scholarly journals Veterinary Public Health Capacity in the United States: Opportunities for Improvement

2011 ◽  
Vol 126 (6) ◽  
pp. 868-874 ◽  
Author(s):  
Dwayne W. Jarman ◽  
Jennifer L. Liang ◽  
Richard R. Luce ◽  
Jennifer G. Wright ◽  
Gail M. Stennies ◽  
...  

Objectives. In 2006, the Association of American Veterinary Medical Colleges reported that the shortage (≥1,500) of public health veterinarians is expected to increase tenfold by 2020. In 2008, the Centers for Disease Control and Prevention (CDC) Preventive Medicine Fellows conducted a pilot project among CDC veterinarians to identify national veterinary public health workforce concerns and potential policy strategies. Methods. Fellows surveyed a convenience sample (19/91) of public health veterinarians at CDC to identify veterinary workforce recruitment and retention problems faced by federal agencies; responses were categorized into themes. A focus group (20/91) of staff veterinarians subsequently prioritized the categorized themes from least to most important. Participants identified activities to address the three recruitment concerns with the highest combined weight. Results. Participants identified the following three highest prioritized problems faced by federal agencies when recruiting veterinarians to public health: ( 1) lack of awareness of veterinarians' contributions to public health practice, ( 2) competitive salaries, and ( 3) employment and training opportunities. Similarly, key concerns identified regarding retention of public health practice veterinarians included: ( 1) lack of recognition of veterinary qualifications, ( 2) competitive salaries, and ( 3) seamless integration of veterinary and human public health. Conclusions. Findings identified multiple barriers that can affect recruitment and retention of veterinarians engaged in public health practice. Next steps should include replicating project efforts among a national sample of public health veterinarians. A committed and determined long-term effort might be required to sustain initiatives and policy proposals to increase U.S. veterinary public health capacity.

2015 ◽  
Vol 24 (01) ◽  
pp. 199-206 ◽  
Author(s):  
B. E. Dixon ◽  
H. Kharrazi ◽  
H. P. Lehmann

Summary Objectives: To survey advances in public health and epidemiology informatics over the past three years. Methods: We conducted a review of English-language research works conducted in the domain of public health informatics (PHI), and published in MEDLINE between January 2012 and December 2014, where information and communication technology (ICT) was a primary subject, or a main component of the study methodology. Selected articles were synthesized using a thematic analysis using the Essential Services of Public Health as a typology. Results: Based on themes that emerged, we organized the advances into a model where applications that support the Essential Services are, in turn, supported by a socio-technical infrastructure that relies on government policies and ethical principles. That infrastructure, in turn, depends upon education and training of the public health workforce, development that creates novel or adapts existing infrastructure, and research that evaluates the success of the infrastructure. Finally, the persistence and growth of infrastructure depends on financial sustainability. Conclusions: Public health informatics is a field that is growing in breadth, depth, and complexity. Several Essential Services have benefited from informatics, notably, “Monitor Health,” “Diagnose & Investigate,” and “Evaluate.” Yet many Essential Services still have not yet benefited from advances such as maturing electronic health record systems, interoperability amongst health information systems, analytics for population health management, use of social media among consumers, and educational certification in clinical informatics. There is much work to be done to further advance the science of PHI as well as its impact on public health practice.


2019 ◽  
pp. 105984051988060 ◽  
Author(s):  
Diane Davis ◽  
Erin D. Maughan ◽  
Krista A. White ◽  
Margaret Slota

A gap analysis was used to examine the scope of school nursing practice in the United States. An investigator-developed 39-item self-assessment survey of scope of school nursing practice was modified from an existing validated tool, organized around the five principles of the National Association of School Nurses’ Framework: Standards of Practice, Quality Improvement, Care Coordination, Community/Public Health, and Leadership and also explored barriers to practice. The survey was sent to a national convenience sample of practicing school nurses. The survey was completed by 3,108 practicing school nurses. Gaps were identified for all principles and were greatest for Quality Improvement and Community/Public Health practice. All practice items were rated more important than the ability to practice that item ( p < .001). Self-identified barriers including workload, school/district expectations, and state regulations accounted for significant variances in practice across four of five principles ( p < .05, p < .001). Recommendations include support for population-focused evidence–based school nursing practice.


2019 ◽  
Vol 47 (S2) ◽  
pp. 80-82 ◽  
Author(s):  
Montrece McNeill Ransom ◽  
Rebecca Johnson ◽  
Marice Ashe ◽  
Matthew Penn ◽  
F. Abigail Ferrell ◽  
...  

Knowledge of the law and its impact on health outcomes is increasingly important in public health practice. The CDC's Public Health Law Academy helps satisfy this need by providing online trainings, facilitator toolkits, and legal epidemiology tools to aid practitioners in learning about the law's role in promoting public health.


2018 ◽  
Vol 7 (1) ◽  
pp. 207-216
Author(s):  
Hamisu M Salihu ◽  
Roneé E Wilson ◽  
Estrellita "Lo" Berry

Background or Objectives: Collective Impact (CI) is the sum of collaborative actions through coalition building to examine and address issues that threaten public health. We sought to develop an instrument to measure CI across diverse health-related organizations. Methods: The study was performed in 5 phases initiated with a comprehensive literature review through the generation of candidate items using a deductive instrument development approach. A matrix was then created to map assembled items onto related CI domains. An one-hundred and nine (n=109) item questionnaire covering multiple items per domain was administered to 200 health-related organizations selected randomly throughout the United States. Survey data were evaluated using Principal Component Analysis and Kaiser criterion or eigenvalue-greater-than-one rule was the factor retention method utilized. Results: Based on Kaiser’s eigenvalue criteria and communality estimates, the number of items across the five domains of CI was reduced from 109 to 20, with 4 items populating each subdomain. All communality estimates in the final instrument had values > 0.6, which was sufficiently adequate as per Kaiser’s criterion. Conclusion and Global Health Implications: This pilot study demonstrates CI represents a multifactorial concept with domains that are multi-dimensional capturing diverse aspects of a construct. We developed the first measure of CI for public health practice. The index bears potential utility for assessing and monitoring areas of strengths and weaknesses within collaborative partnerships across the spectrum of population health. Key words: Collaborative Partnerships. CI. Federal Healthy Start. Program Evaluation. Index. Public Health Practice  


Author(s):  
Alice H Lichtenstein ◽  
Allison Karpyn

Serving as a cornerstone of dietary policy in the United States, the Dietary Guidelines for Americans (DGAs) provide an important foundation for understanding the programs and policies that influence public health practice. In this chapter, we review the emergence and development of the guidelines beginning with their evolution from the Dietary Goals for Americans and moving through various iterations from 1980 until the current era in 2015. Topics include concrete reporting on recommendations, evolving principles of a healthy diet, and a discussion of controversies borne by industry lobbying groups and government mandates.


2007 ◽  
Vol 122 (4) ◽  
pp. 435-440 ◽  
Author(s):  
Kristine Gebbie ◽  
Bernard D. Goldstein ◽  
David I. Gregorio ◽  
Walter Tsou ◽  
Patricia Buffler ◽  
...  

The National Board of Public Health Examiners (NBPHE, the Board) is the result of many years of intense discussion about the importance of credentialing within the public health community. The Board is scheduled to begin credentialing graduates of programs and schools of public health accredited by the Council on Education for Public Health (CEPH) in 2008. Among the many activities currently underway to improve public health practice, the Board views credentialing as one pathway to heighten recognition of public health professionals and increase the overall effectiveness of public health practice. The process underway includes developing, preparing, administering, and evaluating a voluntary certification examination that tests whether graduates of CEPH-accredited schools and programs have mastered the core knowledge and skills relevant to contemporary public health practice. This credentialing initiative is occurring at a time of heightened interest in public health education, and an anticipated rapid turnover in the public health workforce. It is fully anticipated that active discussion about the credentialing process will continue as the Board considers the many aspects of this professional transition. The Board wishes to encourage these discussions and welcomes input on any aspects relating to implementation of the credentialing process.


2016 ◽  
Vol 22 (3) ◽  
pp. E1-E8 ◽  
Author(s):  
Cara T. Mai ◽  
Russell S. Kirby ◽  
Adolfo Correa ◽  
Deborah Rosenberg ◽  
Michael Petros ◽  
...  

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