Healthy Communities New Partnerships for the Future of Public Health (1996) / Chapter Skim
Currently Skimming:
Revisiting the Future of Public Health
Revisiting the Future of Public Health
Pages 43-50
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From page 43... ...
This clarification of the roles for public heal agencies was part of a larger movement to reinvent and reorganize governmental public health programs to make them more efficient and effective and to build support from public officials and the general public (University of Illinois, 1994~. From the core functions identified in The Future of Public Health, experts developed more specific frameworks of public health processes.
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From page 44... ...
4. Advocate for public health, build constituencies and identify resources in the community by generating supportive and collaborative relationships with public and private agencies and constituent groups for the effective planning, implementation and management of public health activities.
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From page 45... ...
In this framework, the role of the governmental public health agency is to assess whether the elements are present either on its own or in partnership with others; to develop legal or financial incentives for the ten elements; or through its own efforts to provide the ten elements or a subset of the elements, based on local priority setting, if others cannot be found to provide, will not provide, or are unable to provide elements of a high quality to meet community benchmarks. The maternal and child health (MCH)
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From page 46... ...
Thus, as revenue streams for services to vulnerable populations shift from public health departments to managed care organizations, the financial base for governmental public health agencies could shrink. In light of new roles for public health agencies to work with managed care organizations and the community as outlined above, some states have begun to explore ways to reinvest in local public heals agencies (Re-Invesunent Work Group, 19951.
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From page 47... ...
The three core functions of a local health department identified in the statutes are assessment, policy development, and assurance. In 1995, these documents provided the Barron County Health Department the impetus to assume the lead in a countywide process to assess the health of Barron County using the National Association for County and City Health Officials' APEXPH (Assessment Protocol for Excellence in Public Health)
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From page 48... ...
The forum's work led to formation of the "Council on Linkages Between Academia and Public Health Practice." The council is working to improve practice in public health agencies and education by refining and implementing the recommendations of the Public Health Faculty/Agency Forum, establishing links between academia and the agencies of the public health community, and creating a process for continuing public health education throughout one's career (Sorensen end Bialek, 1991~. DEVELOPING STRONGER LEADERS AND PRACTITIONERS The Future of Public Health identified serious gaps in the leadership skills of governmental public health leaders and others interested in improving the public's health, including difficulty with the interaction of technical expertise and political accountability, lack of management skills, a high turnover and lack of continuity of leaders, inadequate national leadership, a lack of supportive relationships with the medical community, and insufficient capability in working with the
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From page 49... ...
CONCLUSIONS Through its analysis of the interactions between managed care organizations and the role of governmental public health agencies in enhancing the health of the community and through its discussions about the many responses to The Future of Public Health, the committee found that the constructs of He mission and substance of governmental public health agencies envisioned in that report have been extraordinarily useful in revitalizing the infrastructure and rebuilding He federal, state, and local public health system in the United States. These agencies continue to be a fundamental building block in efforts to improve He public's health for the future.
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From page 50... ...
These concepts need to be translated into a vernacular that these groups understand. In conclusion, the committee found that the public health enterprise in the United States, as embodied in governmental public health agencies, is necessarily diverse in organization and function, but operates within the common framework set out in The Future of Public Health.
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