Suchergebnisse

AbstractPublic health emergency preparedness is an area of growing policy concern with the emergence of new threats. The Centers for Medicare and Medicaid Services issued a proposed rule in 2013 laying out mandates that hospitals and other facilities would have to meet in order to receive federal funding. Hundreds of comments were submitted in response to the rule, which was finalized in 2016. The following study employs content analysis and interpretive policy analysis to investigate the reaction to rule as it was proposed. In doing so, we will consider the different values, beliefs, and feelings regarding the rule that were expressed in public comments submitted in response to it. Along with those aspects, we will also consider the political, economic, and social implications of the proposed rule as expressed in the public comments. These methods will be used to address whether the selected comments represent different coalitions in regard to the CMS rule and if different coalitions represent different themes in their comments. The study will also consider whether the notice‐and‐comment process, in this instance, is in line with the advocacy coalition framework and whether there were clear winners in the process.

This paper outlines the development of emergency health planning as a function of government. Ten provinces have the basic responsibility for the organization, preparation and operation of medical, nursing, hospital and public health services in an emergency. The Department of National Health and Welfare is responsible for the provision of advice and assistance to the provincial and municipal governments in such matters. Eight provinces have now hired full-time planning staffs to co-ordinate the health planning of the Provincial Departments of Health and Provincial Emergency Measures Organization.

The COVID-19 pandemic demonstrates how vital it is for the Alberta government to incorporate precision health (PH) planning into its public health ecosystem. Public health shocks demand quick thinking, rapid adaptation and good decision- making driven by data. PH offers all that and more, and not just in health care. In ordinary times, PH tailors diagnosis and treatment to an individual patient's needs. When a crisis arises, PH focuses on assessing risks to provide targeted interventions and treatments to larger populations.

Abstract
A critical component of successful public health emergency responses is the availability of appropriate numbers of personnel with emergency response expertise. To achieve this, the United States Centers for Disease Control and Prevention (CDC) focused on strengthening training, personnel database systems, and responder outreach. To ensure availability of well-trained public health emergency responders, CDC and external partners coordinated training, planning, exercise, and evaluation activities; established the School of Preparedness and Emergency Response; and implemented Responder Training Tiers for response roles with defined functional competencies. For personnel information, CDC developed interoperable databases to streamline the search for specific staff expertise for a response. To improve responder outreach, CDC developed various mechanisms to efficiently identify and assign potential responders to responses. These measures work together to sustain a qualified workforce for public health emergencies, and may be helpful to other public health agencies for staffing and training of their response workforce.

Purpose: Within the millennial population cohort, identify groups reporting increased risk of nonspecific psychological distress. As the largest living population cohort, taking stock of health and well-being early is necessary as substantial national resources may be needed as this cohort ages. Design: The 2017 National Health Interview Survey data, an annual multipurpose survey of the US population, was used. Sample: A sample of 7303 respondents were created by limiting data set to birth years 1980 to 1998. Measures: Outcomes were feeling like everything is an effort, worthlessness, hopelessness, restlessness, nervousness, and sadness. Combined these statements of feeling make up a measure of nonspecific psychological distress, past 30 days. Analysis: A logistic regression was performed on each outcome. All models controlled for demographic variables known to be associated with psychological distress. Results: Females are 1.4 times more likely than males to report nonspecific psychological distress ( P < .001), whereas Hispanics and Blacks are less likely to report nonspecific psychological distress (odds ratio [OR] = 0.49, OR = 0.57, P < .001). American Indians were less likely to report worthlessness (OR = 0.30, P < .05). However, multiple race individuals increasingly reported hopelessness (OR = 1.55, P < .05). Young adults are less likely than emerging adults to report sadness (OR = 0.85, P < .05). Conclusion: In this sample, racial/ethnic groups fared better than referent groups. Health programs need to integrate intersectional identities into promotion of mental health.