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Public Health Information on the Web. HealthLINE Texas Woman’s University T. Boone Pickens Institute of Health Sciences January 17, 2013 . Agenda. Overview - What is public health? Health promotion and education Evidence-based practice Statistics and Data Sets Keeping Up Exercises.
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Public Health Information on the Web HealthLINE Texas Woman’s University T. Boone Pickens Institute of Health Sciences January 17, 2013
Agenda • Overview - What is public health? • Health promotion and education • Evidence-based practice • Statistics and Data Sets • Keeping Up • Exercises
What is Public Health? • MISSION: • improve/promote physical and mental health • prevent disease, injury and disability http://www.whatispublichealth.org(Association of Schools of Public Health) • VISION: Healthy People in Healthy Communities
20th Century’s Ten Great Public Health Achievements in the U.S. • Vaccination • Motor vehicle safety • Control of infectious diseases • Safer workplaces • Safer and healthier foods • Family planning • Fluoridation of drinking water • Recognition of tobacco use as a health hazard • Healthier mothers and babies • Decline in deaths from coronary heart disease and stroke
Partners in Information Access for the Public Health Workforce • Collaboration of U.S. government agencies, public health organizations and health science libraries. • Mission: Helping the public health workforce find and use information effectively to improve and protect the public’s health. http://phpartners.org/
Partners in Information Access for the Public Health Workforce • Agency for Healthcare Research and Quality (AHRQ) • American Public Health Association (APHA) • Association of Schools of Public Health (ASPH) • Association of State and Territorial Health Officials (ASTHO) • Centers for Disease Control and Prevention (CDC) • Health Resources and Services Administration (HRSA) • Medical Library Association (MLA) • National Agricultural Library • National Association of County and City Health Officials (NACCHO) • National Association of Local Boards of Health (NALBOH) • National Library of Medicine (NLM) • National Network of Libraries of Medicine (NN/LM) • Public Health Foundation (PHF) • Society for Public Health Education (SOPHE) http://phpartners.org/
Core Functions and Essential Services 3 core functions 10 essential services http://www.health.gov/phfunctions/public.htm
Health Promotion & Education Resources for health educators and health promotion specialists. Putting good information in the hands of those who need it. An informed public is a healthy public.
Health Promotion & Education • MedlinePlus • http://www.medlineplus.gov • Health Topics • Frequently Requested Topics • Multiple Languages (now 49!) • Health and Wellness • Demographic Groups • Health News • Drugs & Supplements • Videos & Cool Tools
Health Promotion and Education • Agency for Healthcare Research and Quality (AHRQ) • http://www.ahrq.gov • Sections useful for health educators and Public Health Preparedness • American Public Health Association (APHA) • “Healthy You” • http://thenationshealth.aphapublications.org/ • Free health fact sheets on a variety of topics • Get Ready Campaign and National Public Health Week
Health Promotion & Education • Centers for Disease Control and Prevention (CDC) • http://www.cdc.gov • A – Z Index • For Specific Groups: State, Tribal, Local & Territorial Public Health Professionals Gateway • New Health Literacy website: http://www.cdc.gov/healthliteracy • Food and Drug Administration (FDA) • http://www.fda.gov • A to Z Subject Index • FDA For You: For Consumers & Patients, For Health Professionals
Health Promotion & Education • Healthy Roads Media • Health information in many languages and multiple formats • http://www.healthyroadsmedia.org • Refugee Health Information Network (RHIN) • Health and cultural information for refugees and health providers • http://www.rhin.org/
Evidence-Based Practice • Collection of scientific evidence to support decisions in public health. • Why is it important? • Allocation of resources • Return on investment • For every $1 spent on smoking cessation programs, you save $1.50 in reduction of health care costs • Example: • “City Initiative Brings Fresh Produce • to Houston’s ‘Food Deserts’”
Evidence-Based Public Health “the development, implementation, and evaluation of effective programs and policies in public health through application of principles of scientific reasoning, including systematic uses of data and information systems, and appropriate use of behavioral science theory and program planning models.” Source: Brownson, Ross C., Elizabeth A. Baker, Terry L. Leet, and Kathleen N. Gillespie, Editors. Evidence-Based Public Health. New York: Oxford University Press, 2003.
PHPartners.org • Literature and Guidelines • PubMed • More than 20 million citations for biomedical articles • http://pubmed.gov/ • “Research is Just a Click Away…” • Individual Journal Titles • Newsletters • Agency Reports
Evidence-Based Public Health • Healthy People 2020 Structured Evidence Queries • http://phpartners.org/hp2020/index.html • Guide to Community Preventive Services • Summaries of population-based interventions • CDC and U.S. Dept. of Health & Human Services • http://thecommunityguide.org
Evidence-Based Public Health • NACCHO Model Practices Database • National Association of County & City Health Officials • http://www.naccho.org/topics/modelpractices/database/ • National Guideline Clearinghouse (AHRQ) • Guidelines with recommendations, strategies, etc. • http://www.guideline.gov/
Statistics & Data Sets Caveat: statistics are collected to meet the needs of the collector! Organizational perspective and bias Biases can determine what data are collected, how they are collected and outcomes that are reported Data: raw numbers; must be processed to be of practical use Statistics: analyzed raw data in a meaningful format
To count … or not to count • “Everything that can be counted does not necessarily count; everything that counts cannot necessarily be counted.” --Albert Einstein
Key Features of Health Statistics • Population based • Measure a wide range of health indicators • Often collected and analyzed over a period of time • Include different types of data • Vital (birth, death, marriage, divorce) • Morbidity & mortality • Use and cost of health care • Epidemiology
Uses of Data and Statistics • Measure wide range of health indicators • Assess costs of health care • Identify needed prevention targets for outcomes (e.g. Healthy People 2020) • Evaluate effectiveness of public health programs
Health Data Tools & Statistics • PHPartners.org • Gateway to a wealth of statistics sites and data sets • CDC Data and Statistics • CDC is the best in the world for data & statistics • National Center for Health Statistics (NCHS) • http://www.cdc.gov/DataStatistics/ • http://www.cdc.gov/nchs/
Health Data Tools & Statistics • FastStats A – Z • http://www.cdc.gov/nchs/fastats/ • Quick access to topics relevant to public health • A to Z listing • BRFSS (Behavioral Risk Factor Surveillance System) • http://www.cdc.gov/brfss/ • World’s largest telephone survey (both landlines and cell phones) • Tracks health risks in the U.S. • WISQARS (Web-based Injury Statistics Query and Reporting Systems) • http://www.cdc.gov/injury/wisqars • Information on fatal and non-fatal injuries
Health Data Tools & Statistics • State Health Facts Online (Kaiser Family Foundation) • http://www.statehealthfacts.org • Allows comparison on a state level • County Health Rankings • http://www.countyhealthrankings.org • Provides snapshot of a county’s overall health
Keeping Up and Staying Informed Staying informed is a professional responsibility. Being informed is important at every level. Efficient strategies provide the most value (relevant items) while expending the least amount of time. It’s easy to become overwhelmed!
Why is it important? • Ever-increasing amounts of information • New legislation • New guidelines • Funding
Strategies • Email lists and RSS feeds • Tables of contents of journals • Automatic update searches (e.g. My NCBI) • Social media (Twitter, Facebook, blogs) • Joining or following organizations (APHA, NACCHO, SOPHE) • Not all information is available electronically
Thank you! Cheryl Rowan, Consumer Health Coordinator National Network of Libraries of Medicine, South Central Region cheryl.rowan@exch.library.tmc.edu 713-799-7880 http://nnlm.nih.gov/scr South Central Region
Closing thoughts…. “Clean water and health care and school and food and tin roofs and cement floors, all of these things should constitute a set of basics that people must have as birthrights.” ~Paul Farmer, Mountains Beyond Mountains, founder, Partners in Health