Traineeship in diabetes and the older patient. A public health experience

1994 ◽  
Vol 84 (7) ◽  
pp. 344-347
Author(s):  
AE Helfand
Keyword(s):  
Public Health ◽  
Health Promotion ◽  
Secondary Prevention ◽  
Education Program ◽  
Professional Education ◽  
Health Department ◽  
State Health ◽  
Older Patient ◽  
Complications Of Diabetes ◽  
Local Resources

The author describes an effort that demonstrates a successful partnership between a professional education program in podiatric medicine, the Pennsylvania State Health Department, and the Professional Diabetes Academy, which served as the catalyst for health promotion, prevention, and education. Similar programs through adaptations geared to local resources could be developed as a demonstration of direct secondary prevention of the complications of diabetes in the older population and have the potential to help meet national goals to significantly reduce amputations.

scholarly journals Depression: major problem for public health

2006 ◽  
Vol 15 (1) ◽  
pp. 4-10 ◽  
Author(s):  
Eugene S. Paykel
Keyword(s):  
Public Health ◽  
Primary Prevention ◽  
Secondary Prevention ◽  
Service Delivery ◽  
Professional Education ◽  
Common Disorder ◽  
Social Adversity ◽  
Physical Disorders ◽  
Public Health Programmes ◽  
Health Programmes

AbstractThe aim of this Editorial is to discuss depression as an important disorder for public health. The literature regarding epidemiology, consequences, adequacy of service delivery and prevention of depression is reviewed. Depression is a common disorder with high lifetime rates, particularly in women, and those experiencing social adversity. It is a major cause of disability, and causes death both by suicide and due to raised rates of physical disorders. Many cases are undiagnosed and treatment is often inadequate. Primary prevention is not yet easily feasible but secondary prevention by earlier recognition, public and professional education, can produce benefits. There is a need for public health programmes aimed at improving recognition, treatment, and reducing consequences.

How to Institutionalize Health Promotion Programs

1989 ◽  
Vol 3 (4) ◽  
pp. 34-43 ◽  
Author(s):  
Allan Steckler ◽  
Robert M. Goodman
Keyword(s):  
Health Promotion ◽  
Health Department ◽  
State Health ◽  
Term Survival ◽  
Local Schools ◽  
Health Agencies ◽  
Health Promotion Programs ◽  
Multiple Case ◽  
Case Design

This article presents six implications for practice that suggest how to optimize the institutionalization of health promotion programs. These six implications were derived from a study of ten health promotion programs funded by the Virginia State Health Department and operated by local schools- and community health agencies. Institutionalization refers to the long-term survival of health promotion programs, i.e., survival well beyond an initial grant funding period. To generate the implications for practice, a multiple case design for cross-case comparisons was applied to the ten health promotion programs. In brief, the six practice implications are: 1) cultivating a “program champion”; 2) favoring organizations with mature “subsystems”; 3) favoring organizations in which health promotion “fits” with the organization's mission; 4) avoiding brokering relationships; 5) altering lengths of funding periods; and 6) funding existing worthy programs. The significance of these practice implications for both funding and implementing agencies is briefly discussed.

scholarly journals 965. Partnering with State Health Departments: A Road Map for Collaboration Using Public Health Enhanced HIV/AIDS Reporting System (eHARS)

2020 ◽  
Vol 7 (Supplement_1) ◽  
pp. S512-S513
Author(s):  
John R Bassler ◽  
Emily B Levitan ◽  
Lauren Ostrenga ◽  
Danita C Crear ◽  
Kendra L Johnson ◽  
...  
Keyword(s):  
Public Health ◽  
Reporting System ◽  
Health Department ◽  
Distributed Data ◽  
Summary Statistics ◽  
Health Departments ◽  
State Health ◽  
State Health Department ◽  
Data Network ◽  
Hiv Aids

Abstract Background Academic and public health partnerships are a critical component of the Ending the HIV Epidemic: A Plan for America (EHE). The Enhanced HIV/AIDS Reporting System (eHARS) is a standardized document-based surveillance database used by state health departments to collect and manage case reports, lab reports, and other documentation on persons living with HIV. Innovative analysis of this data can inform targeted, evidence-based interventions to achieve EHE objectives. We describe the development of a distributed data network strategy at an academic institution in partnership with public health departments to identify geographic differences in time to HIV viral suppression after HIV diagnosis using eHARS data. Figure 1. Distributed Data Network Methods This project was an outgrowth of work developed at the University of Alabama at Birmingham Center for AIDS Research (UAB CFAR) and existing relationships with the state health departments of Alabama, Louisiana, and Mississippi. At a project start-up meeting which included study investigators and state epidemiologists, core objectives and outcome measures were established, key eHARS variables were identified, and regulatory and confidentiality procedures were examined. The study methods were approved by the UAB Institutional Review Board (IRB) and all three state health department IRBs. Results A common data structure and data dictionary across the three states were developed. Detailed analysis protocols and statistical code were developed by investigators in collaboration with state health departments. Over the course of multiple in-person and virtual meetings, the program code was successfully piloted with one state health department. This generated initial summary statistics, including measures of central tendency, dispersion, and preliminary survival analysis. Conclusion We developed a successful academic and public health partnership creating a distributed data network that allows for innovative research using eHARS surveillance data while protecting sensitive health information. Next, state health departments will transmit summary statistics to UAB for combination using meta-analytic techniques. This approach can be adapted to inform delivery of targeted interventions at a regional and national level. Disclosures All Authors: No reported disclosures

Assessing the Capacity of State Physical Activity Programs—A Baseline Perspective

2010 ◽  
Vol 7 (1) ◽  
pp. 119-126 ◽  
Author(s):  
Tamara Vehige Calise ◽  
Sarah Martin
Keyword(s):  
Public Health ◽  
Physical Activity ◽  
Physical Inactivity ◽  
Public Health Practice ◽  
Health Department ◽  
Health Departments ◽  
State Health ◽  
Chi Square ◽  
Prevalence Of Obesity ◽  
Physical Activity Programs

Background:Physical inactivity is one of the top 3 risk factors associated with an increased prevalence of obesity and other chronic diseases. The public health infrastructure positions state health departments to address physical inactivity. To examine preparedness, all 50 health departments were assessed, using the 5 benchmarks developed by CDC for physical activity and public health practice, on their capacity to administer physical activity programs.Methods:States were scored on a 5-point scale for each benchmark. The top 2 high and low scores were combined to create 2 categories. Exact Chi-square analyses were performed.Results:States with CDC obesity funding scored higher on 4 benchmarks than states without. States with a state physical activity plan scored higher on all benchmarks than states without. States with a physical activity coalition scored higher on 2 benchmarks than states without.Conclusions:At the time of the assessment, approximately 20% of state physical activity programs could have improved in the use of evidence-based strategies and planning and evaluation approaches. Furthermore, many programs seemed to have limited sustainability. The findings of this report serve as a baseline of the capacity and infrastructure of state health department physical activity programs.

The Relationships Between State Health Department Practitioners’ Perceptions of Organizational Supports and Evidence-Based Decision-Making Skills

2021 ◽  
pp. 003335492098415
Author(s):  
Stephanie Mazzucca ◽  
Rebekah R. Jacob ◽  
Cheryl A. Valko ◽  
Marti Macchi ◽  
Ross C. Brownson
Keyword(s):  
Public Health ◽  
Decision Making ◽  
Online Survey ◽  
Organizational Capacity ◽  
Health Department ◽  
Evidence Based ◽  
State Health ◽  
State Health Department ◽  
Longitudinal Associations ◽  
Evidence Based Decision Making

Objectives Evidence-based decision making (EBDM) allows public health practitioners to implement effective programs and policies fitting the preferences of their communities. To engage in EBDM, practitioners must have skills themselves, their agencies must engage in administrative evidence-based practices (A-EBPs), and leaders must encourage the use of EBDM. We conducted this longitudinal study to quantify perceptions of individual EBDM skills and A-EBPs, as well as the longitudinal associations between the 2. Methods An online survey completed among US state health department practitioners in 2016 and 2018 assessed perceptions of respondents’ skills in EBDM and A-EBPs. We used χ2 tests, t tests, and linear regressions to quantify changes over time, differences by demographic characteristics, and longitudinal associations between individual skills and A-EBPs among respondents who completed both surveys (N = 336). Results Means of most individual EBDM skills and A-EBPs did not change significantly from 2016 to 2018. We found significant positive associations between changes in A-EBPs and changes in EBDM skill gaps: for example, a 1-point increase in the relationships and partnerships score was associated with a narrowing of the EBDM skill gap (β estimate = 0.38; 95% CI, 0.15-0.61). At both time points, perceived skills and A-EBPs related to financial practices were low. Conclusions Findings from this study can guide the development and dissemination of initiatives designed to simultaneously improve individual and organizational capacity for EBDM in public health settings. Future studies should focus on types of strategies most effective to build capacity in particular types of agencies and practitioners, to ultimately improve public health practice.

Human Relationships in Public Health

PEDIATRICS ◽  
1949 ◽  
Vol 4 (2) ◽  
pp. 266-266
Keyword(s):  
Public Health ◽  
Mental Health ◽  
New York ◽  
Health Services ◽  
Health Department ◽  
State Health ◽  
Public Health Services ◽  
State Health Department ◽  
Human Relationships ◽  
Commonwealth Fund

This is the title of a small pamphlet just issued by the Commonwealth Fund of New York. Written by Geddes Smith, an associate of the Fund, it describes an institute on mental health in public health which was held in the summer of 1948. Students at the institute were health officers of California counties and cities, or bureau chiefs in the State Health Department, with representatives of public health services of Tennessee, Mississippi, and Oklahoma.

State Health Department Employees, Policy Advocacy, and Political Campaigns: Protections and Limits under the Law

2015 ◽  
Vol 43 (S1) ◽  
pp. 64-68 ◽  
Author(s):  
Shannon Frattaroli ◽  
Keshia M. Pollack ◽  
Jessica L. Young ◽  
Jon S. Vernick
Keyword(s):  
Public Health ◽  
Health Department ◽  
The United States ◽  
Political Campaigns ◽  
Public Health Workforce ◽  
Policy Advocacy ◽  
State Health ◽  
The Public ◽  
The Core

State health departments are at the core of the United States (U.S.) public health infrastructure. Surveillance to monitor trends in disease and injury; the development, coordination, and delivery of services; and public education are some of the core functions health department employees oversee every day. As such, agencies and their employees are well positioned to inform policy decisions that affect the public’s health. However, little is known about the role of health department staff — a sizeable proportion of the public health workforce — as advocates for public health policies, independent of their agency roles. Anecdotally, some health department employees with whom we have spoken expressed reluctance to engage in policy advocacy for fear of violating little known or understood agency or state rules.

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