This text provides students a foundation in public health practice and management, focusing on developing the knowledge and skills required by the real world of public health. The authors of Transforming Public Health Practice explain the drivers of change in public health practice, key success factors for public health programs, dealing with the chronic disease burden, the impact of national health policy on public health practice, and tools for understanding and managing population health. Transforming Public Health Practice covers core leadership and management skills, covering areas such as politics, workforce, partnership and collaboration, change management, outcomes orientation, opportunities for improvement, health equity, and future challenges. Case studies highlight innovations in health education, working with people with disabilities, partnerships in response to disease outbreaks, and health programs. Learning objectives, chapter summaries, key terms, and discussion questions enhance each chapter. A downloadable instructors' supplement is available on the companion Web site for the book.
Introduction xiii Acknowledgments xvii The Authors xix The Contributors xxi Part One Issues and Methods of Public Health Practice 1 The Need for Change in the Practice of Public Health 3 Mission and Services of Public Health 3 Public Health s History and Its Impact on Current Services 10 Gap Between Mission and Current Public Health Practice 13 2 The Success of Public Health Programs: Critical Factors 27 Definition of Public Health 30 Public Health Systems 31 Community Health Workers 34 Population-Based Medicine 36 Problems in Our Health Care System 36 The Need for Improved Accountability of Public Health Professionals 39 Local Health Departments 39 Epidemic of Chronic Diseases 42 Information Management 44 Expansion of Health Education Programs 45 Public Health and the Legacy Concept 46 The Need for Leadership Development in Public Health 48 3 Critical Issues for the Future of Health Care in the United States 53 Why We Are Failing in Our Health Care Reform Efforts 57 Root Causes of the Failures of the Health Care System 60 Other Problem Areas 68 Solution to the Problems in Our Health Care System 70 New Model of Health Care Delivery 72 Public Health as a Potential Solution to the Health Care Crisis in America 75 4 Application of Epidemiological Concepts to Health Care Delivery 81 Descriptive Epidemiology 83 Epidemiology of Communicable Diseases 89 Epidemiology of Emerging Infections 91 Analytical Epidemiology 92 Epidemiology and the Centers for Disease Control and Prevention 95 Data Management 95 Surveillance Systems 97 Managerial Epidemiology 99 Application of Epidemiological Concepts to Health Care 101 5 Shifting the Focus from Communicable to Chronic Diseases 105 Communicable Disease Threat 108 The Challenge of Chronic Diseases 111 The Need for Investment in Preventing Chronic Diseases 114 Health Education 116 The Need for Partnerships to Combat Chronic Diseases 118 Opportunity to Improve the Way Health Care Is Delivered 121 Part Two Issues and Methods of Public Health Leadership and Management 6 Leadership and Politics in Public Health 129 Development of Power in Health Care Delivery 130 Leadership and Politics in Health Care Delivery 134 Public Health Leadership Styles 137 Transformational Leadership and Public Health 140 Public Health as a Change Agent 142 Public Health Leaders and Power 143 Public Health Leaders and Conflict Management 145 Can Political Appointees Lead Public Health Departments? 146 Communication Skills of the Leader 147 Leadership Development in Public Health 148 Culture of Public Health Workers 150 Public Health Leaders and Innovation 153 7 Empowering Public Health Workers 159 Leadership and Quality Improvement 161 The Public Health Employee 164 Transformational Leadership, Worker Empowerment, and Self-Managed Work Teams in Public Health 165 The Role of Culture 166 Culture and Change 169 Empowerment of Workers in Public Health 173 Disappearance of the Public Health Worker 176 8 Partnerships to Improve the Public s Health 179 Public Health Partners 179 Value of Partnerships for Public Health Organizations 181 Building Community-Wide Partnerships Using an Ecological Model of Health 183 Successful Partnerships 189 Assessing the Role of Partnerships in Improving Community Health 190 9 Leading and Managing Change in Public Health Organizations 193 Public Health and the Urgent Need for Change 193 Challenges Facing Local Public Health Leaders 194 Millennium Development Goals 195 Urgent Need for System Change 196 Visioning the New Public Health 200 Leadership for the New Public Health 201 Changing the Public Health System for the Future 206 Managing Change 207 10 Developing an Outcomes Orientation in Public Health Organizations 213 Quality Nexus of Public Health and Health Care 214 Focusing on Core Functions and Essential Public Health Services 216 Current Quality Improvement Efforts in Public Health Organizations 223 Gaps in the Quality of Public Health Services 226 Federal Leadership of Quality Improvement in Public Health 227 Road Map to Improve Public Health Outcomes 233 11 Opportunities for Improvement in Public Health Practice 239 Disruption and Change in Public Health 242 Public Health Education and Health Promotion Programs 244 The Need for a Chronic Care Model 247 Minimal Political Appreciation of Public Health Activities 248 Use of Technology in Risk Communication 250 Public Health Leadership Required 252 Value of Prevention Programs 254 The Process of Innovation 259 12 Local Solutions to Reduce Inequities in Health and Safety 263 Larry Cohen, Anthony Iton, Rachel Davis, Sharon Murriguez 13 Challenges in the New World of Public Health Practice 299 Determinants of Health 300 Obesity Epidemic 302 Climate Change 305 War and Armed Conflicts 309 Case Studies Case Study 1 Innovation in Health Education Programs 315 Case Study 2 Disabilities 321 Jill D. Morrow-Gorton Case Study 3 Formation of Community Partnerships to Prepare for H1N1 327 Marc C. Marchese Case Study 4 Municipal Health Department Leadership Inside Out 331 Ted Kross Case Study 5 The Power of Data: Osceola County Secures a Federally Qualified Health Center 337 Julia Joh Elligers Case Study 6 Using MAPP to Get Up & Go! in St. Clair County 341 Lisa Jacobs Case Study 7 Partnering for Improved Infant Health in Stanislaus County 345 Lisa Jacobs Case Study 8 Innovation in Colorectal Cancer Education Programs 349 References 355 Index 375
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