Public Health Practice: What Works

Oxford University Press
Free sample

In Public Health Practice: What Works, the leaders of LA County's Department of Public Health compile the lessons and best practices of working in a complex and evolving public health setting. Through stories of success (and challenges) from practice, this book offers a practical guide to effective health policy and program interventions for individuals, teams, practitioners, and departments on any scale.
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About the author

Jonathan E. Fielding, MD, MPH, MA, MBA, is the Director of the Los Angeles County Department of Public Health. Steven M. Teutsch, MD, MPH, is Chief Science Officer for the Los Angeles County Department of Public Health.
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Additional Information

Publisher
Oxford University Press
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Published on
Oct 1, 2012
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Pages
368
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ISBN
9780199892778
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Best For
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Language
English
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Genres
Medical / Internal Medicine
Medical / Public Health
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Content Protection
This content is DRM protected.
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Eligible for Family Library

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Regulation shapes all aspects of America's fragmented health care industry, from the flow of dollars to the communication between physicians and patients. It is the engine that translates public policy into action. While the health and lives of patients, as well as almost one-sixth of the national economy depend on its effectiveness, health care regulation in America is bewilderingly complex. Government agencies at the federal, state, and local levels direct portions of the industry, but hundreds of private organizations do so as well. Some of these overseers compete with one another, some conflict, and others collaborate. Their interaction is as important to the provision of health care as are the laws and rules they implement. Health Care Regulation in America is a guide to this regulatory maze. It succinctly recaps the past and present conflicts that have guided the oversight of each industry segment over the past hundred years and explains the structure of regulation today. To make the system comprehensible, this book also presents the sweep of regulatory policy in the context of the interests, values, goals, and issues that guide it. Chapters cover the process of regulation and each key area of regulatory focus - professionals, institutions, financing arrangements, drugs and devices, public health, business relationships, and research. In a uniquely American way, the system thrives on confrontation between competing interests but survives by engendering compromise. Robert Field shows that health care regulation is an inexorable force that nurtures as well as restricts the enterprise of American health care. For the student, practitioner, executive, policy analyst, or concerned citizen, this book is an invaluable guide to the policy, politics, and practice of an industry that directly touches us all.
A Dictionary of Public Health covers words and phrases used in public health science and practice, including areas such as communicable disease control, epidemiology, health policy, health services research, methods for clinical and epidemiological research, risk assessment and risk management, emergency preparedness, bioethics, genetics, nutrition, toxicology, social work, sanitation and public health engineering, environmental sciences, and administration. It offers definitions, discussion, and an occasional brief commentary on the relevance of each term to people and their health. This dictionary is a trusted resource for answers to questions that arise in the course of public health practice, whether in the office or in the field, in interactions with the public or with the media. This second edition expands coverage of terms relevant to the following areas, amongst others: health policy, health economics, and health services, including the Affordable Care Act and related topics; preventive medicine, health promotion, and behavioral sciences; risk assessment and risk management; emerging diseases; emergency preparedness; and bioethics and essential legal terms relevant for public health. It includes a list of useful web links and c.300 numbered bibliographic references, linked to directly from relevant entries. The dictionary continues to be a trusted resource for answers to questions that arise in the course of public health practice, whether in the office or in the field, in interactions with the public or with the media.
There are at least three ways in which a public health program or policy may not reach stated goals for success: 1) Choosing an intervention approach whose effectiveness is not established in the scientific literature; 2) Selecting a potentially effective program or policy yet achieving only weak, incomplete implementation or "reach," thereby failing to attain objectives; 3) Conducting an inadequate or incorrect evaluation that results in a lack of generalizable knowledge on the effectiveness of a program or policy; and 4) Paying inadequate attention to adapting an intervention to the population and context of interest To enhance evidence-based practice, this book addresses all four possibilities and attempts to provide practical guidance on how to choose, carry out, and evaluate evidence-based programs and policies in public health settings. It also begins to address a fifth, overarching need for a highly trained public health workforce. This book deals not only with finding and using scientific evidence, but also with implementation and evaluation of interventions that generate new evidence on effectiveness. Because all these topics are broad and require multi-disciplinary skills and perspectives, each chapter covers the basic issues and provides multiple examples to illustrate important concepts. In addition, each chapter provides links to the diverse literature and selected websites for readers wanting more detailed information. An indispensable volume for professionals, students, and researchers in the public health sciences and preventative medicine, this new and updated edition of Evidence-Based Public Health aims to bridge research and evidence with policies and the practice of public health.
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