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WHAT IS PUBLIC HEALTH?. CIRO V. SUMAYA, MD, MPHTM PROFESSOR, HEALTH POLICY AND MANAGEMENT FOUNDING DEAN (1997-2008), SCHOOL OF RURAL PUBLIC HEALTH COX ENDOWED CHAIR TEXAS A&M HEALTH SCIENCE CENTER. DEFINITION. Promotion of health, Protection of health, Prevention of disease
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WHAT IS PUBLIC HEALTH? CIRO V. SUMAYA, MD, MPHTM PROFESSOR, HEALTH POLICY AND MANAGEMENT FOUNDING DEAN (1997-2008), SCHOOL OF RURAL PUBLIC HEALTH COX ENDOWED CHAIR TEXAS A&M HEALTH SCIENCE CENTER
DEFINITION • Promotion of health, Protection of health, Prevention of disease • Emphasis on community/populations NOT individuals • IOM: “…public health is what society does collectively to assure the conditions for people to be healthy….”
DEFINITION(Continued) • Assessment, assurance, policy development • Ten essential public health services • Social determinants of health • Enumeration – taxonomy, BLS
CREDITS OF PUBLIC HEALTH • Reduced infant mortality and morbidity • Innovative infrastructure for advancement in technology to provide immunizations for disease prevention • Clean air and • Safer workplace • Confronting environmental and behavioral problems
10 ESSENTIAL PUBLIC HEALTH SERVICES • Monitor health status • Diagnose and investigate health problems • Inform, educate, and empower people • Mobilize community partnerships • Develop policies
10 ESSENTIAL PUBLIC HEALTH SERVICES (continued) • Enforce laws and regulations • Link people to needed health care • Assure a competent public and personal health care workforce • Evaluate effectiveness, accessibility, and quality of personal and population-based health services • Research
EXAMPLE OF PUBLIC HEALTH IN ACTION – HIV/AIDS • Epidemiology, Biostatistics/data, Reporting, Surveillance, Social Sciences, Behavioral Interventions, Health Literacy, Community Partnerships - - - - - - • Microbiology, Immunology, Clinical Medicine, Medication,
CHANGING HEALTH CARE/HEALTH ENVIRONMENT - REPRESENTATIVE • Population demographics • Aging • Chronic diseases • Socio-behavioral problems • Costs/Quality/Access
CHANGING HEALTH CARE/HEALTH ENVIRONMENT – REPRESENTATIVE(Continued) • Health and Workforce Disparities • Interdisciplinary collaborations • Health system modeling, reimbursement options • Need for PREVENTION orientation • Global connectedness