4.5-O1Migrants healthcare and local public health services: a research action training program for public health residents in Italy

Background Public health services and systems research is under-developed in Canada and this is particularly the case with respect to research on local public health unit operational functioning and capacity. The purpose of this paper is to report on a study that will collect retrospective information on the local public health response to COVID-19 throughout Canada between 2020 and 2021. Methods/Design The goal of the study is to develop and implement a study framework that will collect retrospective information on the local public health system response to the COVID-19 pandemic in Canada. This study will involve administering a mixed-method survey to Medical Health Officers/Medical Officers of Health in every local and regional public health unit across the country, followed by a process of coding and grouping these responses in a consistent and comparable way. Coded responses will be assessed for patterns of divergent or convergent roles and approaches of local public health across the country with respect to interventions in their response to COVID-19. The Framework Method of thematic analysis will be applied to assess the qualitative answers to the open-ended questions that speak to public health policy features. Discussion The strengths of the study protocol include the engagement of Medical Health Officers/Medical Officers of Health as research partners and a robust integrated knowledge translation approach to further public health services and systems research in Canada.

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The Relationship Between Homeownership and the Utilization of Local Public Health Services Among Rural Migrants in China: A Nationwide Cross-Sectional Study

Frontiers in Public Health ◽

10.3389/fpubh.2020.589038 ◽

2020 ◽

Vol 8 ◽

Author(s):

Zicheng Wang ◽

Qiushi Wu ◽

Juan Ming

Keyword(s):

Public Health ◽

Health Education ◽

Health Services ◽

Health Record ◽

Public Health Services ◽

Rural Migrants ◽

Local Public Health ◽

Household Location ◽

Healthcare Center ◽

The Relationship

Background: Rural–urban migrants frequently suffer from overrepresented health risks but have poor access to public health services. In China, homeownership status may play a vital role in obtaining local welfare. However, the relationship between homeownership and utilization of public health services has remained largely unexplored. This study aims to address the direct linkage between homeownership and utilization of local public health services among rural migrants in China.Methods: We applied the dataset from the 2017 National Migrants Population Dynamic Monitoring Survey (NMPDMS-2017) to explore the direct relationship between homeownership and the utilization of local public health services. Logit regression was conducted to discuss the associations and to explore the interaction effect.Results: The logit estimations reveal that homeownership is positively related to the establishment of a health record and participation in health education. The interaction term of homeownership and household location and the interaction between homeownership and healthcare center location are related to the increased establishment of a health record. However, the interaction of homeownership and household location merely reveals significant correlations with the health education model.Conclusion: Homeownership is positively associated with the utilization of local public health services among rural migrants in China. Furthermore, homeowners living in urban residential communities and within the vicinity of the healthcare center are more likely to access public health services than those living in other locations.

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Effect of homeownership on the utilization of local public health services among rural migrants in China: a nationwide cross-sectional study

10.21203/rs.3.rs-17907/v1 ◽

2020 ◽

Author(s):

Zicheng Wang ◽

Jiachun Liu ◽

Juan Ming

Keyword(s):

Public Health ◽

Health Education ◽

Health Services ◽

Health Record ◽

Public Health Services ◽

Rural Migrants ◽

Local Public Health ◽

Household Location ◽

Healthcare Center ◽

Positive Effect

Abstract Background: Rural-urban migrants often suffer overrepresented health risks but have less access to public health services，while the homeownership status in China may play a vital role in the attainment of local welfare. However, the effect of homeownership on the public health services utilization is still understood. This study aims to address the causal effect of homeownership on the utilization of local public health services among rural migrants in China. Three issues are addressed to discuss: Whether the homeownership produces a significant effect on the utilization of local public health services or not? Are there any interaction effect between homeownership and location of household/ healthcare center? Does the homeownership effect vary by employment status, migration duration and migration patterns?Methods: The dataset from the 2017 National Migrants Population Dynamic Monitoring Survey (NMPDMS-2017) is applied to explore the direct effect of homeownership on the utilization of local public health services. The Logit regression is conducted to discuss the associations, while the IV estimation developed by Lewbel (2012) is employed to correct the endogeneity of homeownership. Additionally, the Logit regressions are also performed to explore the interaction effect and heterogeneous effect.Results: The Logit estimations reveal that the homeownership is positive with the establishment of health record (OR=1.1926; 95% CI=1.154,1.2325) and the attendance of health education (OR=1.1883; 95% CI=1.1506,1.2271) ,while IV estimations also confirms that the homeownership has a positive effect on the establishment of health record (Coefficient=0.0222; 95% CI=0.0121, 0.0323) and the health education access (Coefficient=0.0241; 95% CI=0.0139, 0.0343).The interaction term of homeownership and household location (Coefficient=1.4141; 95% CI= 1.2453, 1.6057) as well as the interaction between homeownership and healthcare center location (Coefficient=1.1476; 95% CI= 1.0491, 1.2554) are related with the increased establishment of health record establishment, whereas only the interaction of homeownership and household location shows significant correlations in the health education model(Coefficient=1.2186; 95% CI=1.0734, 1.3794).Conclusion: The homeownership produces a positive effect on the utilization of local public health services among rural migrants in China. Moreover, the homeownership may play a greater role along with the geographical accessibility.

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Quantifying Disaster Impacts on Local Public Health Agency’s Leadership, Staffing, and Provision of Essential Public Health Services

Disaster Medicine and Public Health Preparedness ◽

10.1017/dmp.2021.193 ◽

2021 ◽

pp. 1-6

Author(s):

Lauren A. Clay ◽

Kahler W. Stone ◽

Jennifer A. Horney

Keyword(s):

Public Health ◽

Health Services ◽

Disaster Response ◽

Professional Staff ◽

Local Health ◽

Public Health Services ◽

Local Public Health ◽

Incident Command ◽

Essential Public Health Services ◽

The Impact

Abstract Objective: The objective of this study is to assess the impact that natural disaster response has on local health departments’ (LHD) ability to continue to provide essential public health services. Methods: A web-based survey was sent to all North Carolina Local Health Directors. The survey asked respondents to report on LHD functioning following Hurricanes Florence (2018) and Dorian (2019). Results: After Hurricane Florence, the positions who most frequently had regular duties postponed or interrupted were leadership (15 of 48; 31.3%), and professional staff (e.g., nursing and epidemiology: 11 of 48; 22.9%). Staffing shelters for all phases – from disaster response through long-term recovery – was identified as a burden by LHDs, particularly for nursing staff. Approximately 66.6% of LHD jurisdictions opened an Emergency Operations Center (EOC) or activated Incident Command System in response to both hurricanes. If an EOC was activated, the LHD was statistically, significantly more likely to report that normal duties had been interrupted across every domain assessed. Conclusions: The ability of LHDs to perform regular activities and provide essential public health services is impacted by their obligations to support disaster response. Better metrics are needed to measure the impacts to estimate indirect public health impacts of disasters.

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Minimum Package of Public Health Services: The Adoption of Core Services in Local Public Health Agencies in Colorado

American Journal of Public Health ◽

10.2105/ajph.2014.302173 ◽

2015 ◽

Vol 105 (S2) ◽

pp. S252-S259 ◽

Cited By ~ 4

Author(s):

Sarah Lampe ◽

Adam Atherly ◽

Lisa VanRaemdonck ◽

Kathleen Matthews ◽

Julie Marshall

Keyword(s):

Public Health ◽

Health Services ◽

Public Health Services ◽

Local Public Health ◽

Public Health Agencies ◽

Health Agencies

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Elections and externalities of health expenditures

Journal of Economic Studies ◽

10.1108/jes-10-2016-0190 ◽

2018 ◽

Vol 45 (6) ◽

pp. 1124-1144 ◽

Cited By ~ 1

Author(s):

Jorge Leandro Delconte Ferreira ◽

Alexandre Florindo Alves ◽

Emilie Caldeira

Keyword(s):

Public Health ◽

Health Services ◽

Health Expenditure ◽

Local Level ◽

Unit Cost ◽

Local Elections ◽

Public Health Services ◽

Public Health Expenditure ◽

Content Type ◽

Local Public Health

Purpose The purpose of this paper is to examine the determinants of local public health expenditure in a decentralized health system, taking into account the electoral calendar and the effect of central and local elections, besides spatial interaction among municipalities and political alignment. The authors state that the expenditure in public health at the local level is positively influenced by vicinity and by elections calendar. Design/methodology/approach The authors performed a Spatial Durbin Model with a balanced panel using the data from 399 Brazilian municipalities from 2005 to 2012. The authors use a distance-based spatial matrix, whose choose was based on simplicity and relevance of Moran’s I and Geary’s C coefficients for spatial autocorrelation. The authors also cluster the data in the estimations, according to the distribution of regional facilities in the entire period and considering the occurrence of regionalization in public health services. Findings The empirical contribution lies in four issues: first, the authors demonstrate a positive spatial effect in the public health expenditure. Second, the estimations show that election-year shifts public spent, as a response for vote-seeking incumbents’ behavior. Third, reelected mayors increase local public health allocations, as well as single candidates and incumbents from the same party of central governments. Finally, populational concentration directly decreases health expenditure (even if those municipalities represent a lower unit cost of acquiring votes, the optimization of public health infrastructure and mobility in achieving public health services negatively affect health spent). Originality/value This study supports the statement that public health spent at local level is positively influenced by vicinity and by occurrence of elections.

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