Contemporary Public Health Finance: Varied Definitions, Patterns, and Implications DOI
Jason Orr, Jonathon P. Leider, Rachel Hogg‐Graham

et al.

Annual Review of Public Health, Journal Year: 2023, Volume and Issue: 45(1), P. 359 - 374

Published: Dec. 18, 2023

The financing of public health systems and services relies on a complex fragmented web partners funding priorities. Both underfunding “dys-funding” contribute to preventable mortality, increases in disease frequency severity, hindered social economic growth. These issues were both illuminated magnified by the COVID-19 pandemic associated responses. Further complicating is difficulty constructing adequate estimates current resources necessary resources. Each these challenges inhibits delivery services, leads inequitable access resourcing, contributes resource volatility, presents other deleterious outcomes. However, actions may be taken defragment paradigms toward more flexible spending, modernize standardize data systems, assure equitable sustainable investments.

Language: Английский

A framework to integrate equity in public health emergency response dashboards: Dashboard instrument to review equity (DIRE) DOI Creative Commons
Paulina Sosa, Hadi Kharrazi, Harold P. Lehmann

et al.

Public Health, Journal Year: 2025, Volume and Issue: 240, P. 182 - 194

Published: Feb. 6, 2025

COVID-19 created an urgent element of clinical and financial strain to the public health system, forcing it into rapid response mode. Key decisions were quickly made, with limited data guidance address decision trade-offs community inequities. Gaps identified in pandemic confirmed need for a new tool, like this study's Dashboard Instrument Review Equity (DIRE) Framework, ensure decision-makers are given quick equitable decision-making guidance. Scoping review tool development. The scoping was conducted through PRISMA-ScR, by utilizing tools PubMed, Scopus, Paper Piles compile cite. Three levels thematic analysis completed. Tool development consisted building conceptual model on DIKW Pyramid Informatics Stack. Then review's five themes integrated DIRE. closed at final count 102 articles, emerging: impact, Health Equity, Decisions During Emergencies, Dashboards Decision Support, Frameworks. dashboards also reviewed. DIRE designed three layers (context, flow, dashboard users) flow buckets (data sources, DIK pillars, interventions). This study aimed (1) Establish research foundation equity, lessons learned, support, (2) Develop evidence-based framework. Though further is still recommended, now first 3-point framework preparing respond equitably future emergencies.

Language: Английский

Citations

0
To Arms, Public Health Citizens! DOI
Axelle Braggion, Antoine Flahault

American Journal of Public Health, Journal Year: 2025, Volume and Issue: 115(5), P. 654 - 655

Published: April 9, 2025

Language: Английский

Citations

0
Monitoring Is Not Enough DOI
Arnaud Chioléro

American Journal of Public Health, Journal Year: 2025, Volume and Issue: 115(5), P. 656 - 657

Published: April 9, 2025

Language: Английский

Citations

0
A critical gap: Advanced practice nurses focused on the public's health DOI Creative Commons
Betty Bekemeier, Paul Kuehnert, Susan J. Zahner

et al.

Nursing Outlook, Journal Year: 2021, Volume and Issue: 69(5), P. 865 - 874

Published: May 3, 2021

The COVID-19 pandemic has highlighted the need for nurse leaders who "embrace interconnection" between medicine and public health. inequitable impact of on people color demonstrates importance applying expertise from nursing practice health systems to work with communities other professions complex issues. Yet, despite a clear improved population health, educational programs designed produce Advanced Public Health Nurses, skills address system changes, have become increasingly scarce.We put forward perspective that nation needs more advanced nurses prepared leadership roles focused whole populations, marginalized communities, policies promote their health.We argue opportunities should be expanded attain education these through increased investments in Doctor Nursing Practice model prepare specialty practice.

Language: Английский

Citations

24
Failing federalism? US dualist federalism and the 2020–22 pandemic DOI Creative Commons
John Agnew

Regional Studies Regional Science, Journal Year: 2022, Volume and Issue: 9(1), P. 149 - 171

Published: March 24, 2022

Some accounts focus on the role of governmental systems in management 2020–22 Coronavirus/Covid-19 pandemic. But studies with such an emphasis have typically taken second place to interpretations outcomes terms cases and deaths based cultural demographic differences. In theory, federal would seem certain advantages managing pandemics given presumed ability co-manage national challenges at level (testing, vaccines, resources, etc.) local differences demography behaviour state level. This paper argues that, case United States, its system was central failure rather than indictment federalism broadly construed, this result a vision put into practice since 1980s reflecting strict division powers between states government. Rather partners or collaborators government, became competitors one another recipe for more as such.

Language: Английский

Citations

17
Public health education post-COVID-19: a proposal for critical revisions DOI Creative Commons
Abdul Ghaffar, Sabina Faiz Rashid,

Rhoda K. Wanyenze

et al.

BMJ Global Health, Journal Year: 2021, Volume and Issue: 6(4), P. e005669 - e005669

Published: April 1, 2021

Improving the health of people is an essential and perhaps one most important functions any government; not only a contributor to overall development but also factor in reducing poverty. To achieve their populations, nations build infrastructure invest well-trained workforce. Public knowledge, expertise skilled workforce play critical role prevention disease, promotion health, developing programmes, monitoring evaluation systems. Schools public (and allied institutions) all over world key production such have traditionally focused on competencies areas as epidemiology, statistics, systems, disease prevention, economics environmental health. COVID-19 first pandemic strike since early 1900s has magnified existing inequalities inequities around world. Addressing requires biomedical approach incorporating broader social sciences fundamentally, listening learning from diverse communities flexibility capacity work across sectors, recognition justice, equity human rights basic principles, while undertaking actions contexts. This situation provoked thinking potential lessons for education.1 Just earlier societal, political epidemiological shifts prompted developments within we believe that strengthened can emerge these tumultuous times. The ongoing clearly shown global community there need further strengthen capacity, knowledge …

Language: Английский

Citations

22
Keep Moving Forward: Health Informatics and Information Management beyond the COVID-19 Pandemic DOI Creative Commons
Barbara L. Massoudi,

Diana Sobolevskaia

Yearbook of Medical Informatics, Journal Year: 2021, Volume and Issue: 30(01), P. 075 - 083

Published: Aug. 1, 2021

Objectives: To identify gaps and challenges in health informatics information management during the COVID-19 pandemic. describe solutions offer recommendations that can address identified challenges. Methods: A literature review of relevant peer-reviewed grey published from January 2020 to December was conducted inform paper. Results: The revealed several themes regarding gaps: systems technology infrastructure; data collection, quality, standardization; governance use. These were often driven by public policy funding constraints. Conclusions: exposed complexities related responding a world-wide, fast moving, quickly spreading novel virus. Longstanding ongoing local, national, global infrastructure must be addressed before we are faced with another

Language: Английский

Citations

20
Inequalities in population health loss by multiple deprivation: COVID-19 and pre-pandemic all-cause disability-adjusted life years (DALYs) in Scotland DOI Creative Commons
Grant M. A. Wyper, Eilidh Fletcher, Ian Grant

et al.

International Journal for Equity in Health, Journal Year: 2021, Volume and Issue: 20(1)

Published: Sept. 26, 2021

Abstract Background COVID-19 has caused almost unprecedented change across health, education, the economy and social interaction. It is widely understood that existing mechanisms which shape health inequalities have resulted in outcomes following this same, familiar, pattern. Our aim was to estimate population impact of Scotland, measured by disability-adjusted life years (DALYs) 2020. secondary scale overall, in, DALYs against level pre-pandemic all-cause DALYs, derived from Scottish Burden Disease (SBoD) study. Methods National deaths daily case data were input into European Network consensus model DALYs. Total Years Life Lost (YLL) estimated for each area-based deprivation quintile population. Lived with Disability proportionately distributed quintiles, based on YLL estimates. Inequalities by: range, Relative Index Inequality (RII), Slope (SII), attributable using least deprived as a reference. Results Marked observed several measures. The SII range 2048 2289 per 100,000 rate most areas around 58% higher than mean (RII = 1.16), 40% attributed differences deprivation. Overall due ranged 7 20% annual loss combined all causes. Conclusion substantial Scotland not shared equally experiencing different levels extent inequality similar averting diabetes. In wider context loss, overall ill-health mortality was, at most, fifth multiple Implementing effective policy interventions reduce must be forefront plans recover improve health.

Language: Английский

Citations

20
COVID-19 Revealed Shortcomings Of The US Public Health System And The Need To Strengthen Funding And Accountability DOI
Jason Orr, Jonathon P. Leider, Paul Kuehnert

et al.

Health Affairs, Journal Year: 2023, Volume and Issue: 42(3), P. 374 - 382

Published: March 1, 2023

The US governmental public health system, which includes federal, state, and local agencies, is seen by many observers as having a money problem, stemming from lack of resources. During the COVID-19 pandemic, this resources has had unfortunate consequences for communities that practice leaders are expected to protect. Yet problem complex involves understanding nature chronic underinvestment, identifying what spent in country gets it, determining how much needed do work future. This Commentary elucidates each these issues provides recommendations making services more financially sustainable accountable. Well-functioning systems require adequate funding, but modernized financial data system also key systems' success. There great need standardization accountability finance, along with incentives generation research evidence demonstrating value most effective delivery baseline every community should expect.

Language: Английский

Citations

7
Revisiting The Future of Public Health: The Good, the Bad, and the Ugly DOI
Ross C. Brownson, Paul C. Erwin

American Journal of Public Health, Journal Year: 2024, Volume and Issue: 114(5), P. 479 - 485

Published: March 15, 2024

Revisiting The Future of Public Health: Good, the Bad, and Ugly Ross C. Brownson PhD, Paul Erwin MD, DrPH Affiliation is with Prevention Research Center at Brown School Division Health Sciences Alvin J. Siteman Cancer Center, Medicine, Washington University in St Louis, MO. an AJPH associate editor Health, Alabama Birmingham. CopyRightCorrespondence should be sent to Brownson, One Brookings Dr, Campus Box 1196, MO 63130 (e-mail: [email protected]). Reprints can ordered https://ajph.org by clicking "Reprints" link. CONTRIBUTORS R. conceptualized original essay wrote draft article. P. provided input on outline, contributed text article, critical intellectual content Both authors approved final version. https://doi.org/10.2105/AJPH.2023.307558 Accepted: December 04, 2023 Published Online: March 15, 2024

Language: Английский

Citations

2