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Introduction
Pages 7-12

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From page 7...
... But the governmental public health agency has a unique function: to see to it that vital elements are in place and that the mission is adequately addressed." The Future of Public Health, expressed the basic governmental responsibility for the people's health as assuring a substantive core of activities, assuring adequacy of means and methods, establishing objectives, and providing guarantees in an ideal health system, the substance of basic services will entail adequate personal health care for all members of the community, education of the community-at-large, the control of communicable disease, and the control of environmental hazards biological, chemical, social, and physical (IOM, 19881.
From page 8...
... Building upon the concepts of assessment, assurance, and policy development contained In The Future of Public Health, a group of leading public heal organizations (Public Heals Functions Steering Committee, 1994~) adopted a ' Members of the Public Health Functions Steering Committee include: American Public Health Association; Association of State and Territorial Health Officials; National Association of County and City Health Officials; Institute of Medicine, National Academy of Sciences; Association of Schools of Public Health; Public Health Foundation; National Association of State Alcohol and Drug Abuse Directors; and the
From page 9...
... Public Health Service (Centers for Disease Control and Prevention, Health Resources and Services Administration, Office of the Assistant Secretary for Health, Substance Abuse and Mental Health Services Administration, Agency for Health Care Policy and Research, Indian Health Services, and Food and Drug Administration)
From page 10...
... They also should participate in the process of "community-wide social change" that is needed to improve health (Green and Kreuter, 1990~. As the public health community was coming to appreciate these ideas about the root determinants of health, other concerns about the high and rising costs of health care, the lack of geographical and economic access to health services for many, and questions about the quality and timeliness of the care provided led to many governmental and private attempts to alter the organization, delivery, and
From page 11...
... SUMMARY AND ORGANIZATION OF THIS REPORT In summary, the discussions initiated by the Committee on Public Heal have suggested that three key forces shaping public health are (1) the rise of organized health care delivery systems, including managed care; (2)
From page 12...
... As a result of this understanding, the committee focused its report on how governmental public health agencies, especially at the state and local levels, can develop partnerships with managed care organizations to deliver personal and population-based health services and with public and private community organizations to deal with broader concerns to advance the health of the community. Developing these partnerships, the committee believes, will be critical for advancing the health of the public and of communities in the future.


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