Health Equity Curricula Within Health Policy and Management Concentrations in U.S. Public Health Graduate Programs

2018 ◽  
Vol 5 (4) ◽  
pp. 276-282
Author(s):  
Gilbert Gonzales ◽  
Nicole Quinones ◽  
Marie Martin
Keyword(s):  
Public Health ◽  
Health Policy ◽  
Health Equity ◽  
The United States ◽  
Public Health Workforce ◽  
Women And Gender ◽  
Master Of Public Health ◽  
National Priority ◽  
And Gender ◽  
Specific Health

Achieving health equity is a national priority in the United States and having a public health workforce equipped to make health policy and administrative decisions that reduce disparities is needed. We examined 50 schools that offered an on-campus Master of Public Health and are accredited by the Council on Education for Public Health with concentrations or tracks in health policy and management (HPM). Nationally, only 6 (12%) HPM tracks required students to take a course in health equity and/or disparities. Of the optional courses offered within HPM tracks, 30.5% were focused on specific health conditions, and 28% were focused on broadly defined inequities. A smaller portion of health equity courses covered topics in sexual and reproductive health (5.1%), women and gender (3.4%), immigration (1.7%), and LGBTQ populations (1.7%). If health equity is to be achieved in health policy and management, educating all students earning a Master of Public Health in HPM tracks on these issues and equipping them with competencies to effectively tackle health inequity is a starting place.

Are We Prepared for Precision Public Health? An Examination of Genomics Content in Graduate Public Health Programs

2021 ◽  
pp. 003335492110557
Author(s):  
Karen L. Niemchick ◽  
Ally Goerge ◽  
Amy H. Ponte
Keyword(s):  
Public Health ◽  
United States ◽  
The United States ◽  
Genome Project ◽  
Public Health Workforce ◽  
Public Health Genomics ◽  
Master Of Public Health ◽  
Precision Public Health ◽  
Populations At Risk ◽  
Genomics Education

Objective With the completion of the Human Genome Project and swift development of genomic technologies, public health practitioners can use these advancements to more precisely target disease interventions to populations at risk. To integrate these innovations into better health outcomes, public health professionals need to have at least a basic understanding of genomics within various disciplines of public health. This descriptive study focused on the current level of genomics content in accredited master of public health (MPH) programs in the United States. Methods We conducted an internet search on all 171 Council on Education for Public Health (CEPH)–accredited MPH programs in the United States for genomics content in required and elective courses using the search terms “genetics,” “genomics,” and “molecular.” Results Of the 171 CEPH-accredited MPH programs examined, 52 (30.4%) schools and programs in 34 states offered some type of genomics education. Thirty-five (20.5%) schools and programs had a course in genetic epidemiology, 29 (16.9%) had a course in genetic biostatistics or bioinformatics, and 17 (9.9%) had a course in general public health genomics. The remaining 119 offered no course with a focus on genetics or genomics. In addition, some electives or specifically focused courses related to genomics were offered. Conclusion We found inadequate training in public health genomics for MPH students. To realize the promise of precision public health and to increase the understanding of genomics among the public health workforce, MPH programs need to find ways to integrate genomics education into their curricula.

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.

scholarly journals Dual MD–MPH Degree Students in the United States: Moving the Medical Workforce Toward Population Health

2021 ◽  
pp. 003335492097842
Author(s):  
Jo Marie Reilly ◽  
Christine M. Plepys ◽  
Michael R. Cousineau
Keyword(s):  
Public Health ◽  
United States ◽  
Population Health ◽  
Health Care Policy ◽  
The United States ◽  
Extensive Literature ◽  
Master Of Public Health ◽  
Telephone Interviews ◽  
Public Health Training ◽  
The Impact

Objective A growing need exists to train physicians in population health to meet the increasing need and demand for physicians with leadership, health data management/metrics, and epidemiology skills to better serve the health of the community. This study examines current trends in students pursuing a dual doctor of medicine (MD)–master of public health (MPH) degree (MD–MPH) in the United States. Methods We conducted an extensive literature review of existing MD–MPH databases to determine characteristics (eg, sex, race/ethnicity, MPH area of study) of this student cohort in 2019. We examined a trend in the MD community to pursue an MPH career, adding additional public health and health care policy training to the MD workforce. We conducted targeted telephone interviews with 20 admissions personnel and faculty at schools offering MD–MPH degrees in the United States with the highest number of matriculants and graduates. Interviews focused on curricula trends in medical schools that offer an MD–MPH degree. Results No literature describes the US MD–MPH cohort, and available MD–MPH databases are limited and incomplete. We found a 434% increase in the number of students pursuing an MD–MPH degree from 2010 to 2018. The rate of growth was greater than the increase in either the number of medical students (16%) or the number of MPH students (65%) alone. Moreover, MD–MPH students as a percentage of total MPH students more than tripled, from 1.1% in 2010 to 3.6% in 2018. Conclusions As more MD students pursue public health training, the impact of an MPH degree on medical school curricula, MD–MPH graduates, and MD–MPH career pursuits should be studied using accurate and comprehensive databases.

scholarly journals Public Health and Epidemiology Informatics: Recent Research and Trends in the United States

2015 ◽  
Vol 24 (01) ◽  
pp. 199-206 ◽  
Author(s):  
B. E. Dixon ◽  
H. Kharrazi ◽  
H. P. Lehmann
Keyword(s):  
Public Health ◽  
Workforce Development ◽  
Health Informatics ◽  
English Language ◽  
Health Management ◽  
Public Health Practice ◽  
The United States ◽  
Public Health Workforce ◽  
Public Health Informatics ◽  
Essential Services

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.

Structural Transphobia, Homophobia, and Biphobia in Public Health Practice: The Example of COVID-19 Surveillance

2021 ◽  
pp. e1-e7
Author(s):  
Randall L. Sell ◽  
Elise I. Krims
Keyword(s):  
Public Health ◽  
United States ◽  
Race And Ethnicity ◽  
Public Health Surveillance ◽  
Public Health Practice ◽  
The United States ◽  
Health Surveillance ◽  
Essential Information ◽  
And Gender ◽  
Public Health Surveillance System

Public health surveillance can have profound impacts on the health of populations, with COVID-19 surveillance offering an illuminating example. Surveillance surrounding COVID-19 testing, confirmed cases, and deaths has provided essential information to public health professionals about how to minimize morbidity and mortality. In the United States, surveillance has also pointed out how populations, on the basis of geography, age, and race and ethnicity, are being impacted disproportionately, allowing targeted intervention and evaluation. However, COVID-19 surveillance has also highlighted how the public health surveillance system fails some communities, including sexual and gender minorities. This failure has come about because of the haphazard and disorganized way disease reporting data are collected, analyzed, and reported in the United States, and the structural homophobia, transphobia, and biphobia acting within these systems. We provide recommendations for addressing these concerns after examining experiences collecting race data in COVID-19 surveillance and attempts in Pennsylvania and California to incorporate sexual orientation and gender identity variables into their pandemic surveillance efforts. (Am J Public Health. Published online ahead of print June 10, 2021: e1–e7. https://doi.org/10.2105/AJPH.2021.3062727 )

Ethics and Epidemiology

2021 ◽  
Keyword(s):  
Public Health ◽  
Health Policy ◽  
Nonprofit Organizations ◽  
Health Professionals ◽  
Government Agencies ◽  
Moral Reflection ◽  
Advocacy Organizations ◽  
Master Of Public Health ◽  
Public Health Professionals ◽  
The World

This book will be of interest to public health professionals from various public health disciplines, bioethicists, legal scholars, and members of nonprofit organizations, government agencies, and health advocacy organizations. It will be an invaluable resource for the thousands of Master of Public Health students across the world. It also aims to make students, epidemiologists, and health professionals aware of situations that require moral reflection, judgment, or decision, while pointing to ways in which justified moral conclusions can be reached. The book will also be of use to persons interested more broadly in bioethics and health policy. It will include the foundations, key values and principles, methods, and issues related to ethics and epidemiology.

scholarly journals Environmental Health Workforce – Essential for Interdisciplinary Solutions to the COVID-19 Pandemic

2020 ◽  
pp. 1-3 ◽  
Author(s):  
Benjamin J. Ryan ◽  
Raymond Swienton ◽  
Curt Harris ◽  
James J. James
Keyword(s):  
Public Health ◽  
Environmental Health ◽  
Health Workforce ◽  
Disease Outbreaks ◽  
The United States ◽  
Public Health Workforce ◽  
Primary Role ◽  
The Public ◽  
Mass Gatherings ◽  
Response And Recovery

ABSTRACT Interdisciplinary public health solutions are vital for an effective coronavirus disease 2019 (COVID-19) response and recovery. However, there is often a lack of awareness and understanding of the environmental health workforce connections and capabilities. In the United States, this is a foundational function of health departments and is the second largest public health workforce. The primary role is to protect the public from exposures to environmental hazards, disasters, and disease outbreaks. More specifically, this includes addressing risks relating to sanitation, drinking water, food safety, vector control, and mass gatherings. This profession is also recognized in the Pandemic and All-Hazards Preparedness and Advancing Innovation Act of 2019. Despite this, the profession is often not considered an essential service. Rapid integration into COVID-19 activities can easily occur as most are government employees and experienced working in complex and stressful situations. This role, for example, could include working with leaders, businesses, workplaces, and churches to safely reopen, and inspections to inform, educate, and empower employers, employees, and the public on safe actions. There is now the legislative support, evidence and a window of opportunity to truly enable interdisciplinary public health solutions by mobilizing the environmental health workforce to support COVID-19 response, recovery, and resilience activities.

scholarly journals Rural Public Health Workforce Training and Development: The Performance of an Undergraduate Internship Programme in a Rural Hospital and Healthcare Centre

2019 ◽  
Vol 16 (7) ◽  
pp. 1259 ◽  
Author(s):  
Luis Dos Santos
Keyword(s):  
Public Health ◽  
Training Programme ◽  
The United States ◽  
Rural Hospitals ◽  
Healthcare Management ◽  
Public Health Workforce ◽  
Healthcare Centre ◽  
Health Centres ◽  
One Year ◽  
Internship Training

Workforce shortages in the field of public health and healthcare are significant. Due to the limitations of career opportunities and compensation, rural hospitals and healthcare centres usually have on-going career openings for all departments. As a result, university departments of public health and healthcare management, and rural hospitals and health centres may need to establish internship and training programmes for undergraduate senior-year students in order to provide opportunities and human resource opportunities for both students and public health professions. The research examined the performance, feedback, and opinions of a university-based one-year-long on-site internship training programme between a university public health and healthcare undergraduate department and a regional hospital and healthcare centre in a rural region in the United States. Individual interview data were collected from management trainees and focus group activities data were collected from hospital departmental supervisors who have completed this one-year-long on-site internship training programme. The results offered an assessment of performance and evaluation of how a one-year-long internship programme could be beneficial to hospitals and health centres in the areas of human resources, manpower management, and skill training to prospective professionals in rural and regional communities. Also, the study provided a blueprint and alternative for universities and partnered sites to redesign and improve their current internship programmes which may better fit their needs for their actual situations.

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