Is it worth outsourcing essential public health services in China?—Evidence from Beilin District of Xi'an

2020 ◽  
Vol 35 (6) ◽  
pp. 1486-1502
Author(s):  
Hai Yuan ◽  
Hang Li ◽  
ZhaoWei Hou
Keyword(s):  
Public Health ◽  
Health Services ◽  
Public Health Services ◽  
Essential Public Health Services

scholarly journals The impact of the COVID-19 response on the provision of other public health services in the U.S.: A cross sectional study

2021 ◽  
Author(s):  
Kristina W. Kintziger ◽  
Kahler W. Stone ◽  
Meredith Jagger ◽  
Jennifer A. Horney
Keyword(s):  
Public Health ◽  
Health Services ◽  
Cross Sectional Study ◽  
Health Departments ◽  
Public Health Services ◽  
Cross Sectional ◽  
Career Plans ◽  
Public Health Departments ◽  
Essential Public Health Services ◽  
The U.S

Abstract Background Funding and staff formerly dedicated to routine public health tasks (e.g., responding to communicable and non-communicable diseases, investigating foodborne outbreaks, conducting routine surveillance) and services (e.g., environmental health, substance abuse, maternal-child health) may no longer be available in many public health departments due to the COVID-19 response. The objective of this study was to assess the extent to which staffing for essential public health services has been redirected to the COVID-19 response. Methods This is a cross-sectional study using a survey distributed through the Qualtrics platform. Individuals (N = 298) working in public health across governmental and academic public health departments in the U.S. during the ongoing COVID-19 pandemic response were surveyed. Survey items measured multiple domains including professional experience (i.e., training, years of experience, content expertise, job functions), mental and physical health status (i.e., generalized anxiety, depression, burnout), and career plans (i.e., pre-pandemic vs. current career plans). Results The total number of content expertise areas and programmatic functions covered by individual public health workers increased between January and September of 2020, with 26% (73 of 282) of respondents reporting an increase in both. The total number of respondents working in infectious disease and preparedness remained constant, while declines were reported in program evaluation (-36%) and health education (-27%) and increases were reported in disease investigation (+ 35%). Conclusions The provision of many essential public health functions and tasks have been limited or eliminated while the U.S. public health workforce responds to the COVID-19 pandemic. These findings highlight opportunities for funding and professional development of public health systems, both during and after the COVID-19 response, to help ensure the continuity of essential public health services, staffing sustainability, and preparedness for future public health emergencies in the U.S. Trial registration: Not applicable.

scholarly journals Using the Essential Public Health Services as Strategic Leverage to Strengthen the Public Health Response to Diabetes

2004 ◽  
Vol 119 (3) ◽  
pp. 311-321 ◽  
Author(s):  
Dawn W. Satterfield ◽  
Dara Murphy ◽  
Joyce D.K. Essien ◽  
Gwen Hosey ◽  
Melissa Stankus ◽  
...  
Keyword(s):  
Public Health ◽  
Health Services ◽  
Public Health Services ◽  
Public Health Response ◽  
The Public ◽  
Essential Public Health Services ◽  
Health Response

scholarly journals Essential Public Health Services Framework: Use for Rebuilding Communities

2019 ◽  
Vol 109 (S4) ◽  
pp. S271-S273
Author(s):  
Hugh M. Mainzer ◽  
Judy Kruger ◽  
Mollie Mahany
Keyword(s):  
Public Health ◽  
Health Services ◽  
Public Health Services ◽  
Essential Public Health Services

scholarly journals Model to assess workload of village doctors in the National Essential Public Health Services Program in six provinces of China

2020 ◽  
Vol 20 (1) ◽  
Author(s):  
Delu Yin ◽  
Tao Yin ◽  
Huiming Yang ◽  
Lihong Wang ◽  
Bowen Chen
Keyword(s):  
Public Health ◽  
Health Services ◽  
Health Workers ◽  
Public Health Services ◽  
Health Service Provision ◽  
Village Doctors ◽  
Essential Public Health Services ◽  
Town Hospital ◽  
Public Health Workers ◽  
Ev Model

Abstract Background No studies, particularly quantitative analyses, have been conducted regarding the workload of village doctors in the National Essential Public Health Services (NEPHS) program and differences in service delivery by village doctors, according to region and services. In this study, we developed a quantitative analysis approach to measure the workload of NEPHS provided by village doctors in six provinces of China in 2016. We aimed to identify areas and services of the NEPHS needing improvement, so as to implement targeted measures to ensure adequate delivery of NEPHSs in rural remote underserved areas. Methods Based on survey data from 300 town hospital centers (THCs) located in 60 counties in the six selected provinces, we calculated village doctors’ share of workload under the NEPHS using the equivalent value (EV) model. To define the workload and corresponding EV of each NEPHS, a series of five meetings was held with THC managers, public health workers, family physicians, nurses and village doctors. Field observations were conducted to verify the workload and EV of each service. Results Village doctors’ share of the workload under the NEPHS program was 43.71% across the 300 sampled THCs in six provinces. The village doctors’ workload shares for different NEPHS ranged from 17.14 to 57.00%. The percentage workload undertaken by village doctors under the NEPHS program varied across different provinces, with the highest proportion 63.4% and the lowest 28.5%. Conclusions The total NEPHS workload assigned to village doctors by THCs in the six sampled provinces exceeded the Chinese government’s requirement of 40%, but the workload proportion in some provinces was less than 40%. In addition, the percentage workload for some NEPHS undertaken by village doctors was lower than others. We suggest conducting district-level analysis of the workload among village doctors under the NEPHS program using the EV method, to identify areas and services needing improvement, to implement targeted measures to expand and promote health service provision in China’s rural underserved areas.

scholarly journals Local Tobacco Control: Application of the Essential Public Health Services Model in a County Health Department’s Efforts to Put It Out Rockland

2013 ◽  
Vol 103 (11) ◽  
pp. 1942-1948 ◽  
Author(s):  
Lisa Lieberman ◽  
Una Diffley ◽  
Sandy King ◽  
Shelley Chanler ◽  
Maryanne Ferrara ◽  
...  
Keyword(s):  
Public Health ◽  
Health Services ◽  
Tobacco Control ◽  
Public Health Services ◽  
Essential Public Health Services ◽  
Control Application
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