The Experts below are selected from a list of 243540 Experts worldwide ranked by ideXlab platform

Judith A. Monroe - One of the best experts on this subject based on the ideXlab platform.

  • The value of the "system" in Public Health Services and systems research.
    American Journal of Public Health, 2015
    Co-Authors: Craig W. Thomas, Liza C. Corso, Judith A. Monroe
    Abstract:

    The authors reflect on Public Health Services and systems research (PHSSR). They suggest that in order to advance the field of Public Health Services and systems research, challenges that are apparent within the research will need to be addressed. They argue that with a collaborative effort new, relevant and translatable PHSSR findings can be found that can be used to understand and address Public Health problems.

  • new Public Health Services and systems research agenda directions for the next decade
    American Journal of Preventive Medicine, 2012
    Co-Authors: Douglas F Scutchfield, Judith A. Monroe, Debra J Perez, Alex F Howard
    Abstract:

    or years we have known the value of assessing the delivery and effectiveness of individual clinical ser- vices and how factors such as structure, organiza- tion, and finance influence the quality and quantity of clinical care. There is a comparable field in Public Health called Public Health Services and systems research (PHSSR) that studies system-level factors and their asso- ciation to Public Health delivery and the Health of popu- lations. Mays and colleagues 1 have defined Public Health Services and systems research as a field of study that examines the organization, finance, and delivery of Public Health Services in communities and the impact of these Services on Public Health. Two more recent efforts 2,3 have focused on expanding and further enhancing that early definition. Scutchfield et al. 2 suggested that PHSSR would benefit from an en-

Hengjin Dong - One of the best experts on this subject based on the ideXlab platform.

  • factors influencing the provision of Public Health Services by village doctors in hubei and jiangxi provinces china
    Bulletin of The World Health Organization, 2013
    Co-Authors: Yan Ding, Helen Smith, Yang Fei, Shaofa Nie, Weirong Yan, Vinod K Diwan, Rainer Sauerborn, Hengjin Dong
    Abstract:

    PROBLEM: The Chinese central government launched the Health System Reform Plan in 2009 to strengthen disease control and Health promotion and provide a package of basic Public Health Services. Village doctors receive a modest subsidy for providing Public Health Services associated with the package. Their beliefs about this subsidy and providing Public Health Services could influence the quality and effectiveness of preventive Health Services and disease surveillance. APPROACH: To understand village doctors'perspectives on the subsidy and their experiences of delivering Public Health Services, we performed 10 focus group discussions with village doctors, 12 in-depth interviews with directors of township Health centres and 4 in-depth interviews with directors of county-level Centers for Disease Control and Prevention. LOCAL SETTING: The study was conducted in four counties in central China, two in Hubei province and two in Jiangxi province. RELEVANT CHANGES: Village doctors prioritize medical Services but they do their best to manage their time to include Public Health Services. The willingness of township Health centre directors and village doctors to provide Public Health Services has improved since the introduction of the package and a minimum subsidy, but village doctors do not find the subsidy to be sufficient remuneration for their efforts. LESSONS LEARNT: Improving the delivery of Public Health Services by village doctors is likely to require an increase in the subsidy, improvement in the supervisory relationship between village clinics and township Health centres and the creation of a government pension for village doctors.

Glen P. Mays - One of the best experts on this subject based on the ideXlab platform.

  • estimating the cost of providing foundational Public Health Services
    Health Services Research, 2018
    Co-Authors: Cezar B Mamaril, Glen P. Mays, Douglas Keith Branham, Betty Bekemeier, Justin Marlowe, Lava Timsina
    Abstract:

    OBJECTIVE To estimate the cost of resources required to implement a set of Foundational Public Health Services (FPHS) as recommended by the Institute of Medicine. STUDY DESIGN A stochastic simulation model was used to generate probability distributions of input and output costs across 11 FPHS domains. We used an implementation attainment scale to estimate costs of fully implementing FPHS. DATA COLLECTION/EXTRACTION METHODS We use data collected from a diverse cohort of 19 Public Health agencies located in three states that implemented the FPHS cost estimation methodology in their agencies during 2014-2015. PRINCIPAL FINDINGS The average agency incurred costs of $48 per capita implementing FPHS at their current attainment levels with a coefficient of variation (CV) of 16 percent. Achieving full FPHS implementation would require $82 per capita (CV=19 percent), indicating an estimated resource gap of $34 per capita. CONCLUSIONS Substantial variation in costs exists across communities in resources currently devoted to implementing FPHS, with even larger variation in resources needed for full attainment. Reducing geographic inequities in FPHS may require novel financing mechanisms and delivery models that allow Health agencies to have robust roles within the Health system and realize a minimum package of Public Health Services for the nation.

  • defining organizational capacity for Public Health Services and systems research
    Journal of Public Health Management and Practice, 2012
    Co-Authors: Anne Marie Meyer, Glen P. Mays, Meredith Davis
    Abstract:

    More than a decade has passed since a conceptual framework was introduced to guide Public Health Services and systems research (PHSSR) and elucidate the relationships associated with system performance. Since then, research has primarily focused on performance, standards, and key processes, with less emphasis on identification of measures or methods. Capacity lies at one end of the conceptual framework, although little emphasis has been placed on measuring and defining "capacity" of the Public Health system. This is striking, given organizational capacity is a critical determinant of performance and is necessary for understanding systematic effectiveness, sustainability, or generalizability. As a nascent field, PHSSR needs to develop a definition of organizational capacity and elucidate its relationship within a research framework. Evidence must be developed on the temporal and causal relationships between capacity, process/performance, and outcomes. The purpose of this article was to review research frameworks and capacity measures in various disciplines to expand the existing PHSSR conceptual framework.

  • getting what you pay for Public Health spending and the performance of essential Public Health Services
    Journal of Public Health Management and Practice, 2004
    Co-Authors: Glen P. Mays, Megan Mchugh, Kyumin Shim, Dennis Lenaway, Paul K Halverson, Ramal Moonesinghe, Peggy A Honore
    Abstract:

    Governmental spending in Public Health varies widely across communities, raising questions about how these differences may affect the availability of essential Services and infrastructure. This study used data from local Public Health systems that participated in the National Public Health Performance Standards Program pilot tests between 1999 and 2001 to examine the association between Public Health spending and the performance of essential Public Health Services. Results indicated that performance varies significantly with both local and federal spending levels, even after controlling for other system and community characteristics. Some Public Health Services appear more sensitive to these expenditures than others, and all Services appear more sensitive to local spending than to state or federal spending. These findings can assist Public Health decision makers in identifying Public Health financing priorities during periods of change in the resources available to support local Public Health infrastructure.

  • Providing Public Health Services through an integrated delivery system.
    Quality management in health care, 1997
    Co-Authors: Stephen R. Keener, John W. Baker, Glen P. Mays
    Abstract:

    This article examines a recently implemented strategy to transfer responsibility for local Public Health service delivery from a county Health department to a hospital-based integrated delivery system. Innovative quality management efforts at both local and state levels offer opportunities for sustained improvement in the availability and adequacy of Public Health Services under this arrangement.

Douglas F Scutchfield - One of the best experts on this subject based on the ideXlab platform.

  • new Public Health Services and systems research agenda directions for the next decade
    American Journal of Preventive Medicine, 2012
    Co-Authors: Douglas F Scutchfield, Judith A. Monroe, Debra J Perez, Alex F Howard
    Abstract:

    or years we have known the value of assessing the delivery and effectiveness of individual clinical ser- vices and how factors such as structure, organiza- tion, and finance influence the quality and quantity of clinical care. There is a comparable field in Public Health called Public Health Services and systems research (PHSSR) that studies system-level factors and their asso- ciation to Public Health delivery and the Health of popu- lations. Mays and colleagues 1 have defined Public Health Services and systems research as a field of study that examines the organization, finance, and delivery of Public Health Services in communities and the impact of these Services on Public Health. Two more recent efforts 2,3 have focused on expanding and further enhancing that early definition. Scutchfield et al. 2 suggested that PHSSR would benefit from an en-

  • a national research agenda for Public Health Services and systems a consortium from altarum institute the centers for disease control and prevention the robert wood johnson foundation and the national coordinating center for Public Health Services an
    2012
    Co-Authors: Douglas F Scutchfield
    Abstract:

    The field of Public Health Services and systems research (PHSSR) has emerged over the past decade to produce the evidence needed to address critical uncertainties about how best to organize, finance, and deliver effective Public Health strategies to all Americans. To advance these efforts, a national PHSSR research agenda-setting process was used to identify a broad inventory of information needs and uncertainties that Public Health stakeholders face in the domains of Public Health workforce, Public Health system structure and performance, Public Health financing, and Public Health information and technology. This paper presents the results of an expert review process used to transform the identified information needs into a concise set of research questions that can be pursued through new scientific inquiry in PHSSR. Established research frameworks were used to specify the contexts, mechanisms of action, and outcomes within the Public Health system that require further study. A total of 72 research questions were developed from the 113 original items in the PHSSR inventory of information needs. The questions include both persistent problems and newly emerging needs in Public Health practice and policy. The resulting research agenda provides a starting point for mobilizing the Public Health scientific enterprise around contemporary, high-priority uncertainties identi- fied by broad cross sections of Public Health stakeholders. Regular updates to this agenda will be required to achieve continuous improvements in both the science and practice of Public Health.

Alex F Howard - One of the best experts on this subject based on the ideXlab platform.

  • new Public Health Services and systems research agenda directions for the next decade
    American Journal of Preventive Medicine, 2012
    Co-Authors: Douglas F Scutchfield, Judith A. Monroe, Debra J Perez, Alex F Howard
    Abstract:

    or years we have known the value of assessing the delivery and effectiveness of individual clinical ser- vices and how factors such as structure, organiza- tion, and finance influence the quality and quantity of clinical care. There is a comparable field in Public Health called Public Health Services and systems research (PHSSR) that studies system-level factors and their asso- ciation to Public Health delivery and the Health of popu- lations. Mays and colleagues 1 have defined Public Health Services and systems research as a field of study that examines the organization, finance, and delivery of Public Health Services in communities and the impact of these Services on Public Health. Two more recent efforts 2,3 have focused on expanding and further enhancing that early definition. Scutchfield et al. 2 suggested that PHSSR would benefit from an en-