Principles of Public Health- The Mission, Core Functions and Ten Essential Services
-
Upload
halla-guerrero -
Category
Documents
-
view
30 -
download
0
description
Transcript of Principles of Public Health- The Mission, Core Functions and Ten Essential Services
Principles of Public Principles of Public Health-Health-
The Mission, Core The Mission, Core Functions and Ten Functions and Ten Essential ServicesEssential Services
Virginia M. Dato MD MPHVirginia M. Dato MD MPH
Virginia M Dato MD MPHVirginia M Dato MD MPH
Board Certified - Residency Trained Board Certified - Residency Trained Public Health PhysicianPublic Health Physician
Center for Public Health Practice, Center for Public Health Practice, University of Pittsburgh, Graduate School University of Pittsburgh, Graduate School of Public Healthof Public Health
Learning ObjectivesLearning ObjectivesBy the end of the course the By the end of the course the
student will be able tostudent will be able to
To understand the mission of public To understand the mission of public healthhealth
To understand the core functions of To understand the core functions of public healthpublic health
To understand the 10 Essential To understand the 10 Essential Services of Public HealthServices of Public Health
Performance ObjectivesPerformance Objectives
By the end of the course the By the end of the course the student will be able to use the student will be able to use the 10 Essential Services of Public 10 Essential Services of Public Health to develop new Health to develop new solutions to current public solutions to current public health problems. health problems.
““When a committee of the When a committee of the Massachusetts legislature confidently Massachusetts legislature confidently
asserted, on May 22, 1869 that all asserted, on May 22, 1869 that all governments since the time of Moses governments since the time of Moses had made provision to protect the life had made provision to protect the life
and health of their people, the and health of their people, the legislators affirmed a tradition of legislators affirmed a tradition of
corporate responsibility for the welfare corporate responsibility for the welfare of their people.”of their people.”
From Public Health and the State - Changing Views in Massachusetts, 1842-1936 - Barbara Gutman Rosenkrantz Harvard University Press - 1972
The Future of Public The Future of Public Health - 1988Health - 1988
The Committee for the Study of the Future of The Committee for the Study of the Future of Public Health Reviewed the Status of Public Public Health Reviewed the Status of Public Health in AmericaHealth in America
Determined that Public Health was in disarrayDetermined that Public Health was in disarray Articulated the Mission, Substance, Articulated the Mission, Substance,
Organizational Framework and the Three Core Organizational Framework and the Three Core Functions of Public HealthFunctions of Public Health
Mission of Public HealthMission of Public Health
The fulfillment of society’s The fulfillment of society’s interest in assuring the interest in assuring the conditions in which people conditions in which people can be healthy -can be healthy - (The Future (The Future of Public Health) of Public Health)
Organized community efforts Organized community efforts aimed at the prevention of aimed at the prevention of disease and promotion of health. disease and promotion of health. It links many disciplines and rests It links many disciplines and rests upon the scientific core of upon the scientific core of Epidemiology (The Future of Epidemiology (The Future of Public Health)Public Health)
Substance of Public Substance of Public HealthHealth
Encompasses both activities Encompasses both activities undertaken within the formal undertaken within the formal structure of government and structure of government and the associated efforts of the associated efforts of private and voluntary private and voluntary organizations and individuals” organizations and individuals” (The Future of Public Health)(The Future of Public Health)“
The Organizational The Organizational Framework of Public HealthFramework of Public Health
Formal Structure of Formal Structure of Government in the USGovernment in the US
Federal GovernmentFederal Government– commercecommerce
– fundingfunding
– national securitynational security State GovernmentState Government
– primary responsibilityprimary responsibility Local GovernmentLocal Government
– as delegated by the stateas delegated by the state
Core FunctionsCore Functions
AssessmentAssessment Policy DevelopmentPolicy Development AssuranceAssurance
VisionVision
Healthy People in Healthy People in Healthy CommunitiesHealthy Communities
Mission Mission
Promote physical and Promote physical and mental health and mental health and prevent disease, injury, prevent disease, injury, and disability.and disability.
The fundamental obligation The fundamental obligation of agencies responsible for of agencies responsible for population-based health is population-based health is
to:to: Prevent epidemics and the Prevent epidemics and the
spread of disease spread of disease Protect against environmental Protect against environmental
hazards hazards Prevent injuries Prevent injuries
Promote and encourage Promote and encourage healthy behaviors and mental healthy behaviors and mental health health
Respond to disasters and Respond to disasters and assist communities in recovery assist communities in recovery
Assure the quality and Assure the quality and accessibility of health servicesaccessibility of health services
The Ten Essential The Ten Essential Services of Public Health Services of Public Health
AssessmentAssessment
““The Committee for the Study of the The Committee for the Study of the Future of Public Health “recommends that Future of Public Health “recommends that every public health agency regularly and every public health agency regularly and systematically collect, assemble, analyze, systematically collect, assemble, analyze, and make available and make available information on the information on the health of the community,health of the community, including including statistics on health status, community statistics on health status, community health needs, and epidemiological and health needs, and epidemiological and other studies of health problems." other studies of health problems."
The Ten Essential The Ten Essential Services - AssessmentServices - Assessment
Monitor health status to identify Monitor health status to identify community health problemscommunity health problems
Diagnose and investigate health problems Diagnose and investigate health problems and health hazards in the communityand health hazards in the community
Evaluate effectiveness, accessibility, and Evaluate effectiveness, accessibility, and quality of personal and population-based quality of personal and population-based health serviceshealth services
Policy DevelopmentPolicy Development "The committee recommends that every public "The committee recommends that every public
health agency exercise its responsibility to serve the health agency exercise its responsibility to serve the public interest in the development of comprehensive public interest in the development of comprehensive public health policies by promoting use of the public health policies by promoting use of the scientific knowledge base in decision-making about scientific knowledge base in decision-making about public health and by leading in developing public public health and by leading in developing public health policy. Agencies must take a strategic health policy. Agencies must take a strategic approach, developed on the basis of a positive approach, developed on the basis of a positive appreciation for the democratic political process"appreciation for the democratic political process"
The Ten Essential The Ten Essential Services - PolicyServices - Policy
Inform, educate, and empower Inform, educate, and empower people about health issuespeople about health issues
Mobilize community partnerships to Mobilize community partnerships to identify and solve health problemsidentify and solve health problems
Develop policies and plans that Develop policies and plans that support individual and community support individual and community health effortshealth efforts
AssuranceAssurance "The committee recommends that public "The committee recommends that public
health agencies assure their constituents health agencies assure their constituents that services necessary to achieve that services necessary to achieve agreed upon goals are provided, either agreed upon goals are provided, either by encouraging actions by other entities by encouraging actions by other entities (private or public sector), by requiring (private or public sector), by requiring such action through regulation, or by such action through regulation, or by providing service directly”.providing service directly”.
Assurance Part 2Assurance Part 2 The committee recommends that each public The committee recommends that each public
health agency involve key policy makers and the health agency involve key policy makers and the general public in determining a set of high-general public in determining a set of high-priority personal and community-wide health priority personal and community-wide health services that governments will guarantee to services that governments will guarantee to every member of the community. This every member of the community. This guarantee should include subsidization or direct guarantee should include subsidization or direct provision of high-priority personal health provision of high-priority personal health services for those unable to afford them."services for those unable to afford them."
The Ten Essential The Ten Essential Services - AssuranceServices - Assurance
Assure a competent public health and Assure a competent public health and personal health care workforcepersonal health care workforce
Enforce laws and regulations that Enforce laws and regulations that protect health and ensure safetyprotect health and ensure safety
Link people to needed personal health Link people to needed personal health services and assure the provision of services and assure the provision of health care when otherwise health care when otherwise unavailable unavailable
The Tenth Essential The Tenth Essential ServiceService
Impacts Assessment, Policy Impacts Assessment, Policy and Assuranceand Assurance
Research for new insights and Research for new insights and innovative solutions to health innovative solutions to health problemsproblems