Whither community health services? — harnessing the new public health and the new managerialism

1991 ◽  
pp. 153-158
Author(s):  
Allan McNaught
Keyword(s):  
Public Health ◽  
Health Services ◽  
Community Health ◽  
Community Health Services ◽  
New Managerialism ◽  
New Public Health ◽  
New Public

How Should We Organise Community Health Services?

1997 ◽  
Vol 3 (1) ◽  
pp. 6 ◽  
Author(s):  
Hal Swerissen
Keyword(s):  
Public Health ◽  
Health Services ◽  
Community Health ◽  
Community Health Services ◽  
Community Services ◽  
Health Networks ◽  
General Direction ◽  
Functional Relations ◽  
Community Health Networks ◽  
The Creation

This paper reviews the organisation of Victorian community health services in the context of the general direction of reform for the Australian and Victorian health systems. It notes that the emphasis has shifted to a greater focus on improving the efficiency of the relationship between needs, resources, services and outcomes. Within this context, in addition to public health measures, national reforms have advocated the creation of funding and organisational arrangements around three service functions: general care, acute care and co-ordinated care. It is argued that the organisation of community services should be driven by these functional relations, not vice versa. The efficiency of vertical and horizontal integration and the creation of community health networks is considered in relation to transaction costs, organisational scale, transition costs and distributional equity. It is concluded that community health networks offer the most efficient model for the delivery of community based public health and general, acute and co-ordinated care services.

scholarly journals Do Migration Characteristics Influence the Utilization of Basic Public Health Services in Internal Elderly Migrants in China?

2021 ◽  
Vol 9 ◽  
Author(s):  
Yanwei Lin ◽  
Tingxian Wang ◽  
Tingting Zhu
Keyword(s):  
Public Health ◽  
Health Services ◽  
Community Health ◽  
Social Factors ◽  
Binary Logistic Regression ◽  
Community Health Services ◽  
Public Health Services ◽  
Social Contacts ◽  
Elderly Migrants ◽  
The Impact

Background: The literature shows that migration characteristics are a potential pathway through which migration can influence basic healthcare service utilization. The goal of the study was to explore the effect of migration characteristics on the utilization of basic public health services for internal elderly migrants in China and to identify the pathways that might promote their utilization of basic public health services.Methods: We studied 1,544 internal elderly migrants. The utilization of basic public health services was determined through participation in free health checkups organized by community health service institutions in the past year. Migration characteristics were represented by years of residence and reasons for migration. Other variables included demographic characteristics and social factors, e.g., the number of local friends and exercise time per day were measured to represent social contacts. Multivariate binary logistic regression was employed to explore the association of the variables with the likelihood of using community health services.Results: A total of 55.6% of respondents were men, and the mean age was 66.34 years (SD 5.94). A low level of education was observed. A total of 59.9% of migrants had been residents for over 10 years, and the main reason for migrating was related to family. Of these migrants, 12.9% had no local friends. Furthermore, 5.2% did not exercise every day. Social contacts were complete mediators of the impact of migration characteristics on the utilization of primary healthcare.Conclusion: Our study highlighted the mediating role of social factors in the relationship between migration characteristics and the utilization of basic public health services among Chinese internal elderly migrants. The findings supported the need to increase the opportunities for social contacts between local elderly individuals and internal elderly migrants.

scholarly journals Community Health and Urban Revitalization in the 21st Century

2020 ◽  
Vol 35 (2) ◽  
Author(s):  
Frederick Murphy ◽  
Beverly Taylor
Keyword(s):  
Public Health ◽  
Inner City ◽  
Community Health ◽  
Information Technologies ◽  
Healthcare Access ◽  
Health Providers ◽  
New Public Health ◽  
New Public ◽  
Community Organizers ◽  
New Policies

The new millennium has brought an interwoven constellation of new public health and medical terminologies, new diseases, new methodologies, and new policies. Concepts such as globalization and revitalization have led to practices where outcomes result in increased interconnection of people and places. In practice, “revitalization” or “regentrification” focuses on urban renewal and rebuilding of inner-city communities, with strategies for advances in transport, communication, and information technologies that impact political, economic, and public health convergence. This article will seek to raise discussion concerning the new revitalization of inner-city communities, and the challenges public health providers, community health advocates, and community organizers face as they seek to build community resilience through improved health equity, healthcare access, health promotion, health education, and disease prevention.

scholarly journals Nurse competence in implementing public health care

2021 ◽  
Vol 10 (2) ◽  
pp. 428
Author(s):  
Suprapto Suprapto ◽  
Trimaya Cahya Mulat ◽  
Nur Syamsi Norma Lalla
Keyword(s):  
Public Health ◽  
Health Care ◽  
Health Services ◽  
Community Health ◽  
Health Center ◽  
Community Health Services ◽  
Public Health Care ◽  
Community Health Care ◽  
Public Health Center ◽  
And Training

Health development is a way of increasing awareness, willingness and ability to live healthy for everyone so that an optimal degree of public health can be achieved. The purpose of knowing how the relationship between nurse competence and community health care activities. This study employed quantitative approach and correlation analysis. The population was nurses who work at public health center in Makassar City, Indonesia, however there were 118 nurses who meet the criteria in their selection. There were relationships between attitudes, skills, and competencies with the level of implementation of community health services and that there is an interaction between competence and training. The results of the competency analysis obtained an OR value of 6.429, meaning that public health center nurses who have good competence have a chance of 6.429 times to carry out community health care activities optimally. Most dominant with the implementation of public health care is the interaction between competence and training. The competence of nurses need to be improved in order to optimize the implementation of community health services through training, coaching through assigned teams, and collaborating with peers and providing support in the form of policies for rewards and sanctions such as nurse career paths.

scholarly journals Optimalisasi program perkesmas dengan kunjungan rumah terhadap tingkat kemandirian keluarga serta peningkatan pengetahuan perawat dalam penulisan askep keluarga

Hayina ◽  
2021 ◽  
Vol 1 (1) ◽  
pp. 22-32
Author(s):  
Milya Novera ◽  
Meta Rikandi ◽  
Mandria Yundelfa ◽  
Rika Syafitri
Keyword(s):  
Public Health ◽  
Health Services ◽  
Community Health ◽  
Health Center ◽  
Nursing Care ◽  
Home Visits ◽  
Community Health Services ◽  
Public Health Center ◽  
Family Nursing ◽  
The Family

Program Indonesia Sehat Pendekatan Keluarga (PISPK) is necessary to have continuous intervention and become a integrated program at the Public Health Center (Puskesmas). The aim purposes of this activities was to analyzed The desired objectives are to optimize home visits to increase the level of family independence and to optimize the competence of nurses in writing and documentation of family nursing care plan integrated with Nanda, Noc and Nic. The implementation phase includes home visits conducted 2-4 times and carrying out cross-program activities and the evaluation phase includes recompiling and analyzed data. There are 18 heads of households who are respondents. This activity showed that home visits through providing family nursing care and education in the family gave change the family independence level. In the future, it is expected that home visits will become priority of Public Health Center (Puskesmas) activities to improve community health status, In addition, the guidelines and modules are able to increase the knowledge, attitudes, skills, and activities of nurses in the implementation of community health services which increase the use of health facilities by families and as a complement to the community health services module in order to improve the performance of Nurse in Public Health center. 

New Public Health Services and Systems Research Agenda

2012 ◽  
Vol 42 (5) ◽  
pp. S1-S5 ◽  
Author(s):  
F. Douglas Scutchfield ◽  
Debra Joy Pérez ◽  
Judith A. Monroe ◽  
Alex F. Howard
Keyword(s):  
Public Health ◽  
Health Services ◽  
Research Agenda ◽  
Public Health Services ◽  
Systems Research ◽  
New Public Health ◽  
New Public

Community Health Services and Managerialism

1996 ◽  
Vol 2 (4) ◽  
pp. 31 ◽  
Author(s):  
Fran Baum
Keyword(s):  
Health Services ◽  
Community Health ◽  
Public Service ◽  
Public Management ◽  
New Public Management ◽  
Community Health Services ◽  
State Governments ◽  
Primary Health ◽  
New Public ◽  
The Impact

In this paper, the impact is described of the introduction of the new public management (NPM) on community health services in Australia. From the late 1980s NPM techniques, modelled largely on private sector practices, have been popular with federal and state governments and have affected the management of community health services. Services have been amalgamated, asked to evaluate their work in inappropriate ways and been pressured to a quasi market form of operation. Three fundamantal differences between a primary health care and NPM approach to management are defined and discussed: whether the focus is on individuals or societies, whether it is on public service or profit, and whether it is on meaningful outcomes or those which appear measurable. The paper concludes with a call for the evaluation of the NPM and a return to a more civic and socially focussed public management.

PUBLIC HEALTH NURSING

PEDIATRICS ◽  
1953 ◽  
Vol 12 (3S) ◽  
pp. 25-25
Keyword(s):  
Public Health ◽  
Health Services ◽  
Medical Care ◽  
Community Health ◽  
Rural Areas ◽  
Community Health Services ◽  
Public Health Nursing ◽  
Public Health Nurses ◽  
Medical Attention ◽  
Health Nursing

PUBLIC health nursing is not only the core of many community health services but also an essential part of the entire medical care structure of the community. Public health nurses make possible child health conferences, health supervision of school children, care for handicapped children, and communicable disease services as well as other programs of community health organizations. They also make home visits to provide bedside care to sick persons under a physician's care and to urge medical attention for those with health problems. It is impossible to measure the contribution of these shock troops in the health care of children. They are in the front line—in clinics, homes, and schools. They discover and refer many children who might otherwise get delayed or no medical attention. Their persistence in follow-ups helps to maintain continuity of medical care for children. By demonstration and other means, they also help to educate families about health and safety. Areas of Need The Study showed a sharp difference between urban and rural areas in the availability of public health nurses. The contrast between these two areas in volume of nursing service was also great, just as it was for other types of medical service. This is understandable in terms of the history of organized community health services.

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