Person-centred integrated care with a health promotion/public health approach: a rapid review

2021 ◽  
Vol ahead-of-print (ahead-of-print) ◽  
Author(s):  
Teresa Burdett ◽  
Joanne Inman
Keyword(s):  
Public Health ◽  
Health Promotion ◽  
Integrated Care ◽  
Population Health ◽  
Active Agent ◽  
Well Being ◽  
Models Of Care ◽  
Rapid Review ◽  
Public Health Approach ◽  
Content Type

PurposeDue to the need for the development of person-centred integrated models of care with a population health approach, this paper explored contemporary literature in this arena.Design/methodology/approachA systematic literature review was conducted using the Preferred Reporting Items for Systematic Reviews and Meta-Analyses. Papers included in this review focused upon person-centred integrated care and a health promotion/public health approach (January 2018–October 2020). Papers were excluded due to not being written in English, not fitting the age criteria and not being peer reviewed.FindingsEight studies met the inclusion criteria and three overarching themes were identified with regards to person-centred integrated care as a health promotion/public health approach: Core components; Development, implementation, and evaluation of models of care and relationship to population health and wellbeing outcomes.Research limitations/implicationsThe need for person-centred integrated care as a health promotion/public health approach, to enhance population health and well-being outcomes requires further research to continue to develop, implement and evaluate models of care.Originality/valueThe international scope of this contemporary review brought together the three concepts of person-centred integrated care and public health, exploring the translation of policy into practice (WHO, 2016). The juxtaposition of public health approaches in the background/consequential or foreground/active agent demonstrates how promotion, prevention and population health can be re-valued in integrated people-centred health services (WHO, 2016).

scholarly journals A Public Health Approach to Negative News Media: The 3-to-1 Solution

2020 ◽  
pp. 089011712091422
Author(s):  
Tyler J. VanderWeele ◽  
Arthur C. Brooks
Keyword(s):  
Public Health ◽  
Social Interactions ◽  
Population Health ◽  
News Media ◽  
Well Being ◽  
Public Health Approach ◽  
Media Reporting ◽  
The Past ◽  
Negative News ◽  
Health And Well Being

There is clear evidence that the prevalence of negative media reporting has increased substantially over the past years. There is evidence that this negative reporting adversely affects social interactions, and thereby also health and well-being outcomes. Given the wide reach of negative media reporting and the contagion of such reporting and the resulting interactions, the effects on health are arguably substantial. Moreover, there is little incentive at present for media outlets to change practices. A commitment of news outlets to report one positive story for every 3 negative stories, and of news consumers to restrict attention to outlets that do, could dramatically alter practices and, consequently, population health.

scholarly journals Making it personal – population health management and the NHS

2020 ◽  
Vol 28 (3) ◽  
pp. 243-252
Author(s):  
Martin McShane ◽  
Karen Kirkham
Keyword(s):  
Integrated Care ◽  
Population Health ◽  
Health Management ◽  
Major Change ◽  
Models Of Care ◽  
Population Health Management ◽  
Content Type ◽  
Disease Patterns ◽  
Learning Health System ◽  
Care Systems

PurposeChanges in demographics and disease patterns are challenging health and care systems across the world. In England, national policies have reset the direction of travel for the NHS. Collaboration, integration and personalisation are intended to become prime principles and drivers for new models of care. Central to this is the concept of population health management. This has emerged, internationally, as a method to improve population health. Fundamental for population health management to succeed is the use of integrated data, analytics combined with professional insight and the adoption of a learning health system culture. This agenda reaches beyond the NHS in England and the public health profession to embrace a broad range of stakeholders. By drawing on international experience and early experience of implementation in the United Kingdom, the potential for health and care systems in England to become world leading in population health management is explored.Design/methodology/approachA viewpoint paper.FindingsPopulation health management is a major change in the way health and care systems look at the challenges they are facing. It makes what is happening to individuals, across the continuum of care, the essence for insight and action. The NHS has the components for success and the potential to become world leading in delivery of population health management as part of its integrated care agenda.Originality/valueThis is the first viewpoint paper to set out how population health management contributes to the integrated care agenda in the NHS.

Determinants of positive mental health: a path model

2014 ◽  
Vol 19 (1) ◽  
pp. 47-60 ◽  
Author(s):  
Nima S. Ganga ◽  
V. Raman Kutty ◽  
Immanuel Thomas
Keyword(s):  
Public Health ◽  
Mental Health ◽  
Latent Variables ◽  
Positive Mental Health ◽  
Path Model ◽  
Primary Data ◽  
Outcome Variable ◽  
Public Health Approach ◽  
Cross Sectional Survey ◽  
Content Type

Purpose – A public health approach for promoting mental health has become a major health policy agenda of many governments. Despite this worldwide attention on research addressing population mental health and general wellbeing, very little is heard on positive mental health from the low-and middle-income countries. This paper aims to present an attempt to develop a model of positive mental health among young people. This could be used for integrating the concept of positive mental health (PMH) into public health interventions. Design/methodology/approach – The study was conducted in the state of Kerala, India. The paper administered the “Achutha Menon Centre Positive Mental health Scale” to a sample of 453 (230 men and 223 women) in the age group 18-24, along with an interview schedule exploring the relationship of PMH with many explanatory variables such as sex, beliefs, religion, education, employment and social capital. The paper developed an input path model through a series of multiple regressions explaining the levels of PMH in the community, which was then tested statistically (using AMOS version 7.0). The input model was created by identifying the determinants and correlates of PMH based on their predictive power on the outcome variable, the PMH score. The input diagram was used to test the model fit of the data. Findings – The path model (Figure 1) clearly specified the determinants of PMH. Among them, the variables that have a direct determinant effect on PMH are: quality of home learning environment, employment status, education status, marital status, self-perception on possession of skills, happiness with life, membership in social organizations and socializing capability. Research limitations/implications – In this study, path model is used to confirm relationships among observed and latent variables. The path diagram assesses the comparative strength of the correlations between the variables and does not test the directionality. Or, the model itself cannot prove causation. Practical implications – Determinants of PMH those are amenable to interventions as well as those which help in recognizing characteristic groups for intervention could help to plan future intervention programs. Originality/value – Original paper based on primary data collected through a cross-sectional survey.

The business of integrated care: implementing new models of care in a fee-for-service setting

2018 ◽  
Vol 26 (1) ◽  
pp. 16-28 ◽  
Author(s):  
Serena Yu ◽  
Kees van Gool ◽  
Karen Edwards ◽  
Sue Kirby ◽  
Karen Gardner ◽  
...  
Keyword(s):  
Data Collection ◽  
Integrated Care ◽  
Models Of Care ◽  
Rural Setting ◽  
Fee For Service ◽  
Content Type ◽  
Practice Level ◽  
South Wales ◽  
Administration Time ◽  
Rural Sites

Purpose The Western New South Wales Integrated Care Strategy (ICS) was rolled out from November 2014 across three rural sites. The purpose of this paper is to assess its impact on general practices, and examine the feasibility of implementing an ICS, within a predominantly fee-for-service delivery model. Design/methodology/approach Mixed methods were used to analyse the implementation of the ICS, including practice-level patient data on changes in service provision. This includes unit-record data on 130 enroled patients across three rural sites, as well as qualitative data collection from providers. Findings There were significant increases in both revenue-generating and non-revenue-generating activities (primarily care coordination activities) associated with implementing the ICS. Each occasion of service involved greater contact time with practice staff other than GPs, as well as greater administration time. There is evidence that ICS activities such as case conferencing and team care planning substitute for traditional GP consultations. Overall, the study found that a significant investment of resources – namely staff time devoted to a range of activities – was required to support the implementation of the ICS. Such an investment was supported both externally and through revenue-generating practice-level activities. Research limitations/implications The data collection and evaluation project is ongoing, with analysis based on the first wave of data from three sites. Practical implications At the practice level, a substantial commitment of resources is required to invest in, and sustain, a new model of integrated care (IC). This commitment can currently be supported both through higher revenue generation at the practice level, and externally by health system stakeholders, but changes in financial settings could impact on financial viability. Originality/value This paper provides evidence on the role of blended payment mechanisms in facilitating the implementation of IC in a rural setting where there are medical workforce constraints.

Online Opinion Leaders in the Health Promotion Digital Era

2021 ◽  
Vol 37 (4) ◽  
pp. 295-309
Author(s):  
Joyce Cheah Lynn-Sze ◽  
◽  
Azlina Kamaruddin ◽  
Keyword(s):  
Public Health ◽  
Decision Making ◽  
Social Media ◽  
Health Promotion ◽  
Health Communication ◽  
Opinion Leader ◽  
Well Being ◽  
Opinion Leaders ◽  
Structured Interviews ◽  
The Public

Health opinion leaders have widely embraced social media for health promotion and public health communication which can make a strong influence on the public decision making. However, despite the growing relevance of public health threats such as infectious diseases, pandemic influenza and natural disasters, research has paid little attention to the qualities of opinion leaders. Moreover, there is limited evidence that public health organisations use social media appropriately to engage in meaningful conversations with audiences. Thus, the aims of the study are to describe principles of communication practised by online opinion leaders to promote health issues, to discuss the strategies of social media used, to explain the opinion leaders’ influence attributes in health decision making and finally to develop a model of online opinion leader in the contemporary health promotion era. Content analysis was conducted on Facebook postings of five selected health opinion leaders. In addition, semi-structured interviews with 10 followers were conducted. The findings of the study revealed that there are three principles of communication practised by online opinion leaders, which are language, interaction and themes. There are three strategies opinion leaders use to influence the public: social connectivity, social support and social consultation. Furthermore, there are five opinion leaders’ attributes that influence the public’s decision making, namely personality, authenticity, trust/credibility, professional knowledge and social position. The model would be beneficial in educating and guiding the current public health opinion leaders in order to establish health and social well-being. Keywords: Online opinion leader, online health communication, public health, two-step flow theory, decision making.

Physical health and well being

2009 ◽  
pp. 139-212
Keyword(s):  
Public Health ◽  
Blood Pressure ◽  
Health Promotion ◽  
Intellectual Disability ◽  
Physical Health ◽  
Oxygen Saturation ◽  
Health Assessment ◽  
Well Being ◽  
Temperature Pulse ◽  
Health And Well Being

Introduction 140 Health inequalities 142 Principles of health promotion 144 Promoting public health 146 Promoting physical well-being of individuals 148 Physical health assessment of people with intellectual disability 150 Blood pressure, temperature, pulse 152 Respiration and oxygen saturation levels 154 Epilepsy 156 Supporting people with epilepsy ...

Conclusion

2019 ◽  
pp. 183-192
Author(s):  
Fran Baum
Keyword(s):  
Public Health ◽  
Human Health ◽  
Population Health ◽  
Health Equity ◽  
Good Governance ◽  
Well Being ◽  
Planetary Health ◽  
Essential Tool

This chapter distills the contents of the book into six central messages: (1) reducing inequities is the central, vital mechanism for building population health; (2) human health is intimately connected to planetary health and needs to be viewed as part of the broader ecosystem; (3) how we govern is vitally important to how healthy, sustainable and equitable we are: good governance is centrally concerned with the involvement of all sectors to promote health and reduce inequities; (4) regulation is a powerful and essential tool for public health; (5) new ways of measuring progress are important; (6) ubiquitous leadership is required for health, equity, and well-being. The chapter elaborates on each of these and then ends with a consideration of the importance of maintaining hope and acting with courage.

scholarly journals Health and Wellbeing Boards: a new dawn for public health partnerships?

2014 ◽  
Vol 22 (5/6) ◽  
pp. 220-229 ◽  
Author(s):  
Neil Perkins ◽  
David James Hunter
Keyword(s):  
Public Health ◽  
Literature Review ◽  
Health Outcomes ◽  
Population Health ◽  
Health Inequalities ◽  
Systematic Literature Review ◽  
Current Evidence ◽  
Content Type ◽  
Health Partnerships ◽  
Current Evidence Base

Purpose – The purpose of this paper is to consider the effectiveness of partnership working in public health and draws on a systematic review of public health partnerships and original research conducted by the authors. It then considers in the light of research evidence whether the recently established Health and Wellbeing Boards (HWBs) under the 2012 Health and Social Care Act will help agencies to work together more effectively to improve population health or will go the way of previous initiatives and fall short of their original promise. Design/methodology/approach – The paper is based on a systematic literature review conducted by the authors and empirical research focusing upon the ability of public health partnerships to reduce health inequalities and improve population health outcomes. It also draws on recent studies evaluating HWBs. Findings – The paper finds that, hitherto, public health partnerships have had limited impact on improving population health and reducing health inequalities and that there is a danger that HWBs will follow the same path-dependent manner of previous partnership initiatives with limited impact in improving population health outcomes and reducing health inequalities. Research limitations/implications – The research draws on a systematic literature review and further scoping review of public health partnerships, in addition to empirical research conducted by the authors. It also reviews the current evidence base on HWBs. It is recognised that HWBs are in their early stages and have not as yet had the time to fulfil their role in service collaboration and integration. Practical implications – The paper gives an overview of how and why public health partnerships in the past have not lived up to the expectations placed upon them. It then offers practical steps that HWBs need to take to take to ensure the mistakes of the past are not replicated in the future. Social implications – The research outlines how public health partnerships can operate in a more effective manner, to ensure a more seamless provision for service users. The paper then gives pointers as to how this can benefit HWBs and the wider community they serve. Originality/value – The paper draws on a comprehensive research study of the effectiveness of public health partnerships on improving health outcomes and a systematic literature review. In addition, it also draws upon the current evidence base evaluating HWBs, to inform the discussion on their future prospects, in regard to partnership working in public health and promoting service integration.

Letter – Health promotion, the new public health and population health – are they coterminous?

2003 ◽  
Vol 14 (3) ◽  
pp. 226-227
Author(s):  
Peter Howat ◽  
Bruce Maycock ◽  
Donna Cross ◽  
Jenny Collins ◽  
Linda Jackson ◽  
...  
Keyword(s):  
Public Health ◽  
Health Promotion ◽  
Population Health ◽  
New Public Health ◽  
New Public
Sign in / Sign up

Export Citation Format

Share Document