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Social factors, signals, and biases shape the health of our nation. Racism and poverty manifest in unequal social, environmental, and economic conditions, resulting in deep-rooted health disparities that carry over from generation to generation. In Perspectives on Health Equity and Social Determinants of Health, authors call for collective action across sectors to reverse the debilitating and often lethal consequences of health inequity. This edited volume of discussion papers provides recommendations to advance the agenda to promote health equity for all. Organized by research approaches and policy implications, systems that perpetuate or ameliorate health disparities, and specific examples of ways in which health disparities manifest in communities of color, this Special Publication provides a stark look at how health and well-being are nurtured, protected, and preserved where people live, learn, work, and play. All of our nation's institutions have important roles to play even if they do not think of their purpose as fundamentally linked to health and well-being. The rich discussions found throughout Perspectives on Health Equity and Social Determinants of Health make way for the translation of policies and actions to improve health and health equity for all citizens of our society. The major health problems of our time cannot be solved by health care alone. They cannot be solved by public health alone. Collective action is needed, and it is needed now.

Foundations of Rural Public Health in America spans a wide variety of important issues affecting rural public health, including consumer and family health, environmental and occupational health, mental health, substance abuse, disease prevention and control, rural health care delivery systems, and health disparities. Divided into five sections, the book covers understanding rural communities, public health systems and policies for rural communities, health disparities in rural communities and among special populations, and advancing rural health including assessment, planning and intervention. Written by a multidisciplinary team of experienced scholars and practitioners, this authoritative text comprehensively covers rural health issues today.

Health Policy Management: A Case Study Approach provides nursing students the foundation for understanding the basics of health policy.

'Public health'refers to the management and prevention of disease within a population by promoting healthy behaviors and environments in an effort to create a higher standard of living. In this comprehensive volume, editors James W. Holsinger Jr. and F. Douglas Scutchfield and an esteemed group of scholars and practitioners offer a concise overview of this burgeoning field, emphasizing that the need for effective services has never been greater.Designed as a supplemental text for introductory courses in public health practice at the undergraduate and graduate levels, Contemporary Public Health provides historical background that contextualizes the current state of the field and explores the major issues practitioners face today. It addresses essential topics such as the social and ecological determinants of health and their impact on practice, marginalized populations, the role of community-oriented primary care, accreditation, and the organizational landscape of the American public health system. Finally, it examines the opioid epidemic, the impact of pandemics including COVID-19, and international public health and explores the potential of systems based on multilevel partnerships of government, academic, and nonprofit organizations. With fresh historical and methodological analyses conducted by an impressive group of distinguished authors, Contemporary Public Health is an essential resource for practitioners, health advocates, students, legislators, and informed citizens.

Get the Summary of Brian Alexander's The Hospital in 20 minutes. Please note: This is a summary & not the original book. Original book introduction: Bryan, Ohio's hospital, is losing money, making it vulnerable to big health systems seeking domination and Phil Ennen, CEO, has been fighting to preserve its independence. Meanwhile, Bryan, a town of 8,500 people in Ohio's northwest corner, is still trying to recover from the Great Recession. As local leaders struggle to address the town's problems, and the hospital fights for its life amid a rapidly consolidating medical and hospital industry, a 39-year-old diabetic literally fights for his limbs, and a 55-year-old contractor lies dying in the emergency room. With these and other stories, Alexander strips away the wonkiness of policy to reveal Americans'struggle for health against a powerful system that's stacked against them, but yet so fragile it blows apart when the pandemic hits. Culminating with COVID-19, this book offers a blueprint for how we created the crisis we're in.

Public behavioral health organizations serving those involved in the criminal justice system, such as problem-solving courts, correctional facilities, and parole or probation, often lack the necessary resources for long-standing effective treatment, and may struggle to keep up with research standards and retaining funding. To overcome these hurdles, many organizations have turned to university-led collaborations. University and Public Behavioral Health Organization Collaboration in Justice Contexts begins by introducing the relevant purpose and definitions of such partnerships. Each of the nine contributed chapters that follow features a particular collaboration between a university and a public behavioral health organization. Chapters are structured around a description of the collaboration's purposes, beginning, leadership, who is served, services, operations, effectiveness measurement, and financial arrangements. The descriptions provided of each project are then aggregated into a larger model for success which is detailed in the final chapter, along with a distillation of lessons learned in building, operating, and sustaining a successful collaboration. These lessons are grouped into specific categories: planning, working together, training, consultation, financial considerations, personnel, and research. By considering these nine exemplary projects and what they can teach us about such collaborations, this book constitutes an essential guide for those looking to establish comparable partnerships between universities and public behavioral health organizations in a criminal justice context.

With a new preface assessing leadership responses to the coronavirus pandemic, this text explores leadership problems that can develop during such public health crises as the 2001 anthrax attacks, 2003 SARS epidemic, and Mad Cow Disease epidemic of the 1980s–1990s.A threat to public health, such as a rampaging virus, is no time for a muddled chain of command and contradictory decision-making. Who's In Charge? Leadership during Epidemics, Bioterror Attacks, and Other Public Health Crises, re-issued with a new preface assessing leadership during the COVID-19 outbreak, explores the crucial relationships among political leaders, public health officials, and journalists to see why leadership confusion develops. As the problematic response to COVID-19 has once again shown, the reluctance of politicians to risk alarm can run counter to the public health need to prepare for worse cases.Many leaders will seek high visibility during a public health crisis, but politicians are not medical experts, and the more they speak, the more they risk disseminating harmful information. How to achieve the right balance is the essence of this book. Beginning by looking at the overarching issues of leadership and public health administration, it then examines in depth five emergencies: the 2001 anthrax attacks, the 1993 cryptosporidium outbreaks, the 2003 SARS outbreak, the 2001 foot-and-mouth disease crisis, and the battle against Mad Cow Disease.

Performance management can be an uncomfortable topic within the discipline of public health. Written by leaders in public health performance management and quality improvement, this book carefully explains what public health performance management is – and makes a strong case for why it is needed to tackle successfully the long-standing health issues plaguing communities and states. Notably, the book eschews the need to invest in technology or to learn a new performance management vocabulary. Rather the authors advocate for more thoughtful use of the resources already available in the organization, relying on public health leadership working in conjunction with well trained staff to manage their own organizational performance. To be broadly accepted within public health, performance management concepts and models have to be framed and populated with public health examples, and this book offers a wealth of practical insights and case studies that may be immediately applied to public health organizations, from assessing an organization's needs, introducing a performance management system to the organization, developing an agency's goals and targets, to implementation of sound performance management systems and plans. Collaborative Performance Management for Public Health is required reading for all public health leaders and employees concerned with maximizing the health impact of scarce resources.

As one of the foundational texts in the Essential Public Health series, Essentials of Public Health, Fourth Edition -- formerly authored by Turnock -- is an excellent introduction to the field of public health, covering public health practice, government public health, and careers in public health. After defining Public Health and looking at the current U.S. public health system and practice, the book looks at population health measurement, policy development, and collaboration between the public health and the health system. Final chapters explore career opportunities in public health administration, epidemiology, public health nursing, and health education as well as emerging ones such as health information technologists, emergency managers, and more. Helpful learning tools such as chapter exercises and discussion questions, making it an ideal text to prepare your students for the profession of public health.

Since the 1960s, America's policymaking system has transitioned from one in which leaders like Lyndon Johnson could simply disparage the concept of budget projections to one in which policymakers consciously manipulate cost estimates. Paradoxically, the very safeguards put in place to thwart economically unsound legislation now cause chaos by incentivizing the development of flawed, even blatantly unworkable, policies. As Robert Saldin shows in When Bad Policy Makes Good Politics, the pathologies of the new system are illustrated by the Community Living Assistance Services and Supports Act and its role in aiding passage of President Obama's landmark health reform law. CLASS was supposed to bring much needed relief of America's dysfunctional long-term care system, but critics argued that its flawed design rendered the program unviable. However, what appeared to be a naïve proposal was actually a carefully framed policy designed to fit the rules of the game, particularly the Congressional Budget Office's cost-projection process. Although CLASS was destined for a'death spiral'requiring massive government bailouts, the CBO estimated it would save tens of billions of dollars. These official'savings'made CLASS an appealing add-on to the Affordable Care Act. But when the Obama administration later announced that CLASS was impossible to implement, America's long-term care system was left in crisis. This skillful examination of CLASS and the machinations of Congress provides insight into how the contemporary policymaking process really functions.

New edition coming in February 2020.As one of the foundational texts in the Essential Public Health series, Essentials of Public Health is an excellent introduction to the field of public health.Written for senior-level undergraduates or graduate students in public health, health science, nursing, and other health professions, Essentials of Public Health gives special focus to public health careers and the workings of public health agencies.Combining the best elements of Dr. Turnock's other books: Public Health: What It Is and How It Works and Public Health: Career Choices That Make a Difference, Essentials of Public Health, Third Edition, uses clear, reader-friendly language and helpful learning tools such as chapter exercises and discussion questions, making it an ideal text to prepare your students for the profession of public health.New to the Third Edition: Comprehensive new coverage of topics such as: the implementation of the Affordable Care Act, strategic planning, accreditation of public health organizations and credentialing of public health workers Extensive information on state and local public health practice derived from national surveys conducted since 2012 Two separate chapters on Community Public Health Practice and Emergency Preparedness (formerly covered in one single chapter) New conceptual frameworks for the public health system, overall health system, and public health workforce An examination of an additional 16 different public health occupations—a total of 39 covered in all More than 60 new or revised charts and tables and a series of “outside-the-book thinking” exercises appears in each chapter.This book: Defines and describes the public health system Provides concepts and tools for measuring health in populations Characterizes the relationship of the public health system with medical care and other elements of the overall health system Identifies government's unique contributions through federal, state, and local public health agencies Offers basic information on the size and composition of the public health workforce Addresses careers and jobs in public health administration, epidemiology, public health nursing, health education, and more.

Using a straightforward systems approach, Public Health: What It Is and How It Works explores the inner workings of the complex, modern U.S. public health system—what it is, what it does, how it works, and why it is important. The book covers the origins and development of the modern public health system; the relationship of public health to the overall health system; how the system is organized at the federal, state, and local levels; its core functions and how well these are currently being addressed; evidence-based practice and an approach to program planning and evaluation for public health interventions; public health activities such as epidemiological investigation, biomedical research, environmental assessment, policy development, and more.

A comprehensive guide to the structure, synergy, and challenges in U.S. health care delivery Introduction to Health Care Services: Foundations and Challenges offers new insights into the most important sectors of the United States'health care industry and the many challenges the future holds. Designed to provide a comprehensive and up-to-date understanding of the system, this textbook covers the many facets of health care delivery and details the interaction of health, environments, organizations, populations, and the health professions. Written by authors with decades of experience teaching and working in health care administration and management, the book examines the current state and changing face of health care delivery in the United States. Each chapter includes learning objectives and discussion questions that help guide and engage deeper consideration of the issues at hand, providing a comprehensive approach for students. Cases studies demonstrating innovations in the delivery of health care services are also presented. Health care administration requires a thorough understanding of the multiple systems that define and shape the delivery of health care in the United States. At the same time, it is important for students to gain an appreciation of the dilemma confronting policy makers, providers, and patients in the struggle to balance cost, quality, and access. Introduction to Health Care Services: Foundations and Challenges is an in-depth examination of the major health care issues and policy changes that have had an impact on the U.S. health care delivery system. Includes information on U.S. health care delivery, from care to cost, and the forces of change Focuses on major industry players, including providers, insurers, and facilities Highlights challenges facing health care delivery in the future, including physician shortages, quality care, and the chronic disease epidemic The U.S. health care system is undergoing major reform, and the effects will ripple across every sector of the industry. Introduction to Health Care Services: Foundations and Challenges gives students a complete introduction to understanding the issues and ramifications.

What does it mean to be the nation's doctor? In this engaging narrative, journalist Mike Stobbe examines the Office of the U.S. Surgeon General, emphasizing that it has always been unique within the federal government in its ability to influence public health. But now, in their efforts to provide leadership in public health policy, surgeons general compete with other high-profile figures such as the secretary of the Department of Health and Human Services and the director of the Centers for Disease Control and Prevention (CDC). Furthermore, in an era of declining budgets, when public health departments have eliminated tens of thousands of jobs, some argue that a lower-profile and ineffective surgeon general is a waste of money. By tracing stories of how surgeons general like Luther Terry, C. Everett Koop, and Joycelyn Elders created policies and confronted controversy in response to issues like smoking, AIDS, and masturbation, Stobbe highlights how this office is key to shaping the nation's health and explailns why its decline is harming our national well-being.

The mission of healthcare organizations has undergone a remarkable transformation from curing disease to caring for the well-being of populations. While health care policy has explored this domain before, notably in Health Maintenance Organizations, the current efforts to create Patient-Centered Medical Homes (PCMHs) and Accountable Care Organizations (ACOs) represent a broader effort to move organizational responsibilities towards population health and care management. Volume 16 of AHCM presents papers that explore this topic across various levels of the healthcare system and employing multiple research designs including case studies, theoretical pieces, secondary data analyses, survey research and qualitative methodologies. Aspects of health care organization discussed in this volume include the PCMH, ACOs, integration with the public health and mental health systems, hospital-physician alignment, and resource planning. Population health management is presented as a factor driving these organizational changes and as a mechanism to facilitate this change.

The United States, like all countries, faces many threats with the potential for large-scale health consequences, including disease outbreaks, natural disasters, and terrorist attacks. Preparing for and responding to these and other threats requires the commitment of, and cooperation among, all segments of society: government, the private sector, local communities, and international partners. This book presents the Nation's first National Health Security Strategy (NHSS), and Implementation Plan, which is intended to help galvanize efforts to minimize the health consequences associated with significant health incidents. The NHSS was developed in consultation with a broad range of stakeholders, including representatives from local, state, territorial, tribal, and federal government; community-based organizations; private-sector firms; and academia. The vision for health security described in the NHSS is built on a foundation of community resilience— healthy individuals, families, and communities with access to health care and with the knowledge and resources to know what to do to care for themselves and others in both routine and emergency situations. Communities help build resilience by implementing policies and practices to ensure the conditions under which people can be healthy, by assuring access to medical care, building social cohesion, supporting healthy behaviors, and creating a culture of preparedness in which bystander response to emergencies is not the exception but the norm. Securing our Nation's health is a formidable task and must be a responsibility that is broadly shared among virtually all segments of society.

Featuring new expert contributing authors from across the country, this timely revision addresses all the important topics in the effective management of public health departments and agencies. Using a practical, nontheoretical approach, the book is ideal for the hands-on management of these complex organizations and their daily operations. Important Notice: The digital edition of this book is missing some of the images or content found in the physical edition.

Despite having the costliest medical care delivery system in the world, Americans are not particularly healthy. Recent international comparisons show that life expectancy in the U.S. ranks 49th among all nations, and infant mortality rates are higher in the U.S. than in many far less affluent nations. While these statistics are alarming, the bigger problem is that we do not know how to reverse this trend. Our lack of knowledge is due in large part to significant inadequacies in the health system for gathering, analyzing, and communicating health information about the population. To inform the public health community and all other sectors that contribute to population health, For the Public's Health: The Role of Measurement in Action and Accountability reviews current approaches for measuring the health of individuals and communities and creates a roadmap for future development. This book, the first of three in a series, focuses on data and measurement-not as ends in themselves, but rather tools to inform the myriad programs, policies, and processes developed or undertaken by governmental public health agencies and their many partners in the health system. For the Public's Health seeks to reinstate the proper and evidence-based understanding of health as not merely the result of medical or clinical care but the result of the sum of what we do as a society to create the conditions in which people can be healthy. To achieve this goal, the book suggests changes in the processes, tools, and approaches used to gather information about health outcomes and their determinants. The book also recommends developing an integrated and coordinated system in which all parties-including governmental and private sector partners at all levels-have access to timely and meaningful data to help foster individual and community awareness and action.

In the last century, three influenza pandemics swept the globe. In 1918, the first pandemic (sometimes referred to as the “Spanish Flu”) killed over 500,000 Americans and more than 20 million people worldwide. One-third of the U.S. population was infected, and average life expectancy was reduced by 13 years. Pandemics in 1957 and 1968 killed tens of thousands of Americans and millions across the world. Scientists believe that viruses from birds played a role in each of those outbreaks. Today, we face a new threat. A new influenza strain — influenza A (H5N1) — is spreading through bird populations across Asia, Africa, and Europe, infecting domesticated birds, including ducks and chickens, and long-range migratory birds. The first recorded appearance of H5N1 in humans occurred in Hong Kong in 1997. Since then, the virus has infected over 200 people in the Eastern Hemisphere, with a mortality rate of over 50 percent.

A detailed exploration of leadership problems that can develop during public health crises such as the anthrax attacks, SARS, and Mad Cow disease.An imminent threat to the public health, such as the swine flu outbreak, is no time for a muddled chain of command and contradictory decision making. Who's In Charge? Leadership during Epidemics, Bioterror Attacks, and Other Public Health Crises explores the crucial relationships between political leaders, public health officials, journalists, and others to see why leadership confusion develops.Who's In Charge? begins by looking at the overarching issues of leadership, public health administration, and the threats of bioterrorism. It then examines five recent emergencies—the 2001 anthrax attacks and 1993 cryptosporidium outbreak in the United States, the 2003 SARS outbreak in Toronto, the 2001 foot-and-mouth disease crisis, and the decade-long battle against Mad Cow Disease in the U.K. A perfect text for schools in public health, or as a reference for elected officials at every level of government, the book shows how each event developed step-by-step to pinpoint specific leadership issues. Engaging and absorbing, the work presents official reports, medical literature, first-person accounts from officials and journalists, and discussions of the role of law enforcement and the military during health care emergencies.