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Journal of public health management and practice : JPHMP最新文献

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Seize the Opportunity to Reimagine Public Health. 抓住机会重新构想公共卫生。
Pub Date : 2022-07-01 DOI: 10.1097/PHH.0000000000001542
Reena B Chudgar, J. Fisher
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引用次数: 0
Where do we go from here? 我们从这里往哪里走?
Pub Date : 2019-06-12 DOI: 10.1093/sw/36.1.3
P. R. Lee
When faced with multiple competing priorities for investment in library resources, there are many important aspects to consider. From student enrollment to prominence of programs, there are both data ‐ driven and intangible factors to weigh. In addition, most library collections now focus on the immediate needs of students and researchers instead of collecting for posterity. This just ‐ in ‐ time versus just ‐ in ‐ case collection development mindset prioritizes different resource attributes and requires an often unfamiliar level of acquisitions flexibility. Collection development in academic libraries is challenging and complex. Some of the complexity is the result of numerous choices including, but not limited to: Collection building
在图书馆资源投资面临多重优先竞争时,有许多重要的方面需要考虑。从学生入学到项目的突出,既有数据驱动的因素,也有无形的因素需要权衡。此外,现在大多数图书馆的藏书都是为了满足学生和研究人员的迫切需要,而不是为了子孙后代而收藏。这种及时与万一的收集开发思维方式优先考虑不同的资源属性,并且需要一种通常不熟悉的收购灵活性。高校图书馆馆藏建设具有挑战性和复杂性。一些复杂性来自于众多选择,包括但不限于:收集建设
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引用次数: 0
Development of a National Public Health Accreditation Program: A Case Study in Strategic Change Management and Sustainability. 国家公共卫生认证计划的发展:战略变革管理和可持续性的案例研究。
Pub Date : 2017-05-01 DOI: 10.1097/PHH.0000000000000549
K. Bender, L. Beitsch, Jessica Kronstadt
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引用次数: 4
The Value of Public Health. 公共卫生的价值。
Pub Date : 2017-03-01 DOI: 10.1097/PHH.0000000000000553
Karl Ensign
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引用次数: 3
Coordinated Federal Actions Are Needed to Reduce Racial and Ethnic Disparities in Childhood Asthma. 联邦政府需要采取协调一致的行动来减少儿童哮喘的种族差异。
Pub Date : 2017-03-01 DOI: 10.1097/PHH.0000000000000541
P. Ashley, M. Freemer, P. Garbe, D. Rowson
The New York State Healthy Neighborhoods Program, as described in the accompanying articles, is an innovative program that addresses a number of the priority actions identified in the Coordinated Federal Action Plan to Reduce Racial and Ethnic Asthma Disparities (Action Plan), which was released in May 2012. The Action Plan was developed by a federal interagency working group under the auspices of the President’s Task Force on Environmental Health Risks and Safety Risks to Children. The objective of the task force is to identify priority issues within its purview that, at the federal level, can more effectively be addressed through coordinated interagency efforts, recommend and implement interagency actions, and communicate information to protect children from risks. Because of the relevance of environmental exposures and the importance of asthma as a childhood illness, the task force selected asthma as one of its focus areas. Disparities in childhood asthma are evidenced by a disproportionate rate of disease, worse asthma outcomes, and higher needs for acute medical care in some racial and ethnic minority populations. The prevalence of asthma among US children is 8.6%; however, the prevalence among black, non-Hispanic children is 13.4%. Children living in poverty also have a higher asthma prevalence at 10.4%. Furthermore, black children have a higher risk of mortality and a higher rate of emergency department visits for asthma than white or Hispanic children. Asthma is also a leading cause of missed school days, thus
如所附文章所述,纽约州健康社区方案是一项创新方案,涉及2012年5月发布的《减少种族和族裔哮喘差异联邦协调行动计划》(《行动计划》)中确定的若干优先行动。《行动计划》是由总统环境健康风险和儿童安全风险特别工作组主持的一个联邦机构间工作组制定的。工作组的目标是确定其职权范围内的优先问题,这些问题在联邦一级可以通过协调的机构间努力更有效地加以解决,建议和实施机构间行动,并沟通信息以保护儿童免受风险。由于环境暴露的相关性和哮喘作为一种儿童疾病的重要性,工作组选择哮喘作为其重点领域之一。儿童哮喘的差异表现在疾病比例不成比例、哮喘结局较差以及在某些种族和少数民族人群中对急性医疗护理的需求较高。美国儿童哮喘患病率为8.6%;然而,黑人和非西班牙裔儿童的患病率为13.4%。贫困儿童的哮喘患病率也较高,为10.4%。此外,与白人或西班牙裔儿童相比,黑人儿童有更高的死亡率和更高的哮喘急诊就诊率。因此,哮喘也是缺课的主要原因
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引用次数: 4
A Timely Reflection on the Public Health Workforce. 对公共卫生人力的及时反思。
Pub Date : 2016-11-01 DOI: 10.1097/PHH.0000000000000505
M. Lichtveld
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引用次数: 2
Assessment of National CLAS Standards in Rural and Urban Local Health Departments in Kentucky. 肯塔基州农村和城市地方卫生部门国家CLAS标准的评估。
Pub Date : 2016-11-01 DOI: 10.1097/PHH.0000000000000410
María L. Gómez, R. Charnigo, T. Harris, John C. Williams, W. Pfeifle
CONTEXTFindings from the Centers for Disease Control and Prevention suggest that addressing persistent health disparities based on race and ethnicity must become a national priority. The field of cultural and linguistic competency has gained national attention by improving access to and quality of health care, patient-provider communication, health outcomes, and health equity for minority groups and other vulnerable or special needs populations.OBJECTIVES(1) To measure how local health departments (LHDs) in Kentucky comply with the National Standards for Culturally and Linguistically Appropriate Services (CLAS); and (2) to provide policy recommendation based on the findings. This study is the first to assess a statewide public health system under the lens of CLAS.DESIGNAnalysis of cross-sectional survey.SETTINGElectronic surveys administered to LHD administrators in Kentucky.PARTICIPANTSPublic health directors, nurse leaders, and program managers.MAIN OUTCOME MEASURELevels of compliance with various CLAS standards were examined for rural and urban counties using a novel scoring method.RESULTSA total of 159 LHD administrators received the survey. Response rate was 67% (106 participants). Rural and urban LHDs achieved moderate compliance on domains of plans and policies, quality monitoring and improvement for needs assessment, management information systems for clients, and staff training and development. Both geographic groups exhibited lesser compliance on domains of organizational governance, culturally inclusive health care environment for educational materials, and diversity of personnel recruitment.CONCLUSIONCounty and district LHDs in Kentucky have implemented activities and policies that comply with CLAS standards at levels that vary by domain. Areas requiring particular attention include organizational governance, culturally inclusive health care environment for educational materials, and diversity of personnel. Improvements in these areas may help LHDs better meet the needs of vulnerable populations, racial and ethnic minorities, and special needs groups. CLAS practices may allow organizations to adhere to national public health accreditation standards.
疾病控制和预防中心的研究结果表明,解决基于种族和民族的持续健康差异必须成为国家的优先事项。文化和语言能力领域通过改善少数群体和其他弱势群体或特殊需要人群获得医疗保健的机会和质量、患者与提供者的沟通、健康结果和健康公平,获得了全国的关注。目的(1)衡量肯塔基州地方卫生部门(LHDs)如何遵守文化和语言适当服务(CLAS)的国家标准;(2)根据研究结果提出政策建议。这项研究是第一个在CLAS的视角下评估全州公共卫生系统的研究。横断面调查设计分析。背景对肯塔基州LHD管理人员进行了电子调查。参与者:公共卫生主管、护士领导和项目经理。使用一种新颖的评分方法对农村和城市县的各种CLAS标准的遵守程度进行了检查。结果共有159名LHD管理人员接受调查。应答率为67%(106人)。在计划和政策、质量监测和改进需求评估、客户管理信息系统以及工作人员培训和发展等领域,农村和城市的土地开发计划署实现了适度的遵守。这两个地理群体在组织治理、教育材料的文化包容性卫生保健环境和人员招聘多样性方面表现出较低的遵从性。结论:肯塔基州的县和地区lhd在不同领域的水平上实施了符合CLAS标准的活动和政策。需要特别注意的领域包括组织治理、教育材料的文化包容性保健环境和人员多样性。这些领域的改善可能有助于低收入家庭更好地满足弱势群体、种族和少数民族以及特殊需要群体的需求。CLAS的做法可能允许组织遵守国家公共卫生认证标准。
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引用次数: 3
State Public Health Enabling Authorities: Results of a Fundamental Activities Assessment Examining Core and Essential Services. 国家公共卫生授权机构:审查核心和基本服务的基本活动评估结果。
Pub Date : 2016-11-01 DOI: 10.1097/PHH.0000000000000347
Aila Hoss, A. Menon, L. Corso
CONTEXTPublic health enabling authorities establish the legal foundation for financing, organizing, and delivering public health services. State laws vary in terms of the content, depth, and breadth of these fundamental public health activities. Given this variance, the Institute of Medicine has identified state public health laws as an area that requires further examination. To respond to this call for further examination, the Centers for Disease Control and Prevention's Public Health Law Program conducted a fundamental activities legal assessment on state public health laws.OBJECTIVEThe goal of the legal assessment was to examine state laws referencing frameworks representing public health department fundamental activities (ie, core and essential services) in an effort to identify, catalog, and describe enabling authorities of state governmental public health systems.DESIGNIn 2013, Public Health Law Program staff compiled a list of state statutes and regulations referencing different commonly-recognized public health frameworks of fundamental activities. The legal assessment included state fundamental activities laws available on WestlawNext as of July 2013. The results related to the 10 essential public health services and the 3 core public health functions were confirmed and updated in June 2016.RESULTSEighteen states reference commonly-recognized frameworks of fundamental activities in their laws. Thirteen states have listed the 10 essential public health services in their laws. Eight of these states have also referenced the 3 core public health functions in their laws. Five states reference only the core public health functions.CONCLUSIONSSeveral states reference fundamental activities in their state laws, particularly through use of the essential services framework. Further work is needed to capture the public health laws and practices of states that may be performing fundamental activities but without reference to a common framework.
背景公共卫生授权当局为筹资、组织和提供公共卫生服务建立法律基础。各州法律在这些基本公共卫生活动的内容、深度和广度方面各不相同。鉴于这种差异,医学研究所已将州公共卫生法确定为需要进一步审查的领域。为了响应这种进一步检查的呼吁,疾病控制和预防中心的公共卫生法项目对州公共卫生法进行了基本活动法律评估。目的法律评估的目的是审查代表公共卫生部门基本活动(即核心和基本服务)的州法律参考框架,以努力确定、分类和描述州政府公共卫生系统的授权权力。2013年,公共卫生法项目的工作人员编制了一份州法规和条例清单,参考了不同的公认的公共卫生基本活动框架。法律评估包括截至2013年7月WestlawNext上提供的州基本活动法律。2016年6月确认并更新了与10项基本公共卫生服务和3项核心公共卫生职能有关的结果。结果18个州在其法律中引用了公认的基本活动框架。13个州在其法律中列出了10项基本公共卫生服务。其中8个州还在其法律中提到了3个核心公共卫生职能。5个州只提及核心的公共卫生职能。几个州在其州法律中引用了基本活动,特别是通过使用基本服务框架。需要进一步开展工作,了解可能正在开展基本活动但没有参照共同框架的国家的公共卫生法律和做法。
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引用次数: 4
Response to Scanlan Concerning: Measurement of Health Disparities, Health Inequities, and Social Determinants of Health to Support the Advancement of Health Equity. 关于:测量健康差异、健康不公平和健康的社会决定因素以支持健康公平的进步。
Pub Date : 2016-11-01 DOI: 10.1097/PHH.0000000000000494
Ana Penman-Aguilar, M. Talih, R. Moonesinghe, David T. Huang
In his commentary on our article, Scanlan raises important issues to consider in measurement of health disparities,2 specifically that when measured on the relative scale, disparities are affected by the prevalence of the outcome; that whether disparities are found to be increasing or decreasing depends on whether they are assessed in terms of a favorable outcome or its complementary adverse outcome; and that dependence on prevalence is not only limited to relative measures such as the rate ratio but that the absolute difference also varies with prevalence. These issues were discussed a decade ago in this journal. The goal of our article was to identify a handful of broad practices in monitoring health disparities, health inequities, and social determinants of health to support the pursuit of health equity in the United States; it was not to describe all of the implications of measurement choices. Furthermore, in our view, Scanlan’s commentary supports one of the 5 practices that we set forth: “Provide reasons for methodological choices and clarify their implications” and is not relevant to the other 4. The commentary’s attention to potential pitfalls of relying solely on particular measures (beyond the pitfalls we had space to highlight in an article of limited length) bolsters the urgency of our call for transparency and, relatedly, for “intensive and systematic training . . . for the workforce at the national, state, and local levels.” Although it presents a compelling case study, the commentary does not resolve measurement conundrums. The commentary proposes that disparities be measured using an “estimated effect size” (EES).2 This
在他对我们文章的评论中,斯坎兰提出了衡量健康差异需要考虑的重要问题2,特别是当以相对尺度衡量时,差异受到结果的普遍性的影响;差异是在增加还是在减少取决于它们是被评估为有利结果还是互补的不利结果;对流行率的依赖不仅局限于相对的衡量标准,比如比率,而且绝对差异也随着流行率的变化而变化。这些问题早在十年前就在这本杂志上讨论过。我们这篇文章的目的是确定在监测健康差异、健康不平等和健康的社会决定因素方面的一些广泛做法,以支持在美国追求健康公平;它并不是要描述测量选择的所有含义。此外,在我们看来,斯坎兰的评论支持了我们提出的5个实践之一:“为方法论选择提供理由并澄清其含义”,而与其他4个实践无关。评论注意到仅仅依赖特定措施的潜在缺陷(超出了我们在篇幅有限的文章中有空间强调的缺陷),这加强了我们呼吁透明度的紧迫性,以及相对而言,“密集和系统的培训……”为国家、州和地方各级的劳动力服务。”尽管它提出了一个引人注目的案例研究,但评论并没有解决测量难题。该评论建议使用“估计效应大小”(EES)来测量差异这
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引用次数: 6
The Importance of Partnerships in Local Health Department Practice Among Communities With Exceptional Maternal and Child Health Outcomes. 伙伴关系的重要性,在地方卫生部门实践社区与特殊的孕产妇和儿童健康成果。
Pub Date : 2016-11-01 DOI: 10.1097/PHH.0000000000000402
T. Klaiman, Anjali Chainani, B. Bekemeier
OBJECTIVESThe purpose of this study was to identify unique practices underway in communities that have been empirically identified as having achieved exceptional maternal and child health (MCH) outcomes compared with their peers.METHODSWe used a qualitative, positive deviance approach to identify practices implemented by local health department (LHD) jurisdictions in Florida, Washington, and New York that achieved better MCH outcomes than expected compared with their in-state peer jurisdictions. We identified a total of 50 LHDs in jurisdictions that had better than expected MCH outcomes compared with their peers, and we conducted 39 hour-long semistructured interviews with LHD staff. We conducted inductive thematic analysis to identify key themes and subthemes across all LHD cases in the sample.RESULTSPartnerships with providers, partnerships for data collection/assessment, and partnerships with community-based organizations were associated with exceptional MCH outcomes based on our interviews.DISCUSSIONThis study offers specific examples of practices LHDs can implement to improve MCH outcomes, even with limited resources, based on the practices of high-performing local health jurisdictions.
目的本研究的目的是确定在社区中进行的独特做法,这些做法已被经验认定为与同行相比取得了特殊的妇幼健康(MCH)结果。方法我们采用定性的、积极偏差的方法来确定佛罗里达州、华盛顿州和纽约州当地卫生部门(LHD)辖区实施的做法,与州内同行辖区相比,这些做法取得了比预期更好的妇幼保健结果。我们确定了辖区内与同行相比MCH结果好于预期的50家LHD,并与LHD员工进行了39小时的半结构化访谈。我们进行了归纳主题分析,以确定样本中所有LHD病例的关键主题和副主题。结果根据我们的访谈,与供应商的伙伴关系、数据收集/评估伙伴关系以及与社区组织的伙伴关系与特殊的妇幼保健结果相关。本研究提供了一些具体的实践实例,说明lhd可以在资源有限的情况下,基于高绩效的地方卫生管辖区的实践,来改善妇幼保健的结果。
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引用次数: 11
期刊
Journal of public health management and practice : JPHMP
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