[EQ] The Goals of Public Health: An Integrated, Multidimensional Model

The Goals of Public Health: An Integrated, Multidimensional Model

Christian Munthe^, Department of Philosophy, Göteborg University, Sweden
Public Health Ethics 2008 1(1):39-52; doi:10.1093/phe/phn006

Website: http://phe.oxfordjournals.org/cgi/content/full/1/1/39

“……..While promoting population health has been the classic goal of public health practice and policy, in recent decades, new objectives in terms of autonomy and equality have been introduced. These different goals are analysed, and it is demonstrated how they may conflict severly in several ways, leaving serious unclarities both regarding the normative issue of what goal should be pursued by public health, what that implies in practical terms, and the descriptive issue of what goal that actually is pursued in different contexts.

A basic conflict of perspective is handled by integrating the ideas of public health striving for health-related autonomy and equality, resulting in a prioritarian oriented population approach to health-related autonomy. This integrated goal is demonstrated to constrain itself in several ways attractive from the point of view of the classic goal, but several serious problems remain.

For this reason, a model where all of the three goals are integrated into one coherent structure where they can be assigned varying degrees of importance relative to the level of population health is described. It is argued that this model avoids the problems set out earlier, and is actually normatively preferable to the classic goal alone. It is furthermore argued that the model may be employed as a useful tool for descriptive ethics, as well as a vehicle for international harmonisation of public health policies. A number of practical implications regarding, e.g., the importance of respecting autonomy and the allocation of public health resources are noted, as are a battery of questions for further research………..”

 

 

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[EQ] Building A High-Value Nurse Workforce

Building A High-Value Nurse Workforce

Recession Is Easing Nurse Shortage, But Longer-Term Shortage Still Looms

Health Affairs - A grant from the Center to Champion Nursing in America, a joint initiative of AARP, the AARP Foundation,
 and the Robert Wood Johnson Foundation, June 12, 2009

You can read all of the studies at http://content.healthaffairs.org/cgi/content/full/hlthaff.28.4.w620/DC2

“….The continuing recession will contribute to easing or even ending the current registered nurse (RN) shortage in many areas of the country, as older nurses delay retirement or return to the workforce and part-time nurses become full time in response to the employment insecurity of their spouses, according to a study by Peter Buerhaus of the Vanderbilt University School of Nursing and coauthors published today on the Health Affairs Web site.

However, the relief will be temporary: A new RN shortage looms in the next decade. The study by Buerhaus, the Valere Potter Professor of Nursing at Vanderbilt, and coauthors is one of six studies on the nursing workforce published online today by Health Affairs. Other study authors include John Rother, executive vice president for policy and strategy at AARP; Risa Lavizzo-Mourey, president and chief executive officer of the Robert Wood Johnson Foundation; and Linda Aiken, the Claire M. Fagin Leadership Professor at the Center for Health Outcomes and Policy Research, University of Pennsylvania. …”

Health Affairs is pleased to make these articles freely accessible for two weeks. From: Dobbs, Brian bdobbs@projecthope.org

Addressing The Nursing Workforce: A Critical Element For Health Reform
John Rother and Risa Lavizzo-Mourey

The Role Of Nurses In Improving Hospital Quality And Efficiency: Real-World Results
Jack Needleman and Susan Hassmiller

Expanding The Capacity Of Nursing Education
Brenda L. Cleary, Angela Barron McBride, Margaret L. McClure, and Susan C. Reinhard

Education Policy Initiatives To Address The Nurse Shortage In The United States
Linda H. Aiken, Robyn B. Cheung, and Danielle M. Olds

The Recent Surge In Nurse Employment: Causes And Implications
Peter I. Buerhaus, David I. Auerbach, and Douglas O. Staiger

Nursing: A Key To Patient Satisfaction
Ann Kutney-Lee, Matthew D. McHugh, Douglas M. Sloane, Jeannie P. Cimiotti, Linda Flynn, Donna Felber Neff, and Linda H. Aiken

 

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This message from the Pan American Health Organization, PAHO/WHO, is part of an effort to disseminate
information Related to: Equity; Health inequality; Socioeconomic inequality in health; Socioeconomic
health differentials; Gender; Violence; Poverty; Health Economics; Health Legislation; Ethnicity; Ethics;
Information Technology - Virtual libraries; Research & Science issues.  [DD/ KMS Area]

“Materials provided in this electronic list are provided "as is". Unless expressly stated otherwise, the findings
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[EQ] Healthy States/Healthy Nation - Milbank Essays

Healthy States/Healthy Nation:
Essays for a New Administration and a New Congress

by Members of the Reforming States Group co-published by the Reforming States Group
and the Milbank Memorial Fund - May 2009

Available online PDF [64p.] at: http://www.milbank.org/reports/HealthyStates2009/HealthyStates2009.pdf

“  States have valuable experience and can contribute a unique perspective to the national health care reform dialogue. That’s because most have a constitutional obligation to provide for the welfare of their citizens. And each year, they raise and appropriate billions to fund a wide variety of local, state, and federal-state health care programs and regulatory activities.

With support from the Milbank Memorial Fund, the Reforming States Group (RSG) offers this report—which includes an introduction and a collection of essays written from the states’ perspective—as a guide to the new administration and Congress for health care reform. The introduction presents the RSG’s recommendations, and the essay collection provides a useful overview of a dozen key health policy topics, ranging from access to care to cost, insurance market reform to mental health, and workforce development to health disparities. …”

Introduction:

“……..Every day, the U.S. health care system performs miracles for those in need of advanced and sophisticated medical services. It is justifiably regarded as the world’s leading research and technology development engine. And its workforce—though facing significant shortfalls in some professions—includes men and women with an extraordinary commitment to alleviate pain and ease suffering.

Yet, it is well-known that the U.S. health care system is falling short on three key dimensions of cost, quality, and access. President Obama and the new Congress have responded by placing health care reform high on the national priority list. State leaders look forward to working with the federal government to fashion a comprehensive approach to health care reform.

This essay collection, prepared by leading state health policymakers participating in the Reforming States Group (RSG), brings a unique state perspective to the health care reform debate. The essays included in this collection do not always agree with one another, and they do not necessarily reflect the views of all members of the RSG. They all, however, represent the unique voice of states and amplify the critical role states play in our health care delivery system. ….”

 

Table of Contents Foreword Introduction Access to Care Jane Kitchel, Vice-Chair, Appropriations Committee, Vermont Senate Controlling the Cost of Care Elizabeth Roberts, Lieutenant Governor, State of Rhode Island Controlling the Cost of Care Charles Scott, Chair, Labor, Health and Social Services Committee, Wyoming Senate Quality of Care John Colmers, Secretary, Maryland Department of Health and Mental Hygiene, and Pam Maier, Chair, Health and Human Development Committee, Delaware House of Representatives States and the Employee Retirement Income Security Act (ERISA) S. Peter Mills, Member, Health and Human Services Committee, Maine Senate, and John Colmers, Secretary, Maryland Department of Health and Mental Hygiene Insurance Market Reform Sandy Praeger, Commissioner of Insurance for the State of Kansas, and Immediate Past President of the National Association of Insurance Commissioners Long-Term Care John Selig, Director, Arkansas Department of Human Services, and Bruce Goldberg, Director, Oregon Department of Human Services Mental Health and Addictive Disorders Gene Davis, Minority Whip, Utah Senate, and Sybil Richard, Deputy Secretary, Louisiana Department of Health and Hospitals Public Health Richard N. Gottfried, Chair, Health Committee, New York State Assembly, and S. Peter Mills, Member, Health and Human Services Committee, Maine Senate Workforce Development Leticia Van de Putte, Chair, Veteran Affairs and Military Installations Committee, Texas Senate Children’s Health and Well-Being Kevin Concannon, Director, Iowa Department of Human Services Health Disparities Leticia Van de Putte, Chair, Veteran Affairs and Military Installations Committee, Texas Senate, and Scott Nishimoto, Vice-Chair, Health Committee, Hawaii House of Representatives Medical Liability Reform Charles Scott, Chair, Labor, Health and Social Services Committee, Wyoming Senate Medical Liability Reform Kathy Stein, Chair, Judiciary Committee, Kentucky House of Representatives About the Authors Reforming States Group (RSG) Steering Committee Selected Publications of the Reforming States Group

 

 

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This message from the Pan American Health Organization, PAHO/WHO, is part of an effort to disseminate
information Related to: Equity; Health inequality; Socioeconomic inequality in health; Socioeconomic
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Information Technology - Virtual libraries; Research & Science issues.  [DD/ KMS Area]

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