Focus On Health Public Health in Health Services Restructuring
İÇİNDEKİLERTABLE OF CONTENTSPreface...........•.........................................................................1-2 Executive Summaiy................................................................1-4 1.0 Public Health İn a Changing Environment......................1-5 1.1 An Opporcunity to Invest İn Health.........................1-5 1.2 Shifting the Focus.....................................................1-6 2.0 The Uniqueness of Public Health....................................1-6 2.1 Public Health; An Organİzed System of Practİce......1-7 2.2 The Historical Contributİon of Public Health..........1-7 2.3 A Unique Combination of Perspectives, Skills and Knowledge................................................1-7 ■ Focusing on Individuals and Communitİes İn a Societal and Global Context.......................1-8 ■ Buildirig Capacity in Individuals and Communitİes to Improve Health................1-8 ■ Facilitaring Communİty Mobilization through Communİty Participation....................1-8 ■ Embracing Promotion, Prevention, and Protection.........................................................1-8 ■ Providing Disease Surveİllance and Control......1-9 ■ Infİuencing the Orientation of the Health System Toward Health Outcomes.....................1-9 ■ Building Partnershİps Among Sectors at the Local Level..............................................1-9 ■ Advocating for the Health of the Public............1-9 2.4 Summary..................................................................1-9 3.0 The Public Health Response to Restructuring Issues.......1-9 I Makİng a Difference in Health.................................1-9 1. Focusing on Health and the Determinants of Health...................................1-10 2. Commitment to Healthy Public Policy...........1-10 3. Health Promotion, Disease Prevention and Health Protection: Essential Components.......1-11 II Skİlls and Knowledge Base......................................1-11 4. An Organİzed System of Practice for Public Health.............................................1-11 5- Specialized Skills Required in the Health System.................................................1-12 III Allocation of Financial Resources...........................1-13 6. Sources of Fundİng—the Public and Private Sectors.........................,................1-13 7- Funding of Specific (Core) Health Services.....1-14 8. Shifting Resources to Health Promotion and Disease Prevention....................................1-14 9. Funding Allocated on the Basİs of Need-Population-based Funding................1-15 IV Governance and Management................................1-16 10. The Community's Role and Representation....I-l6 11. Health Services Management..........................1-16 12. Evaluating the Outcomes of Health Services Restructuring.........................1-17 Summary-Public Health as a Full Partner in Health Services Restructuring....................................1-17 4.0 Strategies and Resources for Positioning Public Health..1-18 4.1 Strategies for Public Health Workers......................1-18 4.2 Strategies for Provincial, Territorial and National Pubüc Health Associations.......................1-18 4.3 Strategies for Decİsİon Makers................................1-19 4.4 Summary................................................................1-19 5.0 Conclusion....................................................................1-19 APPENPICES______________________________ A. CPHA Working Group Members..................................1-21 B. Resource List.................................................................1-22 C. Strategies and Resources Contact List............................1-23 HGURES__________________________________ Figüre 1 - The Continuum of Health Services........................1-6 Figüre 2 - The Broad Determinants of Health........................1-8 Fİgure 3 -A Framework for Health Promotion....................1-12  |
