scholarly journals Exit,Voice, andLoyaltyin the Italian Public Health Service: Macroeconomic and Corporate Implications

2013 ◽  
Vol 2013 ◽  
pp. 1-9 ◽  
Author(s):  
Adelaide Ippolito ◽  
Cira Impagliazzo ◽  
Paola Zoccoli
Keyword(s):  
Public Health ◽  
Health Service ◽  
Public Health Service ◽  
Local Health Authority ◽  
Local Health ◽  
Health Organizations ◽  
Health Authorities ◽  
Public Health Organizations ◽  
Local Health Authorities ◽  
Level Of Analysis

The paper analyses how customers of public health organizations can express their dissatisfaction for the services offered to them. The main aim is to evaluate the effects that possible dissatisfaction of Italian public health service customers can have on public health organizations. We adopted the methodological scheme developed by Hirschman withexit, voice,andloyalty, considering the macroeconomic and corporate implications that it causes for Italian public health organizations. The study investigated the effects developed by exit of the patients on the system of financing of local health authorities considering both the corporate level of analysis and the macroeconomic level. As a result, local health authority management is encouraged to pay greater attention to theexitphenomena through the adoption of tools that promote loyalty, such as the promotion of voice, even ifexitis not promoting, at a macroeconomic level, considerable attention to this phenomenon.

Exploring young professionals’ hesitation to joint German public health service – a mixed method study

2020 ◽  
Vol 30 (Supplement_5) ◽  
Author(s):  
J Stratil ◽  
L Arnold
Keyword(s):  
Public Health ◽  
Health Service ◽  
Mixed Method ◽  
Public Health Service ◽  
Public Health Workforce ◽  
Mixed Method Study ◽  
Local Health Authority ◽  
Local Health ◽  
Public Health Department ◽  
Young Professionals

Abstract Background The “Öffentliche Gesundheitsdienst (ÖGD)” is the central public health institution in Germany. The ÖGD comprises of all public sector institutions responsible for protecting and monitoring the population health on the federal, state, county and municipal level. Its key functions contain identifying and addressing public health threats, and promoting the heath of the general population. Despite the important role, the ÖGD has not been successful in attracting and recruiting young professionals; a situation aggravated by an expected wave of retirements. We aimed to identify barriers and discuss solutions to promote the attractiveness of working in the German public health service among young professionals. Methods Firstly, we conducted a theory-based online-survey of medical and public health students enrolled in Germany. Secondly, we conducted key-informant interviews with a purposive sample of former public health students meanwhile working at the local health authority or a public health department as well as leading persons in the same institutions. Results In the survey of more than 2400 students, among others identified barriers included: students not being aware of the ÖGD and its activities, negative images of the ÖGD, and unattractive job profiles. In the interviews, some participants expressed or experienced a strong preference within the ÖGD to attract medical students to the detriment of public health students. A lack of appreciation and strictly hierarchical work contexts were identified as further obstacles. Conclusions The survey and interviews identified several potential barriers and obstacles for young professionals to join the public health workforce in Germany. Likely, major reforms within the ÖGD as well as in the education of medical and public health students is necessary to overcome this challenge. The results of the qualitative study identify several potential solutions for improvement. Key messages We conducted a mixed-method study of medical and public health students and young professionals to explore the challenges of the German public health service to attract young professionals. Our study shows that major reforms are likely necessary to increase the attractiveness of the German public health service.

Social Media for Health Communication

2014 ◽  
pp. 237-263 ◽  
Author(s):  
Elisabetta Cioni ◽  
Alessandro Lovari
Keyword(s):  
Social Media ◽  
Health Communication ◽  
Local Health ◽  
Health Organizations ◽  
Health Authorities ◽  
Public Health Organizations ◽  
Managerial Implications ◽  
Social Media Platforms ◽  
Local Health Authorities

The aim of this chapter is to highlight the current issues and the challenging process of the adoption of social media by Italian local health authorities (ASL). After a literature review of the role of social media for health organizations, the authors focus their attention on how social network sites are modifying health communication and relations with citizens in Italy. They conduct an exploratory study articulated in three stages: after mapping the presence of local health authorities on the most popular social media platforms (Facebook, Twitter, YouTube), they carry out a content analysis to describe the prevalent kinds of messages published in the official Facebook timelines; in the third phase, using several interviews with healthcare directors and communications managers, the authors investigate implementation issues, managerial implications, and constraints that influence proper use of these participative platforms by Italian public health organizations. Limitations and further steps of the research are discussed.

The Public Health Police

2017 ◽  
Author(s):  
Trevor Hoppe
Keyword(s):  
Public Health ◽  
Hiv Positive ◽  
Local Health ◽  
Health Departments ◽  
Adherence To Treatment ◽  
The Public ◽  
Treatment Regimens ◽  
Health Authorities ◽  
Public Health Authorities ◽  
Local Health Authorities

As the HIV epidemic wore on in the 2000s, public health authorities became enamored with the idea of “ending AIDS.” That is, if they could just get HIV-positive people to take their pills and stop infecting other people. Health departments began to track HIV-positive clients more closely, aiming to control their behavior and ensure their adherence to treatment regimens. This chapter explores how local health authorities ensure that HIV-positive clients behave in a manner officials deem responsible—and how they catch and punish those who do not. While the state maintains that the work of local health officials is done solely in the interests of promoting public health, their efforts to control HIV-positive clients reveal that they are also engaged in policing and law enforcement.

A New Pattern in Day Hospital Development the West Middlesex Day Hospital

1963 ◽  
Vol 109 (458) ◽  
pp. 29-36 ◽  
Author(s):  
Brice Pitt ◽  
Morris Markowe
Keyword(s):  
Mental Health ◽  
Health Service ◽  
Local Health ◽  
Day Hospital ◽  
New Era ◽  
Health Authorities ◽  
Hospital Boards ◽  
Hospital Development ◽  
Mental Treatment ◽  
Local Health Authorities

Slowly but surely the emphasis of the mental health service is moving from the mental hospital into the community which it serves. The trend of these community developments can be seen as far back as the establishment of psychiatric out-patient clinics at general hospitals under the Mental Treatment Act, 1930, together with arrangements for after care, and continued by mental hospitals and regional hospital boards since the advent of the National Health Service. While the new era in British psychiatry awaits the implementation by local health authorities of their mandatory functions under the Mental Health Act, 1959, much can still be done within the hospital services proper to shift the emphasis into the community. One such method is described in this study of a Day Hospital developed within a large general hospital.

scholarly journals Are Public Health Organizations Tweeting to the Choir? Understanding Local Health Department Twitter Followership

2014 ◽  
Vol 16 (2) ◽  
pp. e31 ◽  
Author(s):  
Jenine K Harris ◽  
Bechara Choucair ◽  
Ryan C Maier ◽  
Nina Jolani ◽  
Jay M Bernhardt
Keyword(s):  
Public Health ◽  
Health Department ◽  
Local Health Department ◽  
Local Health ◽  
Health Organizations ◽  
Public Health Organizations

scholarly journals Accelerating Use of Self-measured Blood Pressure Monitoring (SMBP) Through Clinical-Community Care Models

2020 ◽  
Vol 46 (1) ◽  
pp. 127-138
Author(s):  
Margaret Meador ◽  
Judy Hannan ◽  
Debosree Roy ◽  
Kate Whelihan ◽  
Nana Sasu ◽  
...  
Keyword(s):  
Public Health ◽  
Blood Pressure ◽  
Blood Pressure Monitoring ◽  
Health Centers ◽  
Local Health ◽  
Pressure Monitoring ◽  
Health Organizations ◽  
Public Health Organizations ◽  
Care Models ◽  
Community And Public Health

AbstractSelf-measured blood pressure monitoring (SMBP), the regular measurement of blood pressure by a patient outside the clinical setting, plus additional support, is a proven, cost-effective but underutilized strategy to improve hypertension outcomes. To accelerate SMBP use, the Centers for Disease Control and Prevention (CDC) funded the National Association of Community Health Centers, the YMCA of the USA, and Association of State and Territorial Health Officials to develop cross-sector care models to offer SMBP to patients with hypertension. The project aimed to increase the use of SMBP through the coordinated action of health department leaders, community organizations and clinical providers. From 1/31/2017 to 6/30/2018, nine health centers in Kentucky, Missouri, and New York partnered with seven local Y associations (local Y) and their local health departments to design and implement care models that adapted existing primary care SMBP practices by leveraging capacities and resources in community and public health organizations. Nine collaborative care models emerged, shaped by available community assets, strategic priorities, and organizational culture. Overall, 1421 patients were recommended for SMBP; of those, 795 completed at least one cycle of SMBP (BP measurements morning and evening for at least three consecutive days). Of those recommended for SMBP, 308 patients were referred to a local Y to receive additional SMBP and healthy lifestyle support. Community and public health organizations can be brought into the health care delivery process and can play valuable roles in supporting patients in SMBP.

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