RESUMO
The disconnect between public health practice and its academic base has major implications for training and hiring the future public health workforce, for practice-based research, and ultimately for improving the public's health. To bridge this disconnect, the University of Tennessee Department of Public Health and the Knox County Health Department established an academic health department in early 2011 through a memorandum of understanding. This action followed a long history of informal collaborations, built on mutual trust. The memorandum of understanding identified the scope of academic health department activities, clarified responsibilities of each organization, and created a shared coordinator position. Accomplishments during the first 18 months include improving the efficiency and effectiveness of student field placements; establishing collaborative learning sessions delivered jointly by University of Tennessee Department of Public Health faculty and Knox County Health Department staff; and exploring opportunities for practice-based research. The shared coordinator position and an active steering committee are considered fundamental to achieving sustainable academic-practice linkages.
Assuntos
Educação Profissional em Saúde Pública/organização & administração , Prática de Saúde Pública , Educação Profissional em Saúde Pública/métodos , Humanos , Relações Interinstitucionais , Liderança , Governo Local , Desenvolvimento de Programas , Avaliação de Programas e Projetos de Saúde , Tennessee , Universidades/organização & administraçãoRESUMO
To address the lack of research on the pulmonary health effects of ozone and fine particulate matter (= 2.5 microm in aerodynamic diameter; PM2.5) on individuals who recreate in the Great Smoky Mountains National Park (USA) and to replicate a study performed at Mt. Washington, New Hampshire (USA) , we conducted an observational study of adult (18-82 years of age) day hikers of the Charlies Bunion trail during 71 days of fall 2002 and summer 2003. Volunteer hikers performed pre- and posthike pulmonary function tests (spirometry), and we continuously monitored ambient O3, PM2.5, temperature, and relative humidity at the trailhead. Of the 817 hikers who participated, 354 (43%) met inclusion criteria (nonsmokers and no use of bronchodilators within 48 hr) and gave acceptable and reproducible spirometry. For these 354 hikers, we calculated the posthike percentage change in forced vital capacity (FVC) , forced expiratory volume in 1 sec (FEV1) , FVC/FEV1, peak expiratory flow, and mean flow rate between 25 and 75% of the FVC and regressed each separately against pollutant (O3 or PM2.5) concentration, adjusting for age, sex, hours hiked, smoking status (former vs. never) , history of asthma or wheeze symptoms, hike load, reaching the summit, and mean daily temperature. O3 and PM2.5 concentrations measured during the study were below the current federal standards, and we found no significant associations of acute changes in pulmonary function with either pollutant. These findings are contrasted with those in the Mt. Washington study to examine the hypothesis that pulmonary health effects are associated with exposure to O3 and PM2.5 in healthy adults engaged in moderate exercise. .
Assuntos
Poluentes Atmosféricos/farmacologia , Exposição por Inalação , Pulmão/efeitos dos fármacos , Ozônio/farmacologia , Adolescente , Adulto , Idoso , Idoso de 80 Anos ou mais , Exercício Físico , Feminino , Humanos , Pulmão/fisiopatologia , Masculino , Pessoa de Meia-Idade , North Carolina , Tamanho da Partícula , Tennessee , Fatores de Tempo , CaminhadaRESUMO
The Local Public Health System Assessment (LPHSA) in Mobilizing for Action through Planning and Partnerships (MAPP), and the Local Tool of the National Public Health Performance Standards Program (LT/NPHPSP)--which are one in the same-attempt to assess the capacity to provide the essential public health services. Both tools have been utilized in various public health practice settings; however, users have been challenged with the complexity of the tools and time and human resource investment necessary to complete them. The recent Journal of Public Health Management and Practice issue focus on MAPP provided several examples of LPHSA implementation, both as a component of MAPP and as a stand-alone activity in the context of performance standards. The uniqueness in our approach involved a collaborative between a community-based organization, a public health academic program, and a governmental public health agency which conducted the LPHSA in a manner that did not require actual modification of the tool itself, was practical and feasible, and was of benefit and value to all partners.
Assuntos
Participação da Comunidade , Relações Interinstitucionais , Governo Local , Prática de Saúde Pública/normas , Universidades , Pesquisa sobre Serviços de Saúde , Nível de Saúde , Humanos , Gestão da Qualidade TotalRESUMO
The importance of establishing and sustaining academic-public health practice linkages has been a point of emphasis in the Institute of Medicine reports on public health in 1988 and in 2003. One likely barrier to fostering such linkages is the absence of a clear framework that matches academic requirements to practice realities. This article describes how an academic-public health practice collaborative has used MAPP in a health planning course for Master of Public Health students over a 3-year period, allowing students the opportunity to work in communities with public health practitioners. The specific focus for each of these 3 years has varied, but underlying the work has been a consistent approach to teaching and working in communities with MAPP as the frame of reference. The outcome of this work has been of value to students and faculty, to public health department staff, and, most important, to the communities where this work has taken place. This suggests that there is great potential for using MAPP as a framework for establishing and strengthening academic-public health practice linkages.