The Future of Health Departments: The Governmental Presence

Pickett, George

doi:10.1146/annurev.pu.01.050180.001501

Cited by 12 publications

(4 citation statements)

References 11 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…In part, the IOM built upon the concept of a governmental presence at the local level that emerged in the planning of the initial model standards process (40). Throughout earlier decades, the services provided by public health agencies had come to be viewed as public health's "functions."…”

Section: Measurement Of Core Public Health Functions: 1988-2000mentioning

confidence: 99%

From Measuring to Improving Public Health Practice

Turnock

Handler

1997

Annu. Rev. Public Health

View full text Add to dashboard Cite

Efforts to measure public health practice have taken on various forms and focused on different aspects of the system of public health practice over the past century. Before 1990, measurement was primarily based on a series of self-assessment instruments initiated under the auspices of the Committee on Administrative Practice of the American Public Health Association. These instruments emphasized measurement of immediate results of local public health services although they also provided information on local resources and capacity to perform. Following the Institute of Medicine's report in 1988, efforts began to focus on performance related to public health's core functions. These more recent assessments suggest that the system of public health practice must be improved to achieve the targets of effectiveness established for the year 2000. Ultimately, a comprehensive national surveillance system for public health practice will need to both measure and examine the relationships among inputs (resources, capacity, etc), core function-related processes, outputs (services) as well as outcomes.

show abstract

Section: Measurement Of Core Public Health Functions: 1988-2000mentioning

confidence: 99%

From Measuring to Improving Public Health Practice

Turnock

Handler

1997

Annu. Rev. Public Health

View full text Add to dashboard Cite

show abstract

“…Local health department refers to any local component of the public health system, defined as an administrative and service unit of local or State government concerned with health and carrying some responsibility for the health of a jurisdiction smaller that a State (64)." A governmental presence at the local level (AGPALL) is difficult to ascertain because of the variegated division of authority throughout the nation (44,59), as well as our evolving definition of public health practice.…”

Section: A Governmental Presence At the Local Level-agpallmentioning

confidence: 99%

Healthy People 2000 and Community Health Planning

Oberle¹

1994

Annual Review of Public Health

View full text Add to dashboard Cite

Categorical public health programs have always set process and outcome objectives for specific diseases and health promotion efforts (5), but Healthy People 2000 (64) and its predecessor report Promoting Health/Preventing Disease: Objectives for the Nationfor 1990 (63) were the first to set detailed objectives for the entire public health system in the United States, Efforts at establishing and achieving the national public health objectives have been well documented by researchers, the lead Public Health Service agencies, and their state counterparts (65-67). However, implementing the objectives at the local level is a complicated task that has not been as well documented.As part of a growing interest in community health planning, Healthy People 2000 and other planning tools have been increasingly used to mobilize communities for health. In this review we will summarize the relevance of national health objectives for community use, other health planning tools available to implement these objectives, and the formation of partnerships between health agencies and community groups.

show abstract

“…We focus on the consolidation of LHDs, which researchers suggest may result in benefits, particularly for communities served by small LHDs. 10 –16 More specifically, we address the extent to which LHD consolidations are occurring and the ways in which they are done, the factors that facilitate these consolidations, and the effects they may have on services and finances. We also summarize recent literature on LHD consolidation and close with thoughts on the state of knowledge on LHD consolidation and areas for future research.…”

mentioning

confidence: 99%