Community intellectual disability nurses’ public health roles in the United Kingdom: An exploratory documentary analysis

2016 ◽  
Vol 22 (1) ◽  
pp. 61-73 ◽  
Author(s):  
Kay Mafuba ◽  
Bob Gates ◽  
Maria Cozens
Keyword(s):  
Public Health ◽  
United Kingdom ◽  
Health Policy ◽  
Intellectual Disability ◽  
Public Health Policy ◽  
Role Theory ◽  
Role Clarity ◽  
Job Descriptions ◽  
The United Kingdom ◽  
Documentary Analysis

The aim of this study was to explore how public health policy in the United Kingdom was reflected in community intellectual disability nurses’ (CIDNs)’ job descriptions and person’s specifications. The role of CIDNs has evolved due to policy changes. As these roles evolve, job descriptions and person specifications are important in highlighting employer’s expectations staff, priorities, and professional values of their employees. This study involved an exploratory documentary analysis of n = 203 CIDNs’ job descriptions and person specifications in the context of role theory. The CIDNs’ public health roles identified in this study are health education, health protection, health prevention, health surveillance, and health promotion. Key policies themes were intellectual disability health access, public health strategies, policy evaluation/redesign, and public health policy. There is a lack of public health role clarity and inconsistency in role expectations across organizational boundaries in the United Kingdom.

Brexit is just a symptom: the constitutional weaknesses it reveals have serious consequences for health

2020 ◽  
Vol 42 (4) ◽  
pp. 778-783 ◽  
Author(s):  
Holly Jarman ◽  
Scott L Greer ◽  
Martin McKee
Keyword(s):  
Public Health ◽  
United Kingdom ◽  
Health Policy ◽  
Health Problem ◽  
Public Health Policy ◽  
Public Health Problem ◽  
Economic Damage ◽  
The Political ◽  
The United Kingdom ◽  
Do So

Abstract Brexit has direct and indirect negative health consequences, whether from economic damage or from the political paralysis and distraction from public health that it has created. Brexit is a public health problem in its own right, as other literature has shown—but, we argue, it is also a symptom of deeper problems in the governance of the United Kingdom. In particular, the combination of executive dominance, partisanship and opacity that give rise to the constitutional casualism of the Brexit decisions has already affected public health policy and will continue to do so unless addressed.

scholarly journals Auditing National HIV Guidelines and Policies: The United Kingdom CD4 Surveillance Scheme

2012 ◽  
Vol 6 (1) ◽  
pp. 149-155 ◽  
Author(s):  
Alison E Brown ◽  
Meaghan M Kall ◽  
Ruth D Smith ◽  
Zheng Yin ◽  
Alan Hunter ◽  
...  
Keyword(s):  
Public Health ◽  
Health Policy ◽  
Hiv Infection ◽  
Public Health Policy ◽  
Cd4 Count ◽  
Hiv Diagnosis ◽  
Cd4 Counts ◽  
Hiv Surveillance ◽  
The United Kingdom ◽  
Surveillance Scheme

The United Kingdom’s CD4 surveillance scheme monitors CD4 cell counts among HIV patients and is a national resource for HIV surveillance. It has driven public health policy and allowed auditing of national HIV testing, treatment and care guidelines. We demonstrate its utility through four example outputs: median CD4 count at HIV diagnosis; late HIV diagnosis and short-term mortality; the timing of first CD4 count to indicate entry into HIV care; and the proportion of patients with CD4 counts <350 cells/mm3 receiving anti-retroviral therapy (ARV). In 2009, 95% (61,502/64,420) of adults living with diagnosed HIV infection had CD4 counts available. The median CD4 count at diagnosis increased from 276 to 335 cells/mm3 between 2000 and 2009, indicating modest improvements in HIV testing. In 2009, 52% of patients were diagnosed at a late stage of HIV infection (CD4 <350 cells/mm3); these individuals had a ten-fold risk of dying within a year of their diagnosis compared to those diagnosed promptly. In 2008, the national target of performing a CD4 count within 14 days of diagnosis was met for 61% of patients. National treatment guidelines have largely been met with 83% patients with CD4 <350 cells/mm3 receiving ARV. The monitoring of CD4 counts is critical to HIV surveillance in the United Kingdom enabling the close monitoring of efforts to reduce morbidity and mortality associated with late diagnosis and underpins the auditing of policies and guidelines. These routine surveillance outputs can be generated at national and local levels to drive and monitor public health policy and prevention efforts.

scholarly journals Public health policy-making for hearing loss: stakeholders’ evaluation of a novel eHealth tool

2020 ◽  
Vol 18 (1) ◽  
Author(s):  
Giorgos Dritsakis ◽  
Lyubov Trenkova ◽  
Mariola Śliwińska-Kowalska ◽  
Dario Brdarić ◽  
Niels Henrik Pontoppidan ◽  
...  
Keyword(s):  
Public Health ◽  
Hearing Loss ◽  
Health Policy ◽  
Hearing Aids ◽  
Public Health Policy ◽  
Policy Making ◽  
Advanced Technology ◽  
The European Union ◽  
Time Data ◽  
The United Kingdom

Abstract Background Hearing loss (HL) affects 466 million people of all ages worldwide, with a rapidly increasing prevalence, and therefore requires appropriate public health policies. Multi-disciplinary approaches that make use of eHealth services can build the evidence to influence public policy. The European Union-funded project EVOTION developed a platform that is fed with real-time data from hearing aids, a smartphone, and additional clinical data and makes public health policy recommendations based on hypothetical public health policy-making models, a big data engine and decision support system. The present study aimed to evaluate this platform as a new tool to support policy-making for HL. Methods A total of 23 key stakeholders in the United Kingdom, Croatia, Bulgaria and Poland evaluated the platform according to the Strengths, Weaknesses, Opportunities and Threats methodology. Results There was consensus that the platform, with its advanced technology as well as the amount and variety of data that it can collect, has huge potential to inform commissioning decisions, public health regulations and affect healthcare as a whole. To achieve this, several limitations and external risks need to be addressed and mitigated. Differences between countries highlighted that the EVOTION tool should be used and managed according to local constraints to maximise success. Conclusion Overall, the EVOTION platform can equip HL policy-makers with a novel data-driven tool that can support public health policy-making for HL in the future.

Public Health: Policy and Politics

2001 ◽  
Vol 9 (6) ◽  
pp. 507-509 ◽  
Author(s):  
Rob Baggott ◽  
David J Hunter
Keyword(s):  
Public Health ◽  
Health Policy ◽  
Public Health Policy

Fat, Stigma, and Public Health Policy

2005 ◽  
Author(s):  
Leslie A. Crimin ◽  
Carol T. Miller
Keyword(s):  
Public Health ◽  
Health Policy ◽  
Public Health Policy ◽  
Fat Stigma

Federal Public Health Authority

2018 ◽  
Author(s):  
Scott Burris ◽  
Micah L. Berman ◽  
Matthew Penn, and ◽  
Tara Ramanathan Holiday
Keyword(s):  
Public Health ◽  
Health Policy ◽  
Public Health Policy ◽  
Federal Agencies ◽  
Public Health Authority ◽  
Commerce Clause ◽  
Individual Mandate ◽  
National Federation ◽  
Health Laws ◽  
Health Regulations

This chapter explores the powers of Congress to pass federal public health laws and to delegate authority to federal agencies. The chapter starts with an explanation of Congress’s limited, enumerated powers and how this limits Congress to certain arenas of authority. It next explores the evolution Congress’s use of the Commerce Clause to pass public health laws, before exploring Congress’s use of the Taxing and Spending Clause. The chapter provides examples of how Congress has used both the Commerce Clause and its taxing and spending power to effectuate public health policy. Next, the chapter explains the National Federation of Independent Businesses v. Sebelius case; it details challenges to the Affordable Care Act’s individual mandate and Medicaid and explains the implications of the Supreme Court’s holdings. Lastly, the chapter explains Congress’s authority to delegate authority to federal administrative agencies to issue and enforce public health regulations.

Persons with Disabilities and Public Health Ethics

2019 ◽  
pp. 218-231
Author(s):  
Monika Mitra ◽  
Linda Long-Bellil ◽  
Robyn Powell
Keyword(s):  
Public Health ◽  
Health Policy ◽  
Public Health Policy ◽  
Ethical Issues ◽  
The United States ◽  
Policy And Practice ◽  
Persons With Disabilities ◽  
Public Health Decision ◽  
Health Decision ◽  
Health Policy And Practice

This chapter draws on medical, social, and legal perspectives to identify and highlight ethical issues pertaining to the treatment, representation, and inclusion of persons with disabilities in public health policy and practice. A brief history of disability in the United States is provided as a context for examining the key ethical issues related to public health policy and practice. Conceptual frameworks and approaches to disability are then described and applied. The chapter then discusses the imperativeness of expanding access to public health programs by persons with disabilities, the need to address implicit and structural biases, and the importance of including persons with disabilities in public health decision-making.

Sign in / Sign up

Export Citation Format

Share Document