Preventing overdiagnosis in mammography screening – a public health perspective

2017 ◽  
Vol 32 (1) ◽  
Author(s):  
Hans Concin ◽  
Gabriele Nagel
Keyword(s):  
Public Health ◽  
Breast Cancer ◽  
Risk Groups ◽  
Public Health Issue ◽  
Public Health Perspective ◽  
Quality Health Care ◽  
The Public ◽  
Quality Health ◽  
Long Time ◽  
High Quality Health Care

AbstractPrevention and management of breast cancer in order to provide high quality health care is an important public health issue. The existence of overdiagnosis for breast-cancer was controversial for a long time but is now broadly accepted. Overdiagnosis is defined as the diagnosis of “disease” that will never cause symptoms or death during a patient’s ordinarily expected lifetime. Estimates of the overdiagnosis rate for breast cancer range up to 54% of screen-detected localized tumors. New approaches, such as the identification of high risk groups or primary prevention approaches could be more relevant from the public health perspective.

scholarly journals A scorecard for local body election candidates in New Zealand

2020 ◽  
Vol 30 (Supplement_5) ◽  
Author(s):  
P Stone
Keyword(s):  
Public Health ◽  
Voter Turnout ◽  
Public Awareness ◽  
Public Information ◽  
Public Health Issue ◽  
Local Elections ◽  
Health Issues ◽  
District Health ◽  
Public Health Perspective ◽  
The Public

Abstract Local elections are held every 3 years in NZ for District Health Boards (DHB). The public has low capability to scrutinise candidates for their knowledge/experience in public health governance. As a result, there is low voting turn-out for elections. So, 3 PHA branches developed scorecards for 2019 candidates. Our aims addressed 3 problems: 1. How to raise public awareness about local DHB elections 2. How to engage voters and provide them with information about candidates from a public health perspective 3.Can we encourage candidates to discuss public health issues/ preventative measures publicly. We hoped to promote democracy by increasing informed voter turnout. Scorecards were based on candidates' responses to a survey with 3 dimensions: alignment with public health values; health sector governance experience; views on a specific public health issue (water fluoridation). Survey responses were scored by panels of branch members. Southern branch sent the survey to 28 DHB candidates across 2 DHBs, and 24 replied in time. Wellington branch sent it to 23 CCDHB candidates and 16 replied in time. Canterbury's response rate was just over 50%, 11 of 21 surveys were returned. We produced scorecards for results in formats for printing and sharing online. We shared them on PHA's website, social media and featured them in the e-newsletter. Each branch launched them at local Meet the DHB Candidate events where hundreds of paper copies were distributed. There was good online interest in the scorecards: 3453 previews, 287 downloads for further printing/distribution. Many candidates committed, if elected, to policy solutions presented them at our events. There was significant increase (684 in Southern, 698 in Wellington, 2006 in Canterbury) in DHB voter turnout in 2019, compared to last election with no scorecards. Not all top-scoring candidates were subsequently elected onto respective DHBs, but for Wellington and Southland all elected had high scores. Key messages PHANZ plays a role in supporting NZ democracy by filling a gap in public information about election candidates, whether they are fit for purpose when scrutinised through the public health lens. Election Scorecard are effective for raising public awareness, providing scrutiny of the candidates from a public health perspective, encouraging candidates to consider public health issues.

TRIPs, TRIPs-PLUS, Developing Countries and Public Health: The Case of Egypt

2008 ◽  
Vol 5 (1) ◽  
pp. 1-15 ◽  
Author(s):  
Mohamed Salem Abou El Farag
Keyword(s):  
Public Health ◽  
Health Care ◽  
Developing Countries ◽  
Developed Countries ◽  
Degree Of Freedom ◽  
Health Needs ◽  
Pharmaceutical Drugs ◽  
Quality Health Care ◽  
The Public ◽  
Quality Health

AbstractThe article critically examines how Egyptian legislators made use of the degree of freedom left in the TRIPs Agreement for WTO Members to incorporate appropriate measures in their national laws aiming at meeting the public health needs and concerns, particularly access to quality health care and affordable pharmaceutical drugs. The article also explores and warns against the recent attempts made by a number of developed countries to impose TRIPs-plus obligations on several developing countries, including Egypt, for their detrimental effects on public health.

scholarly journals Charting a path towards a public health approach for gambling harm prevention

2021 ◽  
Author(s):  
Alex Price ◽  
Margo Hilbrecht ◽  
Rosa Billi
Keyword(s):  
Public Health ◽  
Health Assessment ◽  
Health Issue ◽  
Public Health Issue ◽  
Public Health Perspective ◽  
The Public ◽  
Gambling Harm ◽  
Public Health Model ◽  
Health Model ◽  
Harm Prevention

Abstract Aim Gambling harm is a serious public health issue affecting the health, financial security, and social well-being of millions of people and their close relations around the world. Despite its population health implications, gambling harm is not typically viewed and treated as a public health policy issue. This paper critically reviews the evolution of the public health perspective on gambling harm. It also considers how gambling harm can be operationalized within a public health model. Methods A critical historical review of the emerging public health perspective on gambling harm was conducted. Key documents covering three decades of development were reviewed and appraised through a process of deliberation and debate over source impact in the fields of research, policy, and programming internationally. Results The first decade mainly focused on identifying gambling harm and framing the public health issue. The second decade featured the expansion of health assessment and emerging areas of policy and program development. The third decade saw an increased focus on public health frameworks that advanced understanding of harm mechanics and impact. As reflected by the essential functions of a general public health model, gambling harm prevention efforts emphasize health promotion over other key functions like health assessment and surveillance. Conclusion Gambling harm is a public health issue requiring greater attention to health assessment and surveillance data development.

scholarly journals Perceptions of Antibiotic Use and Resistance: Are Antibiotics the Dentists’ Anxiolytics?

Antibiotics ◽  
2021 ◽  
Vol 10 (6) ◽  
pp. 735
Author(s):  
Julie Dormoy ◽  
Marc-Olivier Vuillemin ◽  
Silvia Rossi ◽  
Jean-Marc Boivin ◽  
Julie Guillet
Keyword(s):  
Public Health ◽  
Antibiotic Resistance ◽  
Qualitative Method ◽  
Oral Surgery ◽  
Antibiotic Use ◽  
Public Health Issue ◽  
Clinical Factors ◽  
Structured Interviews ◽  
Health Crisis ◽  
The Public

Background: Antibiotic resistance is a global health crisis. The aim of this study was to explore dentists’ perceptions of antibiotic resistance. Methods: A qualitative method was used. Seventeen dentists practising in the Nancy (Lorraine, France) region were surveyed. They were general practitioners or specialised in oral surgery, implantology, or periodontology. The practitioners took part in semi-structured interviews between September 2019 and July 2020. All of the interviews were transcribed in full and analysed thematically. Results: Four major themes have been selected: attitudes of the dentists in regard to the guidelines, clinical factors that influence prescriptions, non-clinical factors that influence prescriptions, and the perception of antibiotic resistance. The dentists stated that they were very concerned regarding the public health issue of antibiotic resistance. However, they often prescribe according to their own interests and habits rather than according to the relevant guidelines. Conclusions: Although dentists are generally well aware of antibiotic resistance, they often do not adequately appreciate the link between their prescribing habits and the phenomenon of antibiotic resistance. Regular updating of practitioners’ knowledge in this regard is necessary, but patients and the general public should also be made more aware of the issue.

scholarly journals Surgical care in the public health agenda

2017 ◽  
Vol 33 (10) ◽  
Author(s):  
Mário Scheffer ◽  
Saurabh Saluja ◽  
Nivaldo Alonso
Keyword(s):  
Public Health ◽  
Universal Access ◽  
Surgical Care ◽  
Public Health Issue ◽  
Public And Private ◽  
The Public ◽  
Timely Fashion ◽  
Current Article ◽  
Clinical Conditions ◽  
Global Indicators

The current article examines surgical care as a public health issue and a challenge for health systems organization. When surgery fails to take place in timely fashion, treatable clinical conditions can evolve to disability and death. The Lancet Commission on Global Surgery defined indicators for monitoring sustainable universal access to surgical care. Applied to Brazil, the global indicators are satisfactory, but the supply of surgeries in the country is marked by regional and socioeconomic inequalities, as well as between the public and private healthcare sectors.

scholarly journals Defining high quality health care

2009 ◽  
Vol 27 (4) ◽  
pp. 411-416 ◽  
Author(s):  
Matthew R. Cooperberg ◽  
John D. Birkmeyer ◽  
Mark S. Litwin
Keyword(s):  
Health Care ◽  
High Quality ◽  
Quality Health Care ◽  
Quality Health ◽  
High Quality Health Care
Sign in / Sign up

Export Citation Format

Share Document