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Effective leadership in health care
Effective leadership in health care
Essays on public health leadership
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This paper delineates how analyzing the role of systems thinking in program planning, implementation, evaluation, and revision relates to: effective uses of information technology in public health practice, sources of inequality that produce health disparities across diverse populations, effective public health leadership, factors of population based health status and behavior, and public health action research. A brief description of systems theory will discuss relatively open and closed systems. How the focal system (area of focus) determines the task environment(s) and how the task environment illustrates the roles internal and external stakeholders. Similarly, an integration of systems will be infused into each section of the paper.
Systems
A system is defined as an organized whole that is made up of components that interact in a way distinct from their interaction with other entities and which endures over some period of time. The two types of systems are relatively open and relatively closed. The characteristics of a relatively open system in contrast to that of a relatively closed system are; the relatively open system on a continuous basis has exchanges of energy, information, and/or matter across its boundaries with the external environment. In addition, the relatively open system will ensure that are exchanges between and among the subsystems of its internal environment are maintained (Anderson, Carter, and Lowe, 1999).
Closed Systems
The relatively closed system is the complete opposite in that it fails to carry out sufficient exchanges of energy, information and/or matter across its boundaries with the external environment eventually causing entropy. A closed system refers to the lack of energy ...
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Best, A. H. (2010). Systems thinking, knowledge and action: Towards better models and methods. Evidence & Policy: A Journal of Research, Debate & Practice, 6(2), 145-159.
Retrieved from http://ezproxy.library.capella.edu/login?url=http://search.ebscohost.com.library.capella.edu/login.aspx?direct=true&db=sih&AN=50913935&site=ehost-live&scope=site Diez Roux, A. V. (2011). Complex systems thinking and current impasses in health disparities research. American Journal of Public Health, 101(9), 1627-1634. doi:10.2105/AJPH.2011.300149
Hunter, D., & Perkins, N. (2012). Partnership working in public health: The implications for governance of a systems approach. Journal of Health Services Research & Policy, 17, 45-52. doi:10.1258/jhsrp.2012.011127
Stewart, Jenny & Ayres, R. (2001). Systems theory and policy practice: An exploration. Policy Sciences,34(1), 79-94
The public needs to address racial disparities in health which is achievable by changing policy addressing the major components of socioeconomic status (income, education, and occupation) as well as the pathways by which these affect health. To modify these risk factors, one needs to look even further to consider the factors. Socioeconomic status is a key underlying factor. Several components need to be identified to offer more options for those working on policy making. Because the issue is so big, I believe that not a single policy can eliminate health disparities in the United States. One possible pathway can be education, like the campaign to decrease tobacco usage, which is still a big problem, but the health issue has decreased in severity. The other pathway can be by addressing the income, by giving low-income individuals the same quality of care as an individual who has a high
Rabinowitz, P., (2014). Work Group for Community Health and Developmen Retrieved January 25, 2014 from Internet http://ctb.ku.edu/en/table-of-contents/participation/encouraging-involvement/identify-stakeholders/powerpoint
Ingram, R., Scutchfield, F. D., & Costich, J. F. (2015). Government, law, and public health practice: Public Health Departments and Accountable Care Organizations: Finding common ground in Population Health. American Journal of Public Health, 105(5), 840-846 7p. doi:10.2105/AJPH.2014.302483
State and local public health departments throughout the country have the responsibility for improving health in workplaces, schools, and communities through identifying top health problems within society and developing a plan to improve. Barriers the public health system has encountered over the years include: changes in the overall health system that support cost containment and improved health, and an increase in the number of individuals with insurance coverage for direct preventive services; reduction of qualified public health professional and funding at all levels of government; increasing focus on accountability, with higher expectations for demonstrating a return on investment in terms of cost and health improvement (Trust, 2013). In the near future, health departments ...
The goal within the United States government is to treat each individual as an equal citizen. Unfortunately, through the inadequate practice of public policies people have been treated unequal because of natural conditions and the countries social environment. In health policy, the two concepts that cause unequal treatment are health disparities and health differences. Health disparities are resulted from social factors that are avoidable and unjust. For example, saying ovarian cancer death rates are higher because men have better research on prostate cancer (Smith, 2016). “The extent and nature of health disparities changes over the life course” (Adler, 2008, p. 241). Health differences are inherently biological being completely natural and
...e crucial change needed in health services delivery, with the aim of transforming the current deteriorated system into a true “health care” system. (ANA, 2010)
Longest, B. B., Jr. (2010). The context and process of health policymaking. In T. D. McBride (Ed.), Health policy making in the United States (5th ed., pp. 30-33). Chicago, IL: Health Adminstration Press.
Singer, Merrill. "A World Out Of Balance ." Introduction to syndemics a critical systems approach to public and community health. Unabridged. ed. San Francisco, Calif.: Jossey-Bass, 2013. 193. Print.
Williams, D. R., & Jackson, P. (2014, April 1). Health Affairs. Social Sources Of Racial Disparities In Health. Retrieved April 29, 2014, from http://content.healthaffairs.org/content/24/2/325.short
Horan, T., Botts, N., & Burkhard, R. (2010, August 4). A multidimensional view of personal health systems for underserved populations. Journal of Medical Internet Research, 1438-8871. Retrieved from http://web.ebscohost.com.ezp.waldenulibrary.org/ehost/detail?hid=15&sid=4b469aed-3a4c-4e9e-bb4a-1ddf188da74e%40sessionmgr13&vid=2&bdata=JnNpdGU9ZWhvc3QtbGl2ZSZzY29wZT1zaXRl#db=mnh&AN=20685644
Public health is a concept that will always be subject to conflicting opinion. Over the year’s different ‘models’ of health have been formulated in order to categorise public health into dominant areas of cause and effect. The two models in which this essay will be focusing on are the Biomedical Model and the Lifestyle Theory Model. Although both models have equally arguable advantages and disadvantages, it is difficult to state either model as being ‘right’ or ‘wrong’ in defining the correct pathway to resolving the central health issues of today.
Three waves of systems theory were developed (Healy, 2005). The first wave, being General systems theory. General systems theory is about focussing on a more effective social order for the client,...
Shi, L., & Singh, D. (2012). Delivering health care in America: a system approach. Burlington, MA: Jones & Bartlett Learning, LLC.
Measuring the performance of public health agencies. (1999, September 10th). Retrieved September 14, 2010, from http://www.bmj.com
Frieden establishes the fundamentals of success. These components that are innovation, communication, technical package, management, and political commitment create a web for Public Health. By utilizing this over everyday lives. These programs can target anything from micro issue to epidemics. This educational tool focuses on building a system that challenges normative ideas and helps identify new strategies. This ultimately relates in a creating an ecosystem of new ground rules that every Public Health official should use. Dr. Frieden did a great job on explaining what is next in educating and