Health Affairs最新文献

Engaging Antiracist And Decolonial Praxis To Advance Equity In Oregon Public Health Surveillance Practices. 参与反种族主义和非殖民化实践，促进俄勒冈州公共卫生监测实践的公平性。

IF 8.6 1区医学

Health Affairs Pub Date : 2024-06-01 DOI: 10.1377/hlthaff.2024.00051

Ryan J Petteway, Daniel López-Cevallos, Mira Mohsini, Andres Lopez, Roberta S Hunte, Tim Holbert, Kusuma Madamala

{"title":"Engaging Antiracist And Decolonial Praxis To Advance Equity In Oregon Public Health Surveillance Practices.","authors":"Ryan J Petteway, Daniel López-Cevallos, Mira Mohsini, Andres Lopez, Roberta S Hunte, Tim Holbert, Kusuma Madamala","doi":"10.1377/hlthaff.2024.00051","DOIUrl":"10.1377/hlthaff.2024.00051","url":null,"abstract":"Public health surveillance and data systems in the US remain an unnamed facet of structural racism. What gets measured, which data get collected and analyzed, and how and by whom are not matters of happenstance. Rather, surveillance and data systems are productions and reproductions of political priority, epistemic privilege, and racialized state power. This has consequences for how communities of color are represented or misrepresented, viewed, and valued and for what is prioritized and viewed as legitimate cause for action. Surveillance and data systems accordingly must be understood as both an instrument of structural racism and an opportunity to dismantle it. Here, we outline a critique of standard surveillance systems and practice, drawing from the social epidemiology, critical theory, and decolonial theory literatures to illuminate matters of power germane to epistemic and procedural justice in the surveillance of communities of color. We then summarize how community partners, academics, and state health department data scientists collaborated to reimagine survey practices in Oregon, engaging public health critical race praxis and decolonial theory to reorient toward antiracist surveillance systems. We close with a brief discussion of implications for practice and areas for continued consideration and reflection.","PeriodicalId":50411,"journal":{"name":"Health Affairs","volume":"43 6","pages":"813-821"},"PeriodicalIF":8.6,"publicationDate":"2024-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141238536","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Prescription Digital Therapeutics: The Authors Reply. 处方数字疗法：作者回复。

IF 8.6 1区医学

Health Affairs Pub Date : 2024-06-01 DOI: 10.1377/hlthaff.2024.00278

Anika Kumar, Rita F Redberg, Sanket S Dhruva, Joseph S Ross

引用次数: 0

Reimagining Public Health. 重新认识公共卫生。

IF 8.6 1区医学

Health Affairs Pub Date : 2024-06-01 DOI: 10.1377/hlthaff.2024.00631

Alan R Weil

引用次数: 0

Success Of The Rollins Epidemiology Fellowship In Rebuilding Georgia's Epidemiologic Workforce. 罗林斯流行病学奖学金在重建佐治亚州流行病学人才队伍方面取得的成功。

IF 8.6 1区医学

Health Affairs Pub Date : 2024-06-01 DOI: 10.1377/hlthaff.2023.01652

Allison T Chamberlain, Shelby T Rentmeester, Eve Rose, Grace Fletcher, Cherie Drenzek, Jessica G Pavlick, James W Curran, Kathleen E Toomey

{"title":"Success Of The Rollins Epidemiology Fellowship In Rebuilding Georgia's Epidemiologic Workforce.","authors":"Allison T Chamberlain, Shelby T Rentmeester, Eve Rose, Grace Fletcher, Cherie Drenzek, Jessica G Pavlick, James W Curran, Kathleen E Toomey","doi":"10.1377/hlthaff.2023.01652","DOIUrl":"10.1377/hlthaff.2023.01652","url":null,"abstract":"Over the course of the past two decades, attrition within the US governmental public health workforce has passed concerning and become dire. The practice sector has struggled to recruit and retain new talent, despite the infusion of considerable federal investment in workforce expansion initiatives. In 2020, Emory University's Rollins School of Public Health partnered with the Georgia Department of Public Health to establish the Rollins Epidemiology Fellowship Program. Initially created to recruit and place early-career master of public health-level epidemiologists into Georgia's public health system for COVID-19 pandemic response, the two-year service-learning program has evolved into an effective and replicable model of direct academic involvement in strengthening the governmental public health workforce. Here we describe the program's structure and early results, spotlighting it for consideration by the federal government and other jurisdictions interested in directly engaging academia in efforts to revitalize the public health workforce.","PeriodicalId":50411,"journal":{"name":"Health Affairs","volume":"43 6","pages":"831-839"},"PeriodicalIF":8.6,"publicationDate":"2024-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141238689","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Community Health Workers Can Bridge The Gap. 社区保健工作者可以缩小差距。

IF 8.6 1区医学

Health Affairs Pub Date : 2024-06-01 DOI: 10.1377/hlthaff.2024.00485

Rabih Torbay

引用次数: 0

Ohio Presents Opportunities For Understanding Hospital Alignment With Public Health Agencies On Community Health Assessments. 俄亥俄州为了解医院与公共卫生机构在社区健康评估方面的合作提供了机会。

IF 8.6 1区医学

Health Affairs Pub Date : 2024-06-01 DOI: 10.1377/hlthaff.2024.00017

Cory E Cronin, Simone Rauscher Singh, Ashlyn Burns, Valerie A Yeager, Neeraj Puro, Tatiane Santos, Anne Mathew, Berkeley Franz

{"title":"Ohio Presents Opportunities For Understanding Hospital Alignment With Public Health Agencies On Community Health Assessments.","authors":"Cory E Cronin, Simone Rauscher Singh, Ashlyn Burns, Valerie A Yeager, Neeraj Puro, Tatiane Santos, Anne Mathew, Berkeley Franz","doi":"10.1377/hlthaff.2024.00017","DOIUrl":"10.1377/hlthaff.2024.00017","url":null,"abstract":"Multisector collaboration is critical for improving population health. Improving alignment between nonprofit hospitals and local health departments is one promising approach to achieving health improvement, and a number of states are exploring policies to facilitate such collaboration. Using public documents, we evaluated the alignment between Ohio nonprofit hospitals and local health departments in the community health needs they identify and those they prioritize. The top three needs identified by hospitals and health departments were mental health, substance use, and obesity. Alignment across organizations was high among the top needs, but it varied more among less commonly identified needs. Alignment related to social determinants of health was low, with health departments being more responsive to social determinants than hospitals. Given the different strengths and capacities of hospitals and health departments, this divergence may be in the best interests of the communities they serve. Community benefit policies should consider how to promote collaboration between hospitals and health departments while also encouraging organizations to use their own expertise to meet community needs.","PeriodicalId":50411,"journal":{"name":"Health Affairs","volume":"43 6","pages":"873-882"},"PeriodicalIF":8.6,"publicationDate":"2024-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141238650","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

The Community As A Full Partner: A New Model For Public Health. 社区作为全面合作伙伴：公共卫生的新模式。

IF 8.6 1区医学

Health Affairs Pub Date : 2024-06-01 DOI: 10.1377/hlthaff.2024.00033

Alice T Chen, Denise O Smith, Bisola O Ojikutu, John Auerbach

引用次数: 0

When Money Is Not Enough: Reimagining Public Health Requires Systematic Solutions To Hiring Barriers. 当钱不够用时：重塑公共卫生需要系统地解决招聘障碍。

IF 8.6 1区医学

Health Affairs Pub Date : 2024-06-01 DOI: 10.1377/hlthaff.2024.00020

Valerie A Yeager, Heather Krasna

引用次数: 0

Judicial Decisions Constraining Public Health Powers During COVID-19: Implications For Public Health Policy Making. COVID-19 期间限制公共卫生权力的司法判决：对公共卫生决策的影响。