Health inequalities - Breaking down silos

2020 ◽  
Vol 30 (Supplement_5) ◽  
Author(s):  
N Lindqvist ◽  
K Engström
Keyword(s):  
Public Health ◽  
Health Policy ◽  
Social Determinants ◽  
Public Health Policy ◽  
Determinants Of Health ◽  
Health Work ◽  
The Public ◽  
National Responsibility ◽  
New Public Health ◽  
New Public

Abstract The Public Health Agency of Sweden has a national responsibility to ensure good public health. The agency's mission is to develop and support society's work to promote health, prevent illness and protect against various forms of health threats. The vision is to strengthen the development of society through good population health. The agency has a national responsibility to halt avoidable health gaps within a generation, through creation of favourable societal conditions designed to impact good and equal health for the population. Public health monitoring and reporting aims at providing a broader description of the state and trends of public health in Sweden through data linkages and data on self-reported health. In 2018, the Swedish Government decided on a new public health goal and 8 target areas. The 8 areas reflect on various social determinants to achieve equitable health in Sweden within one generation. These determinants of health are influenced by political decisions as well as individual choices. The Public Health Policy is therefore a cross-sectoral target structure for the overall public health work and points out the need to focus on bridging inequality gaps in health and the social determinants of health. It is important to reflect upon how the advancement in monitoring tools and the new Public Health Policy goal can contribute to halting inequities. How do we know if we are reaching the goal? The focus of the presentation is therefore to highlight Sweden's public health reporting today, the ongoing work to improve the reporting of health and its determinants, with regard to inequities in health. The presentation will also give examples of in-depth reports of different public health challenges, web-based indicator systems used for monitoring health trends in Sweden and public health reports. Examples of the Agency's coordination and support for regional and local public health work will also be discussed.

scholarly journals Disaster-based budgeting in new public health policy of Thailand

2018 ◽  
Vol 212 ◽  
pp. 715-722
Author(s):  
Tipwimol Taekratok ◽  
Pudtan Phanthunane ◽  
Thaweesak Taekratok
Keyword(s):  
Public Health ◽  
Health Policy ◽  
Public Health Policy ◽  
New Public Health ◽  
New Public

New public health policy intervention for diabetic foot management in Mexico

2020 ◽  
Vol 30 (Supplement_5) ◽  
Author(s):  
L Luna ◽  
S Babich ◽  
J R Garcia-Alva ◽  
C Cuen ◽  
L Arzola ◽  
...  
Keyword(s):  
Public Health ◽  
Health Policy ◽  
Diabetic Foot ◽  
Public Health Policy ◽  
Health Workers ◽  
New Public Health ◽  
Foot Complications ◽  
New Public ◽  
The Creation ◽  
First Contact

Abstract Problem In Mexico, an estimated 12 million people have diabetes, with complications of diabetes contributing to 25-90% of non-traumatic amputations. Description of the Problem We conducted a review through the literature of available studies in English-language databases and libraries, including PubMed and UNAM digital Library to determine the role of teaching first contact health workers and the creation of limb salvage teams in the prevention of amputations. Through this review, we present the basis of our proposal about implementing these strategies to improve a care coordination system for diabetic foot management in Mexico. Results There were 25 publications from different countries, 12 eligible for this review. The review emphasizes that the creation of Specialized Diabetic Foot Teams to treat patients and teach first contact medical workers could help to achieve the following objectives which result in the reduction of amputations and improved patient outcomes: Standardize and simplify the diabetic foot clinical examination. Timely reference of patients with DM with a moderate and high risk of diabetic foot complications. Timely reference of patients with diabetic foot and peripheral arterial disease to third-level hospitals. Periodic first-contact health workers training on risk detection and stratification of diabetic foot. Lessons Implementing the policy of creation of Specialized Diabetic Foot Teams to treat patients and teach first contact medical workers will contribute to reducing major amputations due to diabetes in our country. We aim to implement a successful policy in Mexico to strengthen the health system and improve outcomes and therefore the quality of life of patients with diabetic foot complications. We aim to serve as a legislative voice for all patients in Mexico facing major amputations and other diabetes complications. Key messages New public health policy implementation for diabetic foot management in Mexico. Prevention of major amputations.

The Promise of Public Health: Vulnerable Policy and Lazy Citizens

10.1068/d355t ◽  
2005 ◽  
Vol 23 (5) ◽  
pp. 771-786 ◽  
Author(s):  
Vicky Singleton
Keyword(s):  
Public Health ◽  
Health Policy ◽  
Public Health Policy ◽  
Policy Document ◽  
Department Of Health ◽  
New Public Health ◽  
Cardio Pulmonary Resuscitation ◽  
New Public ◽  
The Stability ◽  
The Uk

In this paper I explore the relationship between the UK New Public Health Policy and one of its enactments. I outline a crucial policy document, Saving Lives (Department of Health, 1999, HMSO, London), and consider the practices that constitute a localised initiative called The Heart of the Shire. This initiative aims to train all members of a rural community in cardio-pulmonary resuscitation in order to prevent deaths from cardiac arrest. I argue that Saving Lives promises a new approach to public health that transgresses traditional boundaries and collapses conventional dualisms. Yet, at the same time it privileges biomedical interventions and conventional modes of care. I argue that the policy is full of incompatibilities but that these incompatibilities are not destructive. Rather, they create a series of tensions that, in turn, expose the fluidity of boundaries and work against the stability of categories and in doing so afford the promise of the policy. I go on to describe the key practices of The Heart of the Shire, focusing on how the tensions of the policy are played out in practice. It seems that the promise of the New Public Health Policy does not survive its practices. The practices are creative and varied and are deeply embedded within the community in ways that make them ‘new’, yet they also enact ‘old’ boundaries and conventional dualisms. They smooth out the incompatibilities that characterise the policy and thereby solidify boundaries and stabilise categories. Hence, my argument is that it is the making of consistencies that leads to the (re)construction of conventional categories and boundaries. I conclude by suggesting that Saving Lives offers us a glimpse of the conditions of possibility for a promising approach to public health but that the practices that constitute The Heart of the Shire suggest the tremendous amount of work that would be required to enact it. Drawing upon Helen Verran's insight about ‘hardening of the categories’ I suggest that the practices of The Heart of the Shire are lazy in their refusal of the vulnerability (and the promise) of tensions and that consequently the approach to public health that is enacted is characterised by stabilised categories and impermeable boundaries.

scholarly journals The Public Health Responsibility Deal: how should such a complex public health policy be assessed?

The Lancet ◽  
2012 ◽  
Vol 380 ◽  
pp. S11 ◽  
Author(s):  
Mark Petticrew ◽  
Elizabeth Eastmure ◽  
Nicholas Mays ◽  
Cecile Knai ◽  
Anna Bryden
Keyword(s):  
Public Health ◽  
Health Policy ◽  
Public Health Policy ◽  
The Public ◽  
Health Responsibility

Exempting the state and responsibilizing individuals during pandemic governance: Analyzing the health minister’s responses to the Covid-19 pandemic in Turkey

2021 ◽  
pp. 136345932110607
Author(s):  
G Ezgi Akguloglu ◽  
Gulcin Con Wright
Keyword(s):  
Public Health ◽  
Active Role ◽  
Collective Actions ◽  
Protective Measures ◽  
The Public ◽  
New Public Health ◽  
New Public ◽  
Unique Nature ◽  
Primary Focus ◽  
Public Health Strategies

The COVID-19 pandemic pushed the governments of the world to implement different regulative and protective measures. Although these measures required serious re-considerations of public health strategies, they were still grounded on pre-existing contexts of countries’ health systems, namely the “new public health” paradigm. Turkey’s neoliberal health reforms since 2003 coincide with the principles of this paradigm’s trends toward marketizing services and responsibilizing individuals; yet the Turkish context of the pandemic also stands out due to its mixed and unique form of governance. Utilizing the tweets of the Turkish Health Minister between March 13th and October 1st, 2020, we conducted a thematic qualitative analysis investigating the Turkish state’s response to the COVID-19 pandemic. Our analysis revealed that state responsibility was framed around building new pandemic hospitals, informing the public, and building trust. Conversely, his tweets assigned Turkish individuals an active role in shaping pandemic outcomes through their “informed” and “empowered” agency. Finally, he coined “togetherness,” referring to the sum of individual actions, as an indispensable goal in assuring public compliance with precautions. The Minister’s tweets reflect the unique nature of pandemic governance in Turkey with a relatively imposing and swift response of centralized power but a primary focus on “responsibilized” individuals’ collective actions.

scholarly journals Municipal public health officials and the Public Health Act

2016 ◽  
Vol 1 ◽  
Author(s):  
Heidi Lyshol
Keyword(s):  
Public Health ◽  
Health Workers ◽  
Relevant Literature ◽  
Vocational Teachers ◽  
The Public ◽  
New Public Health ◽  
New Public ◽  
Public Health Officials ◽  
Public Health Workers ◽  
Public Health Act

Introduction: The Norwegian Public Health Act of 2012 was intended to give the municipalities a bigger stake in the health of the population by emphasizing public health at a municipal level. The aim of this study was to investigate the effects of the Act on public health officials in the execution of their vocational roles.Research questions: How do public health officials in Norwegian municipalities balance the requirements of the new Public Health Act and what their local leaders, both politicians and bureaucrats, want? How do they use the Act in the performance of their vocational roles? Does this have any relevance for vocational teachers? Method :After a literature search, semi-formal interviews were conducted with 13 municipal public health officials who were also given practical tasks and short questionnaires. The interview transcripts were analysed using Thematic Analysis. This qualitative research technique is defined and described. Discussion and Results: The study shows that the public health workers see the Act as a useful tool and actively use it to leverage the public health field into greater importance. They feel that the Act is empowering, gives them greater pride in their work, and that it helps both them and their superiors to achieve greater understanding of public health workers’ roles in their municipalities. Using the informants’ own words, changes in the municipal public health workers’ roles and vocational self-definitions are discussed in the context of the new Act and selections from the relevant literature. Conclusion: The Public Health Act has changed the roles of municipal public health workers and helped them to further public health by giving them more responsibility and expanded their duty to safeguard health in all policies. The Act is seen as empowering, giving public health professionals pride in their work and greater role understanding, and should be heavily featured in the curriculum of future public health workers.

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