scholarly journals Creating an Age-Friendly Public Health System

2020 ◽  
Vol 4 (1) ◽  
Author(s):  
Anne De Biasi ◽  
Megan Wolfe ◽  
Jane Carmody ◽  
Terry Fulmer ◽  
John Auerbach
Keyword(s):  
Public Health ◽  
Older Adults ◽  
Health System ◽  
Older Adult ◽  
Public Health System ◽  
Adult Population ◽  
Public Health Practice ◽  
State Level ◽  
Well Being ◽  
Health Departments

Abstract Background and Objectives The public health system in America—at all levels—has relatively few specialized initiatives that prioritize the health and well-being of older adults. And when public health does address the needs of older adults, it is often as an afterthought. In consultation with leaders in public health, health care, and aging, an innovative Framework for an Age-Friendly Public Health System (Framework) was developed outlining roles that public health could fulfill, in collaboration with aging services, to address the challenges and opportunities of an aging society. Research Design and Methods With leadership from Trust for America’s Health and The John A. Hartford Foundation, the Florida Departments of Health and Elder Affairs are piloting the implementation of this Framework within Florida’s county health departments and at the state level. The county health departments are expanding data collection efforts to identify older adult needs, creating new alliances with aging sector partners, coordinating with other agencies and community organizations to implement evidence-based programs and policies that address priority needs, and aligning efforts with the age-friendly communities and age-friendly health systems movements. Results, and Discussion and Implications The county health departments in Florida participating in the pilot are leveraging the Framework to expand public health practice, programs, and policies that address health services and health behaviors, social, and economic factors and environmental conditions that allow older adults to age in place and live healthier and more productive lives. The model being piloted in Florida can be tailored to meet the unique needs of each community and their older adult population.

UK Public Health Systems

Public Health ◽  
2020 ◽  
Author(s):  
David Hunter
Keyword(s):  
Public Health ◽  
Health System ◽  
Health Systems ◽  
Public Health System ◽  
Well Being ◽  
Health Improvement ◽  
Public Health Systems ◽  
Science And Art ◽  
Definition Of ◽  
The Uk

Within the UK there are four public health systems covering each of four countries making up the UK: England is the largest country, followed by Scotland, Wales, and Northern Ireland. There are many commonalities between the systems in terms of their functions and workforce terms and conditions as well as the challenges each faces. But in keeping with the devolved systems of government enjoyed by each country, the public health systems are organized differently and their structures and priorities reflect the differing contexts in which they are located. Drawing on the three domains outlined by Griffiths, Jewell, and Donnelly in their seminal 2005 paper and comprising health protection, health improvement, and health service delivery and quality, UK public health systems exist to protect and promote health improvement and well-being in the population and do so through devising policies and strategies and providing services as well as contributing to the evidence base in regard to what works to improve health. The definition of a public health system is clearly contingent on the definition and scope of public health. The UK public health systems have adopted the definition of public health advanced by the UK Faculty of Public Health and other bodies and first produced by a former Chief Medical Officer for England, Sir Donald Acheson, in 1998: “Public health is the science and art of preventing disease, prolonging life and promoting health through organised efforts of society.” A slightly extended version appeared in a review of public health carried out for the UK government by its appointed independent adviser, Sir Derek Wanless, in 2004: “Public health is the science and art of preventing disease, prolonging life, and promoting health through the organised efforts and informed choices of society, organisations, public and private, communities and individuals.” These definitions share important characteristics including: public health is both a science and an art, essentially and always a combination of knowledge and action; the core purposes of public health are to prevent disease, prolong life, and promote health; public health is an organized societal function. Several aspects of these definitions can be highlighted as being especially pertinent to public health systems. Notable among these is the desire for closer links across health and the environmental sector; addressing social and political determinants of health as an essential and legitimate public health action; and the importance of health systems for public health improvement. Given these definitions with their whole-of-society focus, a public health system is wider and more inclusive than a health system. An effective public health system can be judged by the extent to which relevant groups, organizations, and sectors work effectively together on specific issues.

scholarly journals Profile of patients with rheumatic diseases undergoing treatment with anti-TNF agents in the Brazilian Public Health System (SUS), Belo Horizonte - MG

2015 ◽  
Vol 51 (3) ◽  
pp. 709-719 ◽  
Author(s):  
Haliton Alves de Oliveira Junior ◽  
Alessandra Maciel Almeida ◽  
Francisco Assis Acurcio ◽  
Jéssica Barreto dos Santos ◽  
Adriana Maria Kakehasi ◽  
...  
Keyword(s):  
Public Health ◽  
Health System ◽  
Rheumatic Diseases ◽  
Public Health System ◽  
Standard Form ◽  
Female Gender ◽  
Well Being ◽  
Cross Sectional ◽  
The Mean ◽  
Belo Horizonte

The aim of this study was to describe the baseline demographic and clinical characteristics as well as the functional status of a prospective cohort of patients with rheumatic diseases assisted by the Brazilian Public Health System (SUS). Data for 302 patients receiving tumor necrosis factor α inhibitors (anti-TNF agents) was collected through a standard form. Among patients, 229 (75.8%) were female and 155 (51.3%) were Caucasian; the mean age was 50.3 ± 12.8 years, and the mean disease duration was 9.9 ± 8.7 years. Among them 214 patients (70.9%) received adalimumab, 72 (23.8%) etanercept, and 16 (5.3%) infliximab. Mean Health Assessment Questionnaire-Disability Index (HAQ-DI) was 1.37 ± 0.67 for all participants. Poor functional response was associated with female gender, married patients and with a score of < 0.6 on the EuroQoL-5 dimensions (EQ-5D). Significant correlation was found between the HAQ-DI values, disease activity and quality of life (QOL). The results obtained in this study contribute to a better understanding of the clinical and demographic characteristics of patients with rheumatic diseases at the beginning of anti-TNF-agent treatment by SUS. Furthermore, our findings are consistent with another Brazilian and foreign cross-sectional investigations. This knowledge can be of great importance for further studies evaluating the effectiveness of biological agents, as well as, to contribute to improve the well-being of the patients with rheumatic diseases.

Health services use by older adults in an urban public health system

2005 ◽  
Vol 23 (2) ◽  
pp. 233-234 ◽  
Author(s):  
Kevin M. Terrell ◽  
Carey D. Chisholm ◽  
Roland B. McGrath ◽  
Anthony J. Perkins ◽  
Amna B. Buttar ◽  
...  
Keyword(s):  
Public Health ◽  
Older Adults ◽  
Health Services ◽  
Health System ◽  
Public Health System ◽  
Health Services Use ◽  
Services Use

Expanding Public Health Practice to Address Older Adult Health and Well-being

2020 ◽  
Vol Publish Ahead of Print ◽  
Author(s):  
Megan Wolfe ◽  
Anne De Biasi ◽  
Jane Carmody ◽  
Terry Fulmer ◽  
John Auerbach
Keyword(s):  
Public Health ◽  
Older Adult ◽  
Public Health Practice ◽  
Well Being ◽  
Adult Health ◽  
Health Practice ◽  
Health And Well Being

scholarly journals Start at the Center: Age-Friendly Public Health Systems and Healthy Brain Initiative Frameworks

2020 ◽  
Vol 4 (Supplement_1) ◽  
pp. 720-720
Author(s):  
Megan Wolfe ◽  
Molly French ◽  
John Shean
Keyword(s):  
Public Health ◽  
Older Adults ◽  
Health Sector ◽  
Well Being ◽  
Health Departments ◽  
Local Public Health ◽  
The Public ◽  
Community Connections ◽  
State And Local

Abstract SIGNIFICANCE. Older adults can contribute wisdom, skills, and time to communities. The public health sector has unique capabilities for creating conditions that promote health, foster community connections, and quality of life. METHODS. Two frameworks provide public health (PH) with core strategies to improve outcomes for all older adults. The Framework for Creating an Age-Friendly Public Health System (AFPHS) supports the PH role, as demonstrated by 37 of Florida’s 67 county health departments that are piloting the AFPHS Framework. The Healthy Brain Initiative’s (HBI) State and Local Public Health Partnerships to Address Dementia is a framework for action used by PH to promote cognitive health, improve care for cognitive impairment, and increase caregiving supports. Both frameworks call for utilizing regional data and cross-sector partnerships. IMPLICATIONS. PH can contribute to community-wide initiatives to promote well-being and community connections for older adults. Cross-sector partnerships can start by using available tools and planning guides.

scholarly journals Costs of cancer attributable to excess body weight in the Brazilian public health system in 2018

PLoS ONE ◽  
2021 ◽  
Vol 16 (3) ◽  
pp. e0247983
Author(s):  
Ronaldo Corrêa Ferreira da Silva ◽  
Luciana Ribeiro Bahia ◽  
Michelle Quarti Machado da Rosa ◽  
Thainá Alves Malhão ◽  
Eliane De Paula Mendonça ◽  
...  
Keyword(s):  
Public Health ◽  
Body Weight ◽  
Health System ◽  
Purchasing Power Parity ◽  
Cancer Care ◽  
Public Health System ◽  
Adult Population ◽  
Excess Body Weight ◽  
Power Parity ◽  
The Public

Objectives The prevalence of excess body weight (EBW) has increased over the last decades in Brazil, where 55.4% of the adult population was overweight in 2019. EBW is a well-known risk factor for several types of cancer. We estimated the federal cost of EBW-related cancers in adults, considering the medical expenditures in the Brazilian Public Health System. Methods We calculated the costs related to 11 types of cancer considering the procedures performed in 2018 by all organizations that provide cancer care in the public health system. We obtained data from the Hospital and Ambulatory Information Systems of the Brazilian Public Health System. We calculated the fractions of cancer attributable to EBW using the relative risks from the literature and prevalence from a nationally representative survey. We converted the monetary values in Reais (R$) to international dollars (Int$), considering the purchasing power parity (PPP) of 2018. Results In Brazil, the 2018 federal cost for all types of cancers combined was Int$ 1.73 billion, of which nearly Int$ 710 million was spent on EBW-related cancer care and Int$ 30 million was attributable to EBW. Outpatient and inpatient expenditures reached Int$ 20.41 million (of which 80% was for chemotherapy) and Int$ 10.06 million (of which 82% was for surgery), respectively. Approximately 80% of EBW-attributable costs were due to breast, endometrial and colorectal cancers. Conclusion A total of 1.76% of all federal cancer-related costs could be associated with EBW, representing a substantial economic burden for the public health system. We highlight the need for integrated policies for excess body weight control and cancer prevention.

scholarly journals Promoting Health Equity Through Partnerships

2021 ◽  
Vol 5 (Supplement_1) ◽  
pp. 252-252
Author(s):  
Karon Phillips
Keyword(s):  
Public Health ◽  
Older Adults ◽  
Health Equity ◽  
Healthy Aging ◽  
Well Being ◽  
Adult Health ◽  
Health Departments ◽  
Local Public Health ◽  
Public Health Departments ◽  
State And Local

Abstract Funded by The John A. Hartford Foundation, Trust for America’s Health’s (TFAH) Healthy Aging initiative has supported states as they develop Age-Friendly Public Health Systems (AFPHS). The goal of this national initiative is to make healthy aging a core function of state and local public health departments. Through this initiative, TFAH is working directly with states as they work to improve the health of older adults, with a particular focus on health equity. Given the increased prevalence of health disparities, prioritizing health equity has become important for many organizations. Through new partnerships and collaboration with aging services providers and health care systems, public health departments have developed innovative ways to improve the health and well-being of older adults from racial/ethnically diverse backgrounds. Areas of collaboration between the public health and aging sectors include sharing data on older adult health and working together to address social isolation.

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