Public Health in Practice最新文献

{"title":"Cluster clinic model reduces travel distance to access care and improves access equality","authors":"K. Johnstone ,&nbsp;S. Turner","doi":"10.1016/j.puhip.2025.100619","DOIUrl":"10.1016/j.puhip.2025.100619","url":null,"abstract":"<div><h3>Background</h3><div>Travel distance is a barrier to accessing care, especially in large, sparsely populated areas. The cluster clinic model aims to provide paediatric scheduled care in the community setting within NHS Grampian. This work aims to quantify the impact of this model on travel distance and equality of access.</div></div><div><h3>Study design</h3><div>Observational analytical study comparing three models of service delivery.</div></div><div><h3>Methods</h3><div>Three models were compared: All clinics delivered at Royal Aberdeen Children's Hospital (model A), all clinics delivered at cluster clinics (model B), and clinics at both hospital and cluster clinics (model C). Shortest drivable distance from home to clinic was calculated for all children in Aberdeen City and Aberdeenshire. Equality of access was assessed using a Gini coefficient, with values closer to 0 representing better equality, and 1 representing worse equality.</div></div><div><h3>Results</h3><div>In model A, median travel distance was 8.64miles (Q1: 2.96miles, Q3: 25.7miles, Gini: 0.491). For model B, median travel distance was 3.14miles (Q1: 1.46miles, Q3: 9.07miles, Gini: 0.480). In model C, median travel distance was 3.13miles (Q1: 1.35miles, Q3: 9.07miles, Gini: 0.490). No association with index of multiple deprivation was found in any model.</div></div><div><h3>Conclusions</h3><div>The cluster clinic model both significantly reduces travel distance, whilst simultaneously improving access equality. This methodology should be considered to prospectively evaluate implementation of similar models elsewhere.</div></div>","PeriodicalId":34141,"journal":{"name":"Public Health in Practice","volume":"9 ","pages":"Article 100619"},"PeriodicalIF":2.2,"publicationDate":"2025-05-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143935798","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Recruitment and retention of Chinese men at high risk for lung Cancer: Lessons learned from a pilot trial of a community health worker intervention to increase lung cancer screening uptake","authors":"Jennifer Leng ,&nbsp;Florence Lui ,&nbsp;Chloe Chan ,&nbsp;Ruo Yan Chen ,&nbsp;Minlun Wu ,&nbsp;Bharat Narang ,&nbsp;Francesca Gany","doi":"10.1016/j.puhip.2025.100621","DOIUrl":"10.1016/j.puhip.2025.100621","url":null,"abstract":"<div><h3>Background</h3><div>The U.S. Preventive Services Task Force (USPSTF) currently recommends annual lung cancer screening (LCS) with low-dose computed tomography (LDCT) for asymptomatic 50- to 80-year-old adults with a 20-pack year history who currently smoke or have quit smoking within the past 15 years. Foreign-born Chinese livery drivers are a group at disproportionately high risk for lung cancer due to high smoking prevalence and occupational exposure to airborne contaminants and carcinogens. This paper describes a pilot randomized controlled trial to educate and navigate high-risk, previously unscreened Chinese livery drivers to lung cancer screening, and describes barriers to recruitment and retention.</div></div><div><h3>Study design</h3><div>Pre-pilot and pilot randomized controlled trial.</div></div><div><h3>Methods</h3><div>The study was conducted in two phases, a pre-pilot and pilot randomized controlled trial between December 2019 and June 2023. In the pilot RCT, eligible participants were randomized to either (1) the CHW (Community Health Worker) intervention group or (2) a written materials only control group and participated for 6–12 months.</div></div><div><h3>Results</h3><div>From December 2019 to June 2023, 25 subjects were enrolled: 12 in Phase 1 and 13 in Phase 2 (of 1018 approached). Recruitment barriers included the COVID-19 pandemic, institutional mistrust, smoking-related beliefs, and primary care provider-related barriers.</div></div><div><h3>Conclusions</h3><div>We identified specific socioenvironmental and cultural barriers to LCS uptake among Chinese immigrant men who smoke. Farther upstream cancer education interventions (e.g., provider and community-level education initiatives on LCS) conducted in partnership with community-based organizations should be considered to meet the needs of this population.</div></div>","PeriodicalId":34141,"journal":{"name":"Public Health in Practice","volume":"9 ","pages":"Article 100621"},"PeriodicalIF":2.2,"publicationDate":"2025-05-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143932106","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Integrating silver diamine fluoride into school-based oral health programs: A pilot study","authors":"Carrie Godes ,&nbsp;Lisa Westhoff ,&nbsp;Tamarinda Barry Godín ,&nbsp;Ryan Richard Ruff","doi":"10.1016/j.puhip.2025.100609","DOIUrl":"10.1016/j.puhip.2025.100609","url":null,"abstract":"<div><h3>Objective</h3><div>Current approaches to school-based caries prevention can increase access to oral healthcare, but are often limited by costs and other logistical challenges. Evidence from large pragmatic trials support the use of silver diamine fluoride (SDF) to prevent and control caries in school dental programs. In this pilot, we developed implementation strategies and integrated SDF into an existing school-based dental program, Smiles For Students (SFS).</div></div><div><h3>Methods</h3><div>This was a single-group observational pilot. Using a school-based SDF implementation toolkit, SFS clinicians received training in clinical protocols as well as ongoing interactive technical assistance to support SDF integration. SDF was then implemented into existing clinical workflows.</div></div><div><h3>Results</h3><div>Following training and implementation, the Smiles For Students program saw a 23 % increase in the number of patients served, a 53 % decrease in the per-child treatment time, a 45 % decrease in labor costs despite increased enrollment, and a 24 % decrease in supply costs. Qualitative feedback indicated strong support for simplified clinical protocols, reduction in cumbersome supplies and materials, and increased flexibility with space and resources.</div></div><div><h3>Conclusions</h3><div>In a pilot implementation project in which SDF was integrated into an existing school-based dental program serving 16 schools, multiple logistical and economic challenges were mitigated and program clinicians utilized both sealants and SDF to meet the needs of participating children.</div></div>","PeriodicalId":34141,"journal":{"name":"Public Health in Practice","volume":"9 ","pages":"Article 100609"},"PeriodicalIF":2.2,"publicationDate":"2025-03-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143746780","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Hepatitis B vaccination coverage and associated factors among children living in northwest Ethiopia city administrations: A community-based study","authors":"Mekuanint Geta ,&nbsp;Asrat Hailu ,&nbsp;Yimtubezinash Woldeamanuel","doi":"10.1016/j.puhip.2025.100608","DOIUrl":"10.1016/j.puhip.2025.100608","url":null,"abstract":"<div><h3>Objective</h3><div>A study was being conducted to assess the current vaccination coverage, dropout rates, and associated risk factors in children under 15 years old in northwest Ethiopia.</div></div><div><h3>Study design</h3><div>A community-based cross-sectional survey.</div></div><div><h3>Methods</h3><div>A community-based survey was conducted in northwest Ethiopia from January to March 2024. A two-stage cluster-sampling technique was used to select a representative sample. Sociodemographic information, vaccination history, and epidemiological risk factors were collected using a pre-tested, structured questionnaire. Data analysis was performed using SPSS version 23, employing descriptive statistics, chi-square test, and logistic regression model. Associations of vaccination determinants were investigated, with a p-value &lt;0.05 considered statistically significant.</div></div><div><h3>Results</h3><div>In the study, 808 children were surveyed, with 53.0 % being female and 53.0 % were born at hospitals. Most (52.5 %) were under 5 years old, with a mean age of 5.4 ± 3.5 years. Seven hundred thirty four (90.8 %) had received at least one dose of the hepatitis B vaccine, and 82.7 % had received three doses, with a 9.0 % dropout rate. Among children completely vaccinated against hepatitis B, 366 (54.8 %) were in the age group of 1–4 years. The vaccination coverage was 85.4 %, 82.9 %, and 76.5 % in Bahir Dar, Gondar, and Debre Markos, respectively. Several factors have been identified as predictors of complete hepatitis B vaccination in children, including mothers who attended primary school (AOR = 2.9; 95 % CI: 1.4–5.8) and those with secondary education or higher (AOR = 2.2; 95 % CI: 1.3–4.0), married mothers (AOR = 2.5; 95 % CI: 1.5–4.3), and mothers aged 21–30 years (AOR = 2.7; 95 % CI: 1.3–5.6) and those aged 31–40 years (AOR = 2.8; 95 % CI: 1.4–5.5) were more likely to have their children fully vaccinated. Additionally, children born in hospitals (AOR = 2.4; 95 % CI: 1.3–4.3) or health centers (AOR = 4.0; 95 % CI: 2.2–7.4), increased access to vaccination services (AOR = 2.5; 95 % CI: 1.5–4.3), children aged 1–4 years (AOR = 3.1; 95 % CI: 1.7–5.5) and 5–9 years (AOR = 3.8; 95 % CI: 2.1–7.1) had higher HB vaccination coverage.</div></div><div><h3>Conclusion</h3><div>The complete hepatitis B vaccination coverage in this study was lower than the WHO recommendation for developing countries. Therefore, enhancing the promotion of facility delivery and ensuring easy access to vaccines are crucial for improving children's vaccination coverage.</div></div>","PeriodicalId":34141,"journal":{"name":"Public Health in Practice","volume":"9 ","pages":"Article 100608"},"PeriodicalIF":2.2,"publicationDate":"2025-03-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143738390","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Bridging abstraction and action: Phenomenology and public health research and practice","authors":"Qin Xiang Ng","doi":"10.1016/j.puhip.2025.100610","DOIUrl":"10.1016/j.puhip.2025.100610","url":null,"abstract":"<div><h3>Objectives</h3><div>To explore the role of phenomenological research in public health, highlighting its contributions, challenges, and practical implications.</div></div><div><h3>Study design</h3><div>A narrative review informed by studies employing phenomenological methodologies published in the journals <em>Public Health</em> and <em>Public Health in Practice</em>.</div></div><div><h3>Methods</h3><div>Using the search keywords “phenomenology” and “phenomenological”, eligible original studies were identified in the journals <em>Public Health</em> and <em>Public Health in Practice</em>. The characteristics and findings of the studies were reviewed and discussed in relation to how phenomenology may lead to actionable public health interventions.</div></div><div><h3>Results</h3><div>A total of six studies were reviewed. Data collection methods across the studies included semi-structured interviews, audio and written diaries, and participatory approaches. Analysis techniques commonly used frameworks like Colaizzi’s method and interpretative phenomenological analysis (IPA). The studies addressed a range of public health issues, including barriers to postpartum diabetes screening, experiences of midwives during the pandemic, and strategies for chlamydia screening. Key findings included the depth of lived experiences, the impact of stigma, and the importance of culturally adapted interventions, albeit findings derived from small, purposive samples may face criticism regarding generalisability.</div></div><div><h3>Conclusions</h3><div>There is a notable paucity of phenomenological research in the field of public health. As a methodology, phenomenology enriches public health research and practice by illuminating subjective dimensions of the lived experience often overlooked by traditional metrics. Though challenging to execute, the methodology can achieve a balance between abstraction and actionable outcomes, advancing public health practices that are both empathetic and inclusive.</div></div>","PeriodicalId":34141,"journal":{"name":"Public Health in Practice","volume":"9 ","pages":"Article 100610"},"PeriodicalIF":2.2,"publicationDate":"2025-03-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143746781","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"An innovative Data sharing and Visualisation Tool (DAVIT) to improve domestic abuse data insight and multi-agency collaborations: An explorative study of acceptability, relevance and implementation considerations","authors":"N. Gityamwi ,&nbsp;M. Toma ,&nbsp;C. Bertoncin ,&nbsp;S. Dicerto ,&nbsp;O. Lapite ,&nbsp;J. Armes","doi":"10.1016/j.puhip.2025.100603","DOIUrl":"10.1016/j.puhip.2025.100603","url":null,"abstract":"<div><h3>Objectives</h3><div>Domestic Abuse (DA) is a public health concern impacting multiple sectors. Partnerships and coordinated responses from statutory agencies are vital to ensure DA survivors’ needs are met, but this is impeded by the accessibility of quality DA data. We present an innovative data sharing and visualisation tool (DAVIT) and its perceived potential to improve DA insight and multi-agency collaborations.</div></div><div><h3>Study design</h3><div>Qualitative exploratory study.</div></div><div><h3>Methods</h3><div>DAVIT was developed by Surrey County Council (SCC) through a consultation and prioritisation process with multi-agencies interested in DA. Focus group discussions (FGDs) were conducted on Zoom with representatives of agencies responding to DA in Surrey area to obtain their views regarding the relevance, acceptability and the potential for implementing DAVIT into practice. Qualitative data analysis was guided by the updated Consolidation Framework of Implementation Research (CFIR).</div></div><div><h3>Results</h3><div>Fifteen individuals representing seven agencies participated in 1-h long FGDs. Participants perceived DAVIT as well-designed, simple to use and adaptable to the local context but it needed improvements in data quality and comprehensiveness. Our findings suggest that DAVIT could enable intelligent planning and allocation of resources, delivery of targeted interventions and commissioning of DA service. Organisations' networks and connections, favourable data governance structure, policies, and regulations (outer settings); availability of resources, knowledge &amp; information (inner settings); and individuals’ capacity, competence and support from high-level leaders will all influence the implementation of DAVIT into practice.</div></div><div><h3>Conclusions</h3><div>DAVIT is acceptable and if improved and successfully implemented into practice could improve DA services. Provision of minimal training to data officers in organisations will maximize the utility of DAVIT. A clear data governance structure and data sharing framework will help the implementation of DAVIT.</div></div>","PeriodicalId":34141,"journal":{"name":"Public Health in Practice","volume":"9 ","pages":"Article 100603"},"PeriodicalIF":2.2,"publicationDate":"2025-03-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143738389","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Perceived relevance of Planetary Health for Medical Students in Italy: Results from a mixed-methods analysis","authors":"L. Nachira ,&nbsp;P. Arcaro ,&nbsp;F. Pattavina ,&nbsp;E. Campo ,&nbsp;C. Castagna ,&nbsp;R. Frasso ,&nbsp;C. Cadeddu ,&nbsp;S. Bruno","doi":"10.1016/j.puhip.2025.100607","DOIUrl":"10.1016/j.puhip.2025.100607","url":null,"abstract":"<div><h3>Objectives</h3><div>To address the growing hazards to human health caused by the anthropogenic environmental catastrophe, academic curricula at all levels and disciplines, particularly medical education, should incorporate Planetary Health Education. This study aims to examine medical students' expectations and feedback on a Planetary Health elective in an Italian University.</div></div><div><h3>Study design</h3><div>Cross-sectional study, employing a convergent parallel mixed-methods design.</div></div><div><h3>Methods</h3><div>Attendees were invited to take part in a mixed-methods written survey, integrating both quantitative and qualitative methodologies. A statistical and a thematic analysis were conducted to assess responses to questions of a quantitative and qualitative nature, respectively.</div></div><div><h3>Results</h3><div>Interest in the climate crisis was the main reason for participating in the course (52·7 %), followed by interest in a multidisciplinary approach to health (48·6 %), and the focus on the relationship between human, animal and environmental health (48·6 %). Five themes emerged from the thematic analysis: relationship between human health and the environment, international health emergencies, characteristics and role of health systems, broadening of knowledge and views, positive professional impact of the course.</div></div><div><h3>Conclusion</h3><div>The survey participants showed a deep understanding of the link between environmental conservation and the safeguarding of human health, suggesting that the next generation of medical practitioners could make a significant difference in healthcare and beyond.</div></div>","PeriodicalId":34141,"journal":{"name":"Public Health in Practice","volume":"9 ","pages":"Article 100607"},"PeriodicalIF":2.2,"publicationDate":"2025-03-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143738391","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Black US military veterans respond favourably to a booklet using narratives to normalise shared decision-making","authors":"Anna M. Barker ,&nbsp;Renda Soylemez Wiener ,&nbsp;Joel Reisman ,&nbsp;Lauren Kearney ,&nbsp;Makayla Dones ,&nbsp;Gemmae M. Fix","doi":"10.1016/j.puhip.2025.100606","DOIUrl":"10.1016/j.puhip.2025.100606","url":null,"abstract":"<div><h3>Background</h3><div>Black Americans, including military veterans, experience worse health outcomes. In the United States, Black men have the highest lung cancer mortality and are less likely to undergo lung cancer screening (LCS). Mistrust caused by systemic racism can inhibit their participation in clinical conversations like shared decision-making (SDM). We sought to empower Black veterans to participate in SDM for LCS by normalising patients advocating for what matters most to them in clinical care decisions. We evaluated the impact of a booklet co-designed with veterans that includes four veteran narratives. They describe how each veteran began to trust their providers and engage in clinical conversations like SDM for LCS.</div></div><div><h3>Study design</h3><div>Pre-post intervention pilot study using surveys to evaluate the impact of the booklet and reactions to the narratives.</div></div><div><h3>Methods</h3><div>The survey was mailed to a random national sample of 450 Black veterans eligible for LCS but not yet screened. Respondents to the baseline survey were mailed the booklet and a follow-up survey.</div></div><div><h3>Results</h3><div>Thirty-nine veterans completed baseline and follow-up surveys. Mean agreement was above 3.0 (on a Likert scale of 1–5) for five statements about the booklet, with “Veterans eligible for screening should read” being the highest (mean 4.3). Information about LCS was rated most engaging (mean 3.2 on a scale of 1–4) and informative (3.3). The mean rating for veteran stories was 3.1 (engaging) and 2.9 (informative). Reactions to the narratives varied, including whether characters were relatable, likable, or influential. One narrative, describing a veteran slowly developing a trusting relationship with his provider, was particularly influential in encouraging respondents to talk with their doctor.</div></div><div><h3>Conclusions</h3><div>The positive reaction to the booklet supports the need to raise LCS awareness among LCS-eligible populations, and suggests that narratives may be a promising tool to increase engagement in care among Black veterans.</div></div>","PeriodicalId":34141,"journal":{"name":"Public Health in Practice","volume":"9 ","pages":"Article 100606"},"PeriodicalIF":2.2,"publicationDate":"2025-03-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143725915","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Health promotion for blood donors: A scoping review","authors":"Linda J.H. Marx ,&nbsp;Suzanna M. Van Walraven ,&nbsp;Ruben van Zelm ,&nbsp;Barbara Sassen","doi":"10.1016/j.puhip.2025.100604","DOIUrl":"10.1016/j.puhip.2025.100604","url":null,"abstract":"<div><h3>Background</h3><div>Health promotion aims to prevent chronic diseases and alleviate their impact on individuals' well-being. It involves empowering both individuals and communities to actively uphold optimal health. Although blood banks conventionally centre on blood donation functions, an untapped potential lies in leveraging these institutions for health enhancement through prioritized health promotion initiatives. The objective of this study is to explore how blood banks can contribute to the well-being of blood donors by integrating preventive measures as part of health promotion initiatives within their operations.</div></div><div><h3>Study design</h3><div>Literature review.</div></div><div><h3>Methods</h3><div>Literature Search in CINAHL, Embase, PubMed and Web of Science was conducted. Arksey and O'Malley (2015) framework was used with incorporated recommendations stated by Levac, Colquhoun, and O'Brien (2010) following an iterative process of six stages, starting with identifying the research question, identifying relevant studies, study selection, charting the data, collating, summarizing, and reporting the results, and consult experts.</div></div><div><h3>Results</h3><div>The 20 incorporated studies showed a range of health screenings and health promoting activities, that expand the traditional scope of blood bank addressing blood-related conditions, encompassing assessments for conditions related to blood as well as health screenings. These screenings included examinations for cancer and diabetes, with the predominant focus being on cardiovascular risk assessment.</div></div><div><h3>Conclusion</h3><div>This review highlights the implementation of health initiatives by blood banks, focusing on improving well-being and preventing diseases. These initiatives have the potential to act as gateways for community-based interventions and possibilities for enhancing both the blood supply and individual health. The effectiveness of these interventions is contingent upon the context of each blood bank and its target donor group. Therefore, tailoring interventions to align with specific contexts and facilitating factors is crucial for optimizing health promotion efforts tailored to the diverse needs of different donor groups.</div></div>","PeriodicalId":34141,"journal":{"name":"Public Health in Practice","volume":"9 ","pages":"Article 100604"},"PeriodicalIF":2.2,"publicationDate":"2025-03-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143808206","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Leading the next pandemics","authors":"Obinna O. Oleribe","doi":"10.1016/j.puhip.2025.100605","DOIUrl":"10.1016/j.puhip.2025.100605","url":null,"abstract":"<div><div>As the world emerges from the COVID-19 pandemic, proactive planning for future pandemics is imperative to reduce morbidity and mortality. Central to this preparedness is the development of leaders equipped with the appropriate leadership frameworks and perspectives to navigate complex global health challenges. This commentary introduces an integrated definition of leadership and presents the Deliberate Proactive Leadership Framework as a model for fostering the skills and strategies necessary to address future crises effectively.</div></div>","PeriodicalId":34141,"journal":{"name":"Public Health in Practice","volume":"9 ","pages":"Article 100605"},"PeriodicalIF":2.2,"publicationDate":"2025-03-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143697462","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}