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1.
Public Health Rep ; 135(1_suppl): 75S-81S, 2020.
Artículo en Inglés | MEDLINE | ID: mdl-32735184

RESUMEN

Policies facilitating integration of public health programs can improve the public health response, but the literature on approaches to integration across multiple system levels is limited. We describe the efforts of the Massachusetts Department of Public Health to integrate its HIV, viral hepatitis, sexually transmitted infection (STI), and tuberculosis response through policies that mandated contracted organizations to submit specimens for testing to the Massachusetts State Public Health Laboratory; co-test blood specimens for HIV, hepatitis C virus (HCV), and syphilis; integrate HIV, viral hepatitis, and STI disease surveillance and case management in a single data system; and implement an integrated infectious disease drug assistance program. From 2014 through 2018, the number of tests performed by the Massachusetts State Public Health Laboratory increased from 16 321 to 33 674 for HIV, from 11 054 to 33 670 for HCV, and from 19 169 to 30 830 for syphilis. Service contracts enabled rapid response to outbreaks of HIV, hepatitis A, and hepatitis B. Key challenges included lack of a billing infrastructure at the Massachusetts State Public Health Laboratory; the need to complete negotiations with insurers and to establish a retained revenue account to receive health insurance reimbursements for testing services; and time to train testing providers in phlebotomy for required testing. Investing in laboratory infrastructure; creating billing mechanisms to maximize health insurance reimbursement; proactively engaging providers, community members, and other stakeholders; and building capacity to transform practices are needed. Using multilevel policy approaches to integrate the public health response to HIV, STI, viral hepatitis, and tuberculosis is feasible and adaptable to other public health programs.


Asunto(s)
Servicios Contratados/organización & administración , Seguro de Salud/organización & administración , Administración en Salud Pública/métodos , Vigilancia en Salud Pública/métodos , Enfermedades de Transmisión Sexual/diagnóstico , Servicios Contratados/economía , Servicios Contratados/normas , Política de Salud , Accesibilidad a los Servicios de Salud , Hepatitis/diagnóstico , Humanos , Seguro de Salud/economía , Seguro de Salud/legislación & jurisprudencia , Seguro de Salud/normas , Reembolso de Seguro de Salud/economía , Reembolso de Seguro de Salud/legislación & jurisprudencia , Reembolso de Seguro de Salud/normas , Relaciones Interinstitucionales , Massachusetts , Estudios de Casos Organizacionales , Evaluación de Programas y Proyectos de Salud , Administración en Salud Pública/economía , Administración en Salud Pública/legislación & jurisprudencia , Administración en Salud Pública/normas , Sífilis/diagnóstico
4.
Nihon Koshu Eisei Zasshi ; 67(7): 435-441, 2020.
Artículo en Japonés | MEDLINE | ID: mdl-32741874

RESUMEN

 Japan is currently one of the countries with a long life expectancy, in which a great number of older people need care for their daily living. Japan has become increasingly internationalized due to an increase in foreigners and international marriages. As the number of elderly foreigners and foreign-born Japanese increase, older adults who do not use Japanese as their first language will need more opportunities to receive care. We examined characteristics such as country of origin, language spoken, lifestyle, living environment, and cultural background of elderly people who were either foreign permanent residents living in Japan or foreign-born Japanese (hereinafter referred to as elderly with an international background, in short, EIB) receiving care support. Ichushi-web, a medical literature database, was used [last search date: June 2, 2018]. These searches extracted 205 papers. After the first and second extraction procedures, only two papers matched this theme. These two reports were for Korean residents in Japan, so-called special permanent residents, and repatriates from China and their spouses, many of whom were aged 75 years old and above. The number of permanent residents in Japan who speak a foreign language as their first language is increasing. Inhibition of communication between EIB and healthcare welfare service providers is expected to be an obstacle while accessing care support services. For this reason, we must provide them with information related to Japanese healthcare services. Medical interpretation efforts are scattered and the response to EIB in the event of disasters has been discussed. From the perspective of multicultural coexistence, it is necessary to provide long-term care insurance services and medical services to EIB. Such efforts may include development and sharing of tools and the placement of staff who can communicate with non-Japanese speakers. Staff must also understand various illness- and health awareness-related issues. In the future, considering the increasing number of EIB who may require care services, we must consider cultural backgrounds and language diversification for EIB. These issues require clarification and development of acceptable solutions.


Asunto(s)
Barreras de Comunicación , Cultura , Emigrantes e Inmigrantes , Accesibilidad a los Servicios de Salud , Factores de Edad , Femenino , Humanos , Japón , Masculino , Administración en Salud Pública , Sociedades Científicas/organización & administración
5.
Br J Hosp Med (Lond) ; 81(8): 1-3, 2020 Aug 02.
Artículo en Inglés | MEDLINE | ID: mdl-32845762

RESUMEN

The UK death toll from COVID-19 is currently the fourth worst in the world behind the USA, Brazil and Mexico. Possible reasons include delays in lockdown, the provision of scientific advice to government and the decisions that government made based on the information they were given. When we review our performance and plan for the next public health crisis, we need to be brave enough to dare to challenge the NHS and its advisors.


Asunto(s)
Infecciones por Coronavirus/epidemiología , Neumonía Viral/epidemiología , Medicina Estatal/organización & administración , Betacoronavirus , Infecciones por Coronavirus/mortalidad , Planificación en Desastres/organización & administración , Humanos , Unidades de Cuidados Intensivos/organización & administración , Unidades de Cuidados Intensivos/estadística & datos numéricos , Pandemias , Neumonía Viral/mortalidad , Administración en Salud Pública , Reino Unido/epidemiología
6.
Healthc Q ; 23(2): 16-17, 2020 Jul.
Artículo en Inglés | MEDLINE | ID: mdl-32762814

RESUMEN

As a chief nurse in Ontario during the severe acute respiratory syndrome (SARS) outbreak in 2003, I never thought I would experience anything even remotely similar, let alone exponentially worse, in my lifetime. Seventeen years and almost 17,000 km later, the COVID-19 crisis feels eerily similar in many ways, and completely different in others.


Asunto(s)
Infecciones por Coronavirus , Brotes de Enfermedades/prevención & control , Pandemias , Neumonía Viral , Síndrome Respiratorio Agudo Grave , Australia/epidemiología , Betacoronavirus , Canadá/epidemiología , Administración Hospitalaria , Humanos , Administración en Salud Pública/métodos , Cuarentena/organización & administración
7.
Artículo en Inglés | MEDLINE | ID: mdl-32806697

RESUMEN

The COVID-19 pandemic has changed the orders and structures of societies, particularly in the fields of medical and nursing professions. The researcher aims to understand the experiences, sense of belonging, and decision-making processes about Japanese pre-service nursing students and how the COVID-19 pandemic, social distancing, and lockdown has influenced their understanding as pre-service nursing professionals in Japan. As this study focuses on the issues of pre-service nursing students, the researcher invited forty-nine pre-service nursing students for a virtual interview due to the recommendation of social distancing. To increase the coverage of the population, the researcher employed snowball sampling to recruit participants from all over Japan. Although the COVID-19 pandemic influenced the overall performance of the medical and nursing professions, all participants showed a sense of belonging as Japanese citizens and nursing professionals due to the natural disaster of their country. More importantly, all expressed their desires and missions to upgrade and improve the overall performance of the public health system due to the influence of the COVID-19 pandemic. The results discovered that many Japanese nursing students advocated that Japan's national development, the benefits and advantages of their country, were of a greater importance than their own personal development and goals.


Asunto(s)
Infecciones por Coronavirus/epidemiología , Educación en Enfermería/organización & administración , Neumonía Viral/epidemiología , Estudiantes de Enfermería/psicología , Betacoronavirus , Selección de Profesión , Toma de Decisiones , Humanos , Entrevistas como Asunto , Japón/epidemiología , Desastres Naturales , Pandemias , Administración en Salud Pública/normas , Calidad de la Atención de Salud/organización & administración
11.
Prev Chronic Dis ; 17: E56, 2020 07 09.
Artículo en Inglés | MEDLINE | ID: mdl-32644922

RESUMEN

The COVID-19 pandemic has made the public more aware of public health and the role its professionals play in addressing the pandemic. Schools and programs in public health have a new opportunity to recruit, train, and sustain the public health workforce. Academic public health can further educate the public and prepare students for meaningful careers through interprofessional education and practice-based learning.


Asunto(s)
Betacoronavirus , Infecciones por Coronavirus/epidemiología , Infecciones por Coronavirus/prevención & control , Pandemias/prevención & control , Neumonía Viral/epidemiología , Neumonía Viral/prevención & control , Administración en Salud Pública/educación , Salud Pública/educación , Estudiantes de Medicina , Humanos , Selección de Personal , Estados Unidos/epidemiología , Recursos Humanos
12.
Tex Med ; 116(6): 27-28, 2020 Jun 01.
Artículo en Inglés | MEDLINE | ID: mdl-32645182

RESUMEN

Umair Shah, MD, Harris County Public Health executive director, on how COVID-19 has exposed gaps in the public health system.


Asunto(s)
Betacoronavirus , Infecciones por Coronavirus/epidemiología , Neumonía Viral/epidemiología , Administración en Salud Pública/métodos , Salud Pública/métodos , Humanos , Pandemias , Texas/epidemiología
14.
Am J Public Health ; 110(S2): S225-S231, 2020 07.
Artículo en Inglés | MEDLINE | ID: mdl-32663080

RESUMEN

Objectives. To describe partnerships between US local health departments (LHDs) and community organizations and assess the relationship between the types of activities performed in these partnerships and LHD engagement in population-based activities to prevent mental health conditions.Methods. Data were derived from 457 LHDs that responded to module 1 of the 2016 Profile Study conducted by the National Association of County and City Health Officials. These data were used to assess the presence of partnerships with community organizations and examine associations between the types of activities performed in such partnerships and LHDs' participation in population-based activities to prevent mental health conditions.Results. LHDs had higher odds of participating in population-based activities to prevent mental health conditions if they shared personnel or resources or had written agreements with mental health or substance use disorder providers, held regularly scheduled meetings with hospitals, or shared personnel or resources with community health centers. Odds were reduced if they exchanged information with community health centers or shared personnel or resources with faith-based organizations.Conclusions. This study offers an improved understanding of how the types of activities performed in cross-sector partnerships affect LHDs' participation in population-based activities to prevent mental health conditions, which is important as public policies, programs, and funding initiatives continue to encourage cross-sector partnership building.


Asunto(s)
Trastornos Mentales/prevención & control , Administración en Salud Pública/métodos , Asociación entre el Sector Público-Privado , Servicios de Salud Comunitaria , Conducta Cooperativa , Humanos , Gobierno Local , Estados Unidos
15.
Am J Public Health ; 110(S2): S204-S210, 2020 07.
Artículo en Inglés | MEDLINE | ID: mdl-32663081

RESUMEN

Objectives. To examine changes in the scope of activity and organizational composition of public health delivery systems serving rural and urban US communities between 2014 and 2018.Methods. We used data from the National Longitudinal Survey of Public Health Systems to measure the implementation of recommended public health activities and the network of organizations contributing to these activities in a nationally representative cohort of US communities. We used multivariable regression models to test for rural-urban differences between 2014 and 2018.Results. The scope of recommended activities implemented in rural areas declined by 3.4 percentage points between 2014 and 2018, whereas it increased by 1.4 percentage points in urban areas. The rural-urban disparity in scope of activities grew by a total of 4.8 percentage points (P < .05) over this time. The disparity in network density grew by 2.3 percentage points (P < .05).Conclusions. Urban public health systems have enhanced their scope of activities and organizational networks since 2014, whereas rural systems have lost capacity. These trends suggest that system improvement initiatives have had uneven success, and they may contribute to growing rural-urban disparities in population health status.


Asunto(s)
Salud Pública/estadística & datos numéricos , Servicios de Salud Rural/estadística & datos numéricos , Servicios Urbanos de Salud/estadística & datos numéricos , Humanos , Estudios Longitudinales , Administración en Salud Pública/estadística & datos numéricos , Servicios de Salud Rural/organización & administración , Estados Unidos , Servicios Urbanos de Salud/organización & administración
16.
Am J Public Health ; 110(S2): S222-S224, 2020 07.
Artículo en Inglés | MEDLINE | ID: mdl-32663091

RESUMEN

In response to the growing regional (and national) focus on health and housing intersections, two public housing authorities (PHAs) in Washington-the King County Housing Authority and the Seattle Housing Authority-joined with Public Health-Seattle & King County to form the Housing and Health (H&H) partnership in 2016. H&H linked Medicaid health claims with PHA administrative data to create a sustainable public-facing dashboard that informs health and housing stakeholders such as an Accountable Community of Health (a governing body that oversees local Medicaid transformation projects), managed care organizations, and PHAs, allowing insights into the low-income communities they serve.


Asunto(s)
Medicaid/estadística & datos numéricos , Administración en Salud Pública , Vivienda Popular/organización & administración , Vivienda Popular/estadística & datos numéricos , Adolescente , Adulto , Anciano , Femenino , Humanos , Masculino , Persona de Mediana Edad , Pobreza , Salud Pública , Estados Unidos , Washingtón
17.
Am J Public Health ; 110(S2): S232-S234, 2020 07.
Artículo en Inglés | MEDLINE | ID: mdl-32663092

RESUMEN

Objectives. To examine the extent to which social service organizations participate in the organizational networks that implement public health activities in US communities, consistent with recent national recommendations.Methods. Using data from a national sample of US communities, we measured the breadth and depth of engagement in public health activities among specific types of social and community service organizations.Results. Engagement was most prevalent (breadth) among organizations providing housing and food assistance, with engagement present in more than 70% of communities. Engagement was least prevalent among economic development, environmental protection, and law and justice organizations (less than 33% of communities). Depth of engagement was shallow and focused on a narrow range of public health activities.Conclusions. Cross-sector relationships between public health and the housing and food sectors are now widespread across the United States, giving most communities viable avenues for addressing selected social determinants of health. Relationships with many other social and community service organizations are more limited.Public Health Implications. Public health leaders should prioritize opportunities for engagement with low-connectivity social sectors in their communities such as law, justice, and economic development.


Asunto(s)
Colaboración Intersectorial , Administración en Salud Pública/estadística & datos numéricos , Servicio Social/estadística & datos numéricos , Conducta Cooperativa , Humanos , Salud Pública , Bienestar Social/estadística & datos numéricos , Estados Unidos
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