels of smoking restriction were high, and that patients, visitors, and staff complied well with the restrictions. For ambulant patients the situation clearly favoured the smoker-for example, only 18% of acute hospitals could offer "smoke-free" day rooms to every patient who requested it, yet 92% could offer day-room accommodation to all smokers. Cigarettes were sold in a quarter of acute and maternity hospitals. Doctors played a small role in promoting non-smoking. Goals, based on percentage of floor space designated as non-smoking areas, should be set and their achievement monitored. Cigarettes should not be sold in hospitals, except perhaps long-stay hospitals.

Costs and Cost Analysis↗
PubMedDate not supplied

Achieving population health goals: perspectives on measurement and implementation from Australia.

Health goals and targets have been widely used to indicate strategic direction and priority for health improvement on a population basis. This paper provides an overview of Australia's experience in using health targets and considers the relevance of this experience for Canada. It gives special attention to the challenge of developing a broadly based set of targets that reflect the social, economic and environmental determinants of health alongside more traditional measures of health status. It examines how the technical challenge of measurement, the bureaucratic barriers between government departments, and the political conservatism inherent in federal systems of government present formidable barriers to effective action on comprehensive national health targets. The paper concludes with a reminder of the need for inter-sectorial action to address the determinants of health. Based on the Australian experience, it suggests for Canada an ideal combination of a national population health framework to guide direction and priority, to be implemented through action at a more local level, through well-defined partnerships.

Australia↗
PubMedDate not supplied

Improving the fit between research and practice in health promotion: overcoming structural barriers.

This paper is based on the proposition that transfer of knowledge between researchers and practitioners concerning effective health promotion interventions in less than optimal. It considers how evidence concerning effectiveness in health promotion is established through a sequence of research studies, and how such evidence is applied by health promotion practitioners and policy markers in deciding what to do and what to found when addressing public health problems. There are too few rewards for researchers to pursue research with potential for widespread application, and to systematically develop promising interventions to a stage of field dissemination. Practitioners often find themselves in the position of tackling a public health problem where evidence of efficacy is either lacking, or has to be considered alongside a desire to respond to expressed community needs, or the need to respond to political imperative. Some of the major structural barriers which prevent the flow of research into practice are considered, and different approaches to improving the fit between research and practice are proposed.

Health Promotion↗