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1.
Zhonghua Liu Xing Bing Xue Za Zhi ; 40(7): 844-848, 2019 Jul 10.
Artigo em Chinês | MEDLINE | ID: mdl-31357809

RESUMO

Objective: The aim of this study was to understand the status of health examination on public health employees in Beijing, in order to further standardize the health management of the employees. Methods: Questionnaire surveys and personal interviews were produced to obtain the basic information, physical examination, occupational training, knowledge of health laws and regulations, and satisfaction of employees. Pairwise comparison was conducted by chi-square test. Multivariate linear regression was used for multivariate analysis. Results: The percentage of the public health employees who took the blood tests, X-ray examinations, fecal examinations, and skin examinations were 97.0%, 77.6%, 86.4%, and 51.0%, respectively. After excluding the skin examination, the completion rate of other examination items was 72.1%, and the difference of this rate between public hospitals and private hospitals were statistically significant (χ(2)=36.22, P<0.001; χ(2)=9.09, P=0.003; χ(2)=31.06, P<0.001). The percentage of correct answers to all the five questions was 3.2%, and age, working age and education level were positively correlated with knowledge scores of employees. Conclusions: The problems in Beijing's health examination of employees included poor examination quality, lack of supervision, inability to trace the source and low awareness rate of health knowledge, which suggested that counter measures should be taken immediately.


Assuntos
Exame Físico/estatística & dados numéricos , Administração em Saúde Pública , Pequim , Humanos , Inquéritos e Questionários
2.
Recurso na Internet em Português | LIS - Localizador de Informação em Saúde, LIS-bvsms | ID: lis-LISBR1.1-46602

RESUMO

A Galeria de Ministros do Ministério da Saúde (MS) destina-se a preservar a memória da instituição e tornar informações de interesse histórico disponíveis ao público. Apresenta a lista de ministros, organizada por décadas, desde a criação do MS, com fotografias e uma breve biografia de cada personalidade.


Assuntos
Administração em Saúde Pública/história
5.
BMC Public Health ; 19(1): 835, 2019 Jun 27.
Artigo em Inglês | MEDLINE | ID: mdl-31248396

RESUMO

BACKGROUND: Commissioning and monitoring of community-based interventions is a challenge due to the complex nature of the environment and the lack of any explicit cut-offs to guide decision making. At what point, for example, is participant enrolment to interventions, course completion or satisfaction deemed to be acceptable or sufficient for continued funding? We aimed to identify and quantify key progression criteria for fourteen early years interventions by (1) agreeing the top three criteria for monitoring of successful implementation and progress; and (2) agreeing boundaries to categorise interventions as 'meeting anticipated target' (green); 'falling short of targets' (amber) and 'targets not being met' (red). METHODS: We ran three workshops in partnership with the UK's Big Lottery Fund commissioned programme 'Better Start Bradford' (implementing more than 20 interventions to improve the health, wellbeing and development of children aged 0-3) to support decision making by agreeing progression criteria for the interventions being delivered. Workshops included 72 participants, representing a range of professional groups including intervention delivery teams, commissioners, intervention-monitoring teams, academics and community representatives. After discussion and activities, final decisions were submitted using electronic voting devices. All participants were invited to reconsider their responses via a post-workshop questionnaire. RESULTS: Three key progression criteria were assigned to each of the 14 interventions. Overall, criteria that participants most commonly voted for were recruitment, implementation and reach, but these differed according to each intervention. Cut-off values used to indicate when an intervention moved to 'red' varied by criteria; the lowest being for recruitment, where participants agreed that meeting less than 65% of the targeted recruitment would be deemed as 'red' (falling short of target). CONCLUSIONS: Our methodology for monitoring the progression of interventions has resulted in a clear pathway which will support commissioners and intervention teams in local decision making within the Better Start Bradford programme and beyond. This work can support others wishing to implement a formal system for monitoring the progression of public health interventions.


Assuntos
Saúde da Criança , Tomada de Decisões Gerenciais , Promoção da Saúde/organização & administração , Administração em Saúde Pública , Pré-Escolar , Feminino , Humanos , Lactente , Recém-Nascido , Gravidez , Inquéritos e Questionários , Reino Unido
6.
J Emerg Manag ; 17(3): 167-176, 2019 May/Jun.
Artigo em Inglês | MEDLINE | ID: mdl-31245827

RESUMO

The following article discusses the identity challenge facing Emergency Management, and draws upon the experience of Public Administration to guide future developments in this area. The article undertakes a four-part analysis by discussing: (1) the legitimacy of Public Administration discipline; (2) the legitimacy of the Emergency Management discipline; (3) the legitimacy of the Public Administration profession; and (4) the legitimacy of the Emergency Management profession. The article concludes with a review of the discussion, and argues that Emergency Management has followed or benefited from the same path taken by Public Administration. However, Emergency Management must focus more on a code of ethics, particularly in reference to hiring practices and enforcement of professional values.


Assuntos
Emergências , Seleção de Pessoal , Administração em Saúde Pública , Humanos
7.
Glob Health Action ; 12(1): 1609825, 2019.
Artigo em Inglês | MEDLINE | ID: mdl-31117889

RESUMO

Background: Low-income countries with relatively weak-health systems are highly vulnerable to public health threats. Effective public health system with a workforce to investigate outbreaks can reduce disease impact on livelihoods and economic development. Building effective public health partnerships is critical for sustainability of such a system. Uganda has made significant progress in responding to emergencies during the past quarter century, but its public health workforce is still inadequate in number and competency. Objectives: To reinforce implementation of priority public health programs in Uganda and cultivate core capacities for compliance with International Health Regulations. Methods: To develop a competent workforce to manage epidemics and improve disease surveillance, Uganda Ministry of Health (MoH) established an advanced-level Field Epidemiology Training Program, called Public Health Fellowship Program (PHFP); closely modelled after the US CDC's Epidemic Intelligence Service. PHFP is a 2-year, full-time, non-degree granting program targeting mid-career public health professionals. Fellows spend 85% of their field time in MoH placements learning through service delivery and gaining competencies in major domains. Results: During 2015-2018, PHFP enrolled 41 fellows, and graduated 30. Fellows were placed in 19 priority areas at MoH and completed 235 projects (91 outbreaks, 12 refugee assessments, 50 surveillance, and 60 epidemiologic studies, 3 cost analysis and 18 quality improvement); made 194 conference presentations; prepared 63 manuscripts for peer-reviewed publications (27 published as of December 2018); produced MoH bulletins, and developed three case studies. Projects have resulted in public health interventions with improvements in surveillance systems and disease control. Conclusion: During the 4 years of existence, PHFP has contributed greatly to improving real-time disease surveillance and outbreak response core capacities. Enhanced focus on evidence-based targeted approaches has increased effectiveness in outbreak response and control, and integration of PHFP within MoH has contributed to building a resilient and sustainable health system in Uganda.


Assuntos
Assistência à Saúde/organização & administração , Bolsas de Estudo/organização & administração , Administração em Saúde Pública/métodos , Recursos Humanos/organização & administração , Adulto , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Uganda , Adulto Jovem
8.
Public Health ; 171: 1-5, 2019 Jun.
Artigo em Inglês | MEDLINE | ID: mdl-31071577

RESUMO

OBJECTIVES: The objective of this study was to understand the extent to which public health practitioner registration is encouraged by UK employers through recruitment, i.e. by including registration as an essential or desirable criterion in job descriptions and person specifications. STUDY DESIGN: A repeated survey was conducted on two main UK public health job websites. METHODS: Data were collected via a repeated structured search of all public health practitioner posts advertised in two specified weeks in March and September 2018 on two main UK public health jobs websites: local government jobs and National Health Service (NHS) jobs. RESULTS: Fifty-six posts were identified for inclusion in the study. Only one post (2% of the total) required UK Public Health Register (UKPHR) registration or working towards registration. It was more common but still a minority (13% or 23%) of posts to require registration with any relevant register (e.g. UKPHR, Nursing and Midwifery Council or Health and Care Professions Council). Most employers demonstrated a desire for flexibility with none requiring an MSc Public Health and a majority requiring any relevant degree or equivalent experience (46% or 82%). Evidence of continuing professional development was also commonly required (34% or 61%). CONCLUSION: There is currently a mismatch between UK national policy support for public health practitioner registration and the value that registered practitioners place on it and the recruitment polices of many UK public health employers.


Assuntos
Certificação , Seleção de Pessoal , Administração em Saúde Pública , Humanos , Reino Unido
9.
Rev Esp Salud Publica ; 932019 May 01.
Artigo em Espanhol | MEDLINE | ID: mdl-31038127

RESUMO

OBJECTIVE: The health system in Spain rests mostly in the Autonomous Communities (similar to the states in the US). The public health activities of many local governments are little studied. The objective of this work was to bring knowledge about the public health activities of the municipalities, providing information obtained from a recent survey in Catalonia. METHODS: Descriptive study based on a survey to public health officers in the 119 municipalities above 10,000 population in Catalonia, excluding the city of Barcelona. The survey was conducted between May and October 2016, with 103 municipalities (86.6%) reporting on their services in 2015, prior to the survey. Data were collected and descriptive analyses performed. RESULTS: A consolidation of both political and professional public health structures of the municipalities was observed. Most frequent activities in health protection were related to legionella control, the control of urban pests and the management of complaints and requests by citizens. Most frequent activities in the field of health promotion were related to physical activity and health, prevention in tobacco and alcohol, food and nutrition. There were relatively few changes reported in public health structures and their officers, as well as in human resources. CONCLUSIONS: In Catalonia, municipalities above 10,000 population have a remarkable level of activity in public health. Both the areas of health protection (with mandatory minimum services for local governments) and of health promotion show high levels of activity. The system seems stable regarding political changes and budget constraints. There are opportunities for improvement in the training of professionals and service accreditation. It would be desirable to find ways to improve coordination among these services.


Assuntos
Serviços de Saúde/estatística & dados numéricos , Governo Local , Administração em Saúde Pública/estatística & dados numéricos , Prática de Saúde Pública/estatística & dados numéricos , Serviços Urbanos de Saúde/provisão & distribução , Pesquisas sobre Serviços de Saúde , Promoção da Saúde/organização & administração , Promoção da Saúde/estatística & dados numéricos , Humanos , Espanha , Serviços Urbanos de Saúde/organização & administração
13.
Health Secur ; 17(2): 162-165, 2019.
Artigo em Inglês | MEDLINE | ID: mdl-30964342

RESUMO

From the Field is a semi-regular column that explores what it means to be a local health professional on the front lines of an emergency. Typically, National Association of County and City Health Officials (NACCHO) members share their stories of preparing for and responding to disasters, epidemics, and other major health issues. Through exploring the analysis of the challenges faced and the solutions developed, readers can learn how these public health champions keep their communities safe even in extreme situations. Readers may submit topics of interest to jfox46@jhu.edu .


Assuntos
Governo Local , Transtornos Relacionados ao Uso de Opioides/epidemiologia , Transtornos Relacionados ao Uso de Opioides/prevenção & controle , Saúde Pública/legislação & jurisprudência , Overdose de Drogas/epidemiologia , Fentanila/efeitos adversos , Heroína/efeitos adversos , Humanos , Uso Indevido de Medicamentos sob Prescrição/prevenção & controle , Administração em Saúde Pública/métodos , Washington
14.
Health Secur ; 17(2): 109-116, 2019.
Artigo em Inglês | MEDLINE | ID: mdl-31009259

RESUMO

In October 2012, Superstorm Sandy had a wide impact on the public across New York City (NYC). The NYC Department of Health and Mental Hygiene (DOHMH) activated its incident command system (ICS) and deployed a liaison officer (LNO) to the NYC Emergency Operations Center (EOC) at NYC Emergency Management (NYCEM) 24 hours a day for 6 weeks. This prolonged response period, coupled with environmental effects on NYC's coastal communities, increased public awareness of Sandy's health impacts, requiring a broad scope of interagency coordination and operational input from the liaison officer. Liaison officers involved in this response later conducted a content analysis of issues handled throughout Sandy, to better understand the skill set required to serve in this role, identify greater staff depth, integrate liaison officers into DOHMH exercises, and update just-in-time training provided before liaison officers deploy. This analysis revealed defined training topics for liaison officers to improve staff performance and effectiveness in leading interagency coordination during emergency responses. Topics include resources, staffing, data management, public messaging, and vulnerable populations, and these topics have since been used to revamp liaison officer training and guide policy changes in the liaison officer job charter. Targeted use of liaison officers to support development and implementation and to coordinate response objectives with local, state, and federal partners has only become more important. This analysis continues to influence how DOHMH defines its citywide agency response role, to inform how best to staff and train liaison officers to respond, and to pose lessons for other jurisdictions seeking to maximize the effectiveness of liaison officers deployed in emergencies.


Assuntos
Tempestades Ciclônicas , Planejamento em Desastres/organização & administração , Administração em Saúde Pública , Comunicação , Desastres , Socorristas , Humanos , Cidade de Nova Iorque
15.
Artigo em Chinês | MEDLINE | ID: mdl-30929355

RESUMO

Objective: To analyze the status of job burnout among the community and township public health workers, and to provide scientific basis for formulating comprehensive prevention and control measures. Methods: A census sampling method was used to investigate the job burnout by using the self-made general demographic data questionnaire and the MBI-GS in HuaiAn. Results: A total of 1074 valid questionnaires were collected, and the total physical examination rate of job burnout was 58.7%, 51.3% were mild burnout, 7.4% were highly burnout. Multivariate ordered logistic regression analysis showed that sex (OR=1.32), chronic disease (OR=1.92)、and daily working hours greater than 7 h (OR=1.40)、township health center (OR=1.31) were independent risk factors for occupational burnout. The age "≥51" (OR=0.45)、"41~" (OR=0.58) are the independent protective factors for the occurrence of job burnout. Conclusion: Job burnout detection rate was high in the staff of essential public health service, sex, daily working hours, health status, age and work unit are the main factors influencing job burnout.


Assuntos
Esgotamento Profissional/epidemiologia , Administração em Saúde Pública , China/epidemiologia , Cidades , Feminino , Humanos , Masculino , Fatores de Risco , Inquéritos e Questionários
17.
Infect Dis Poverty ; 8(1): 26, 2019 Apr 18.
Artigo em Inglês | MEDLINE | ID: mdl-30999956

RESUMO

BACKGROUND: Asia is a region that is rapidly urbanising. While overall urban health is above rural health standards, there are also pockets of deep health and social disadvantage within urban slum and peri-urban areas that represent increased public health risk. With a focus on vaccine preventable disease and immunisation coverage, this commentary describes and analyses strengths and weaknesses of existing urban health and immunisation strategy, with a view to recommending strategic directions for improving access to immunisation and related maternal and child health services in urban areas across the region. The themes discussed in this commentary are based on the findings of country case studies published by the United Nations Childrens Fund (UNICEF)  on the topic of immunisation and related health services for the urban poor in Cambodia, Indonesia, Mongolia, Myanmar, the Philippines, and Vietnam. MAIN BODY: Although overall urban coverage is higher than rural coverage in selected countries of Asia, there are also wide disparities in coverage between socio economic groups within urban areas. Consistent with these coverage gaps, there is emerging evidence of outbreaks of vaccine preventable diseases in urban areas. In response to this elevated public health risk, there have been some promising innovations in operational strategy in urban settings, although most of these initiatives are project related and externally funded. Critical issues for attention for urban health services access include reaching consensus on accountability for management and resourcing of the strategy, and inclusion of an urban poor approach within the planning and budgeting procedures of Ministries of Health and local governments. Advancement of local partnership and community engagement strategies to inform operational approaches for socially marginalised populations are also urgently required. Such developments will be reliant on development of municipal models of primary health care that have clear delegations of authority, adequate resources and institutional capabilities to implement. CONCLUSIONS: The development of urban health systems and immunisation strategy is required regionally and nationally, to respond to rapid demographic change, social transition, and increased epidemiological risk.


Assuntos
Controle de Doenças Transmissíveis/métodos , Acesso aos Serviços de Saúde , Programas de Imunização , Vacinação/métodos , Ásia , Pré-Escolar , Surtos de Doenças/prevenção & controle , Feminino , Disparidades em Assistência à Saúde , Humanos , Lactente , Masculino , Estudos de Casos Organizacionais , Pobreza , Administração em Saúde Pública , Prática de Saúde Pública , Nações Unidas , População Urbana
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