Problem Solving ParadigmProblem Solving Paradigm

Miriam Alexander, MD, MPHMiriam Alexander, MD, MPH

May 18, 2005May 18, 2005

What is Public Health?What is Public Health?

PrevalentPrevalent

High case fatalityHigh case fatality

Disproportionate morbidity or mortalityDisproportionate morbidity or mortality– EconomicEconomic– Ethnic/racialEthnic/racial– GenderGender

In other In other words………..words………..

Why should we give Why should we give a a damn?????damn?????

Disciplines of Public HealthDisciplines of Public Health

EpidemiologyEpidemiology

BiostatisticsBiostatistics

Sociology/Behavioral Sociology/Behavioral ScienceScience

Health PolicyHealth Policy

Environmental HealthEnvironmental Health

MedicineMedicine

LawLaw

PoliticsPolitics

Mental HealthMental Health

ImmunologyImmunology

MicrobiologyMicrobiology

ParasitologyParasitology

Problem Solving ParadigmProblem Solving Paradigm

Problem DefinitionProblem Definition

Magnitude of the ProblemMagnitude of the Problem

Key DeterminantsKey Determinants

Program and Policy DevelopmentProgram and Policy Development

PrioritiesPriorities

ImplementationImplementation

EvaluationEvaluation

Today’s “Issue” courtesy of Dr. MoyToday’s “Issue” courtesy of Dr. Moy

Conveying the value of primary prevention Conveying the value of primary prevention to non-public health audiencesto non-public health audiences

Problem Solving ParadigmProblem Solving Paradigm

Problem DefinitionProblem Definition

Problem Solving ParadigmProblem Solving Paradigm

Problem DefinitionProblem Definition

Magnitude of the ProblemMagnitude of the Problem

Problem Solving ParadigmProblem Solving Paradigm

Problem DefinitionProblem Definition

Magnitude of the ProblemMagnitude of the Problem

Key DeterminantsKey Determinants

Problem Solving ParadigmProblem Solving Paradigm

Problem DefinitionProblem Definition

Magnitude of the ProblemMagnitude of the Problem

Key DeterminantsKey Determinants

Program/Policy DevelopmentProgram/Policy Development

Problem Solving ParadigmProblem Solving Paradigm

Problem DefinitionProblem Definition

Magnitude of the ProblemMagnitude of the Problem

Key DeterminantsKey Determinants

Program/Policy DevelopmentProgram/Policy Development

PrioritizationPrioritization

Problem Solving ParadigmProblem Solving Paradigm

Problem DefinitionProblem Definition

Magnitude of the ProblemMagnitude of the Problem

Key DeterminantsKey Determinants

Program/Policy DevelopmentProgram/Policy Development

PrioritizationPrioritization

ImplementationImplementation

Problem Solving ParadigmProblem Solving Paradigm

Problem DefinitionProblem Definition

Magnitude of the ProblemMagnitude of the Problem

Key DeterminantsKey Determinants

Program/Policy DevelopmentProgram/Policy Development

PrioritizationPrioritization

ImplementationImplementation

EvaluationEvaluation

Questions?????Questions?????