Medical Care Activities of Full-time Health Departments

Terris, Milton; Kramer, Nathan A.

doi:10.2105/ajph.39.9.1129

Cited by 18 publications

(4 citation statements)

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“…This finding might indicate a substantial gap in LHD provision of EPHS #7: “Link people to needed personal health services and ensure the provision of health care when otherwise unavailable.” Although debate remains as to whether LHDs should be involved in direct delivery of personal health care, 25–28 and some LHDs have outsourced or discontinued its provision, 26,29,30 LHDs’ role in ensuring access to needed health care has been well defined by IOM. 31 …”

Section: Discussionmentioning

confidence: 99%

Local Health Department Activities to Ensure Access to Care

Luo¹,

Sotnikov²,

Shah³

2013

American Journal of Preventive Medicine

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Background Local health departments (LHDs) can play an important role in linking people to personal health services and ensuring the provision of health care when it is otherwise unavailable. However, the extent to which LHDs are involved in ensuring access to health care in its jurisdictions is not well known. Purpose To provide nationally representative estimates of LHD involvement in specific activities to ensure access to healthcare services and to assess their association with macro-environment/community and LHD capacity and process characteristics. Methods Data used were from the 2010 National Profile of Local Health Departments Study, Area Resource Files, and the Association of State and Territorial Health Officials’ 2010 Profile of State Public Health Agencies Survey. Data were analyzed in 2012. Results Approximately 66.0% of LHDs conducted activities to ensure access to medical care, 45.9% to dental care, and 32.0% to behavioral health care. About 28% of LHDs had not conducted activities to ensure access to health care in their jurisdictions in 2010. LHDs with higher per capita expenditures and larger jurisdiction population sizes were more likely to provide access to care services (p <0.05). Conclusions There is substantial variation in LHD engagement in activities to ensure access to care. Differences in LHD capacity and the needs of the communities in which they are located may account for this variation. Further research is needed to determine whether this variation is associated with adverse population health outcomes.

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Section: Discussionmentioning

confidence: 99%

Local Health Department Activities to Ensure Access to Care

Luo¹,

Sotnikov²,

Shah³

2013

American Journal of Preventive Medicine

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“…The health demonstration areas, or districts, served as model organisations for integrated health services, both preventive and curative, in mostly rural areas. This notion of "integrated health services," first advanced in the 1920s (Gorsky, 2006), expanded by the elite of internationally-minded health experts by the end of 1930s, was put into action in several pre-war situations in Europe and Asia, and thrived in the post-war era (see for instance Terris, Kramer, 1949;Roemer, Wilson, 1950). At the height of Cold War in the absence of the USSR and fellow socialist countries, it became the subject of discussions during the fifth to seventh World Health Assemblies (1952 to 1954) (WHO, 1952).…”

Section: The Survival Of Health Demonstrations After the Second Worldmentioning

confidence: 99%

Global health in the making: health demonstration areas in Europe, 1950s and 1960s

Ocaña

2020

Hist. cienc. saude-Manguinhos

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Global health is a multifaceted concept that entails the standardization of procedures in healthcare domains in accordance with a doctrine agreed upon by experts. This essay focus on the creation of health demonstration areas by the World Health Organisation (WHO) to establish core nodes for integrated state-of-the-art health services. It explores the origins, theoretical basis and aims of this technique and reviews several European experiences during the first 20 years of the WHO. Particular attention is paid to the historical importance of technical cooperative activities carried out by the WHO in regard to the implementation of health services, a long-term strategic move that contributed to the thematic upsurge of primary health care in the late 1970s.

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“…Management of the former went largely to private insurance carriers and the latter, generally, to state welfare agencies. Although some analysts have described the extensive involvement of public health agencies in the provision of personal health care services (24,10,25), most public health agency directors have been reluctant to become involved aggressively in such activities. The Association of State and Territorial Health Officials has not adopted a strong position on such issues as national health insurance or recent efforts to put a lid on hospital costs.…”

Section: State Health Agenciesmentioning

confidence: 99%

“…The recent pattern of ignoring the very existence of health departments when wrestling with such problems as health insurance for the aged and the poor, comprehensive health planning, the formation of health maintenance organizations, quality control, and the development of primary care centers is in sharp contrast to the illumination cast on official health agencies during the decades prior to the 1960s (10)(11)(12)(13). Looking at what has actually happened, analysts of the 1970s have portrayed a decline in prominence, yet have forecast an important future for public health (1-4, 6, 9).…”

Section: Introduction 12511mentioning

confidence: 99%

The Future of Health Departments: The Governmental Presence

Pickett¹

1980

Annu. Rev. Public Health

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Medical Care Activities of Full-time Health Departments

Cited by 18 publications

References 1 publication

Local Health Department Activities to Ensure Access to Care

Local Health Department Activities to Ensure Access to Care

Global health in the making: health demonstration areas in Europe, 1950s and 1960s

The Future of Health Departments: The Governmental Presence

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