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Results for “Public Health Practice”

Search indexed PubMed citations on genomics, clinical trials, systematic reviews and public health. Explore titles, authors and supplied subject terms, then open the PubMed record.

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At least 55 records · Page 3Linked to original sources
PubMed2000

Strengthening local public health practice: a view to the millennium.

From a national perspective, local public health practice continues to face many of the challenges identified in the 1988 Institute of Medicine study. Unless they are addressed broadly, current trends may exacerbate further the capacity of local public health agencies. Efforts to strengthen local practice should focus on workforce development, scale of operations, and resources. New and innovative models of collaboration between academia and local practice are proposed.

Cooperative Behavior↗
PubMedDate not supplied

How managed care plans contribute to public health practice.

Growth in managed care enrollment potentially creates incentives for health plans to become involved in public health activities, such as health promotion and disease prevention interventions, and care for vulnerable populations. Using cross-sectional data from 60 diverse markets, this study explores the extent to which health maintenance organizations (HMOs) form cooperative alliances with local public health agencies to perform such activities. Results from multivariate models suggest that the incentives for cooperation vary substantially with health plan ownership and market structure. In view of recent HMO industry trends, these findings raise questions about the ability of alliances to integrate the practice of public health and medicine on a broad national scale, as some proponents suggest they do.

Cooperative Behavior↗
PubMed2002

Interventions to prevent HIV-related stigma and discrimination: findings and recommendations for public health practice.

Stigma and discrimination exist in many forms, undermining individual and community health. Interventions to combat stigma and discrimination are essential to prevent the spread of human immunodeficiency virus/acquired immune deficiency syndrome (HIV/AIDS). Health departments, and others, can benefit by mounting specific interventions against these threats to public health. In New York State, interventions against HIV-related stigma and discrimination are integral components of the comprehensive approach to HIV prevention. For maximum impact, multiple interventions are employed at both policy and program levels. This article summarizes the need for interventions, discusses practical examples from actual experience, and presents the synergy of multiple interventions in a logic model.

Attitude to Health↗
PubMed2002

Disseminating public health practice guidelines in electronic medical record systems.

An evaluation of public health practice guidelines published by CDC was conducted to determine the feasibility of disseminating them through electronic medical record (EMR) systems. Of 1,069 guidelines evaluated, 360 contained at least one recommendation that could be presented as an alert or reminder to the clinician during the patient encounter. These guidelines were in the areas of: HIV (59), sexually transmitted diseases (8), health care associated infections (14), tuberculosis (TB) (25), immunizations/vaccine-preventable diseases (80), other infectious diseases (134), reproductive health diseases (8), cancers (9), diabetes (5), and other chronic diseases (18). Further efforts to disseminate CDC guidelines through EMR systems are in progress.

Centers for Disease Control and Prevention, U.S.↗
PubMed1990

The epidemiologic field investigation: science and judgment in public health practice.

Epidemiologic field investigations are often done in response to acute public health problems. When outbreaks of disease occur, there usually is an urgent need to identify the source and/or cause of the problem as a basis for control. Alternatively, the identification of environmental or occupational hazards frequently demands evaluation of exposed persons and assessment of the risks of disease. In this commentary, the authors present a perspective on the public-sector practice of epidemiology by considering the factors that influence epidemiologic prospectively planned studies; and examining the complexities of the relations between epidemiology and public health practice.

Causality↗
PubMed1999

Measuring the impact of prevention research on public health practice.

CONTEXT: Prevention research involves the translation of established and promising methods of disease prevention and health promotion to communities. Despite its importance, relatively little attention has been paid to systematic approaches to determining the impact of prevention research on public health practice. Evaluation of these effects is challenging, particularly in light of multi-factor causation, long time periods between exposure and disease occurrence, and difficulties in determining costs and benefits. OBJECTIVE: To develop a framework that allows the prospective or retrospective evaluation of the effects and effectiveness of prevention research. RESULTS: The proposed framework allows assessment of prevention research in five areas of public health practice: surveillance and disease investigation, program delivery, policies and regulations, recommendations to the public, and public health education and training. A brief case study of environmental tobacco smoke illustrates the public health impact of prevention research. CONCLUSIONS: Greater translation of prevention research findings is needed to accomplish public health goals--efforts are enhanced by academic-practice partnerships. The relevance and utility of the current framework needs additional testing with a variety of public health issues.

Cost-Benefit Analysis↗
PubMedDate not supplied

MAPP and the evolution of planning in public health practice.

Mobilizing for Action through Planning and Partnerships, the most recent planning tool in public health practice, is built upon a long history of planning by local public health agencies (LPHAs). Planning by LPHAs has evolved over half a century from the earliest problem/program-focused planning, through more comprehensive approaches like the Planned Approach to Community Health (PATCH) and the Assessment Protocol for Excellence in Public Health (APEXPH) to strategic planning of today. While LPHAs were not notably participants in the federally sponsored health planning of the 1960s and 1970s, this planning left a legacy in public health. Mobilizing for Action through Planning and Partnerships introduces strategic thinking and a systems orientation into public health planning that builds upon this legacy.

Community Health Planning↗