The Future of the Public's Health in the 21st Century (2003) / Chapter Skim
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Appendix C: Recommendations from The Future of Public Health
Appendix C: Recommendations from The Future of Public Health
Pages 411-420
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From page 411... ...
1988. The Future of Public Health.
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From page 412... ...
, by requiring such action through regulation, or by providing services directly. · The committee recommends that each public health agency involve key policymakers and the general public in determining a set of highpriority personal and communitywide health services that governments will guarantee to every member of the community.
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Localities The committee recommends the following functions for local public health units: · Assessment, monitoring, and surveillance of local health problems and needs and of resources for dealing with them; · Policy development and leadership that foster local involvement and a sense of ownership, that emphasize local needs, and that advocate
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, promulgates public health regulations, reviews the work of the state health department, and recommends candidates for director of the department.
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Where the scale of government activity permits, localities should establish public health councils to report to elected officials on local health needs and on the performance of the local health agency. Federal · The committee recommends that the federal government identify more clearly, in formal structure and actual practice, the specific officials and agencies with primary responsibility for carrying out the federal public health functions recommended earlier.
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· The committee recommends that a study of the public health/mental health interface be done in order to document how the lack of linkages with public health hampers the mental health mission. Social Services · The committee recommends that public health be separated organizationally from income maintenance, but that public health agencies maintain close working relationships with social service agencies in order to act as effective advocates for, and to cooperate with, social service agency provision of social services that have an impact on health.
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Public health leaders should take the initiative to seek working relationships and support among local, state, and national medical and other professional societies and academic medical centers. · Agencies should seek stronger relationships and common cause with other professional and citizen groups pursuing interests with health implications, including voluntary health organizations, groups concerned with improving social services or environment, and groups concerned with economic development.
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Programmatic · The committee recommends that public health professionals place more emphasis on factors that influence health-related behavior and develop comprehensive strategies that take these factors into account. Fiscal The committee recommends the following policies with respect to intergovernmental strategies for strengthening the fiscal base of public health: · Federal support of state-level health programs should help balance .
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From page 419... ...
· Schools of public health should fulfill their potential role as significant resources to government at all levels in the development of public health policy. · Schools of public health should provide students an opportunity to learn the entire scope of public health practice, including environmental, educational, and personal health approaches to the solution of public health problems; the basic epidemiological and biostatistical techniques for analysis of those problems; and the political and management skills needed for leadership in public health.
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420 THE FUTURE OF THE PUBLIC'S HEALTH · Schools of public health should help develop, or offer directly in their own universities, effective courses that expose undergraduates to concepts, history, current context, and techniques of public health to assist in the recruitment of able future leaders into the field. · Education programs for public health professionals should be informed by comprehensive and current data on public health personnel and their employment opportunities and needs.
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