Perceived Need Versus Current Spending: Gaps in Providing Foundational Public Health Services in Communities

Bekemeier, Betty; Marlowe, Justin; Squires, Linda Sharee; Tebaldi, Jennifer; Park, Seungeun

doi:10.1097/phh.0000000000000612

Cited by 18 publications

(24 citation statements)

References 8 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…An ongoing body of research 7,10,22,23,26,27 has highlighted the need for meaningful improvements in US public health infrastructure and capacity. In light of the challenge posed by COVID-19, it seems more important than ever that federal and state planning be informed by the adage that prevention is better than the cure.…”

Section: A Post-covid Public Health Systemmentioning

confidence: 99%

“…Beyond specific funding decreases in recent years, there are also deeprooted structural deficits in the US public health system that have been the subject of scholarship and improvement efforts over the past decade. 22,23 Such work has unquestionably led to improvements in recognized minimum standards, and a clearer vision of what public health services in the United States should be able to provide. However, due to the complex nature of the US system, it is still unclear how much foundational public services might cost, 23 and as a consequence, how large the shortfall in current funding may actually be.…”

Section: Underinvestment In Public Health Structuresmentioning

confidence: 99%

See 1 more Smart Citation

COVID‐19 and Underinvestment in the Public Health Infrastructure of the United States

2020

View full text Add to dashboard Cite

severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2), the causative agent of COVID-19, has spread globally, leading to more than 2 million confirmed cases (with the true prevalence of infection unknown but certainly much higher) and nearly 200,000 deaths. 1 In the early stages of the pandemic, cases were largely concentrated in the Wuhan province of China, and subsequently northern Italy, with the World Health Organization (WHO) labelling Europe as the epicenter of the pandemic as recently as March 13th. 2 However, as the pandemic progressed, the epicenter moved to the United States, with case numbers surpassing those in China by March 26th, and at the time of writing, standing at nearly four times the total confirmed cases of any other country. 1 It seems clear that the United States was not only ill-prepared and poorly positioned to deal with COVID-19, 3 but also uniquely susceptible to the spread of this illness. The rapid increase in cases, the escalating pressures on hospitals, and the latest modelling estimates suggest that the United States will bear the brunt of COVID-19 related harm as compared to many other high-income nations. It is prudent that we ask why this might be the case, particularly considering the status of the United States as the world's wealthiest country. While the predominant focus of public debate has been on political decision-making as the pandemic unfolded, this narrative fails to acknowledge additional longstanding exacerbating features in the United States that laid the ground for greater spread and slower containment of SARS-CoV-2. As with any such event, assessing the precise causes is a complex issue, but there are two important trends that we consider central to the United States'

show abstract

Section: A Post-covid Public Health Systemmentioning

confidence: 99%

Section: Underinvestment In Public Health Structuresmentioning

confidence: 99%

COVID‐19 and Underinvestment in the Public Health Infrastructure of the United States

2020

View full text Add to dashboard Cite

show abstract

“…9 Literature described the importance of having a more accurate measurement of public health activities and spending, primarily at the local level, as a means to inform future funding and research. [10][11][12][13][14][15][16] There was wide endorsement of the minimum package concept among leaders in public health research and practice (R03). A majority of the included materials, 34 of 56, referenced the endorsement of the minimum package concept, with many considering it beneficial toward defining necessary services.…”

Section: Substantial Documentation-r02 R03 and R07mentioning

confidence: 99%

“…15,[18][19][20][21]24,25 E320Orr, et al • 28(1), E316-E323Regarding Investment in a Healthier Future: A Rapid Review of the Literature…”

mentioning

confidence: 99%

Regarding Investment in a Healthier Future: Impact of the 2012 Institute of Medicine Finance Report

Orr

Leider

Singh

et al. 2020

Journal of Public Health Management &Amp; Practice

Self Cite

View full text Add to dashboard Cite

Context: Governments at all levels work to ensure a healthy public, yet financing, organization, and delivery of public health services differ across the United States. A 2012 Institute of Medicine Finance report provided a series of recommendations to ensure a high-performing and adequately funded public health infrastructure. Objectives: This review examines the influence of the Finance report's 10 recommendations on public health policy and practice. Design: This review utilized peer-reviewed and gray literature published since 2012. Eligibility Criteria: Documents that address at least one of the Finance report's 10 recommendations and contain information on either official actions taken in response to the Finance report or evidence of the report's influence on the practice community. Results: Of 2394 unique documents found, a total of 56 documents met the eligibility criteria. Review of these 56 documents indicated that the most substantial activity related to the recommendations was focused on the "minimum package of public health services" concept and establishment of a uniform chart of accounts. Discussion: Progress has been mixed on the Finance report recommendations. Improved tracking and auditing of public health activity appears to be advancing, yet financial benchmarks remain unmet. Challenges remain in determining actual investment in public health and equitable resource allocation approaches. State and local health department use of cost estimation methodology and a uniform chart of accounts tool has contributed to an increase in understanding and improvement in public health spending. Conclusions:The Finance report has served as a strong impetus for advocating for an increased investment in governmental public health. Efforts are bolstered by informed public health practitioners and stakeholders but often stymied by policy makers who must balance complex competing issues and priorities. Although many successes have occurred, further work is needed toward improving investment in the nation's public health.

show abstract

“…U.S. public health workplace shortages have existed for decades ( 1 ) with a chronic underfunding of public health infrastructure ( 2 , 3 ). In 2020, several public health emergencies converged highlighting challenges with the United States (U.S.) health care systems, public health infrastructure, and emergency preparedness and response programs.…”

Section: Introduction: Background and Rationale For The Educational A...mentioning

confidence: 99%

Creating an Integrated Undergraduate Public Health Curricula: Inspiring the Next Generation to Solve Complex Public Health Issues

Osiecki

Barnett

Mejia

2022

Front. Public Health

View full text Add to dashboard Cite

This article takes a novel approach of highlighting the creation and development of an integrated undergraduate public health curricula geared to students in the health sciences. In our practice, undergraduate and public health pedagogy supports innovative and proven approaches of experiential learning in our classrooms. We show how public health faculty take a team approach to teaching which has allowed them to collaborate in and outside of the classroom resulting in inherent knowledge of course materials, student engagement, and outcomes. This evolved to an overall curricula design that involves scaffolded research skills and/or projects within and between the public health courses. In addition, we highlight examples of upperclassmen utilizing these curriculum schemas outside the classroom to engage in faculty research beyond the public health discipline. This narrative describes lessons learned when teaching undergraduate students across public health curricula, how we integrated research skills within each course using pedagogical practices, and why this approach supports student engaged research within directed study and paid undergraduate research opportunities.

show abstract

Perceived Need Versus Current Spending: Gaps in Providing Foundational Public Health Services in Communities

Cited by 18 publications

References 8 publications

COVID‐19 and Underinvestment in the Public Health Infrastructure of the United States

COVID‐19 and Underinvestment in the Public Health Infrastructure of the United States

Regarding Investment in a Healthier Future: Impact of the 2012 Institute of Medicine Finance Report

Creating an Integrated Undergraduate Public Health Curricula: Inspiring the Next Generation to Solve Complex Public Health Issues

Contact Info

Product

Resources

About