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The Trip Database is a leading resource to help health professionals find trustworthy answers to their clinical questions. Users can access the latest research evidence and guidance to answer their clinical questions. We have a large collection of systematic reviews, clinical guidelines, regulatory guidance, clinical trials and many other forms of evidence. If you wanted the latest trusted evidence on public health or other clinical topics then use Trip today.
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Transparency about the outcomes of mental health services (IAPT approach): an analysis of public data. BACKGROUND: Internationally, the clinical outcomes of routine mental health services are rarely recorded or reported; however, an exception is the English Improving Access to Psychological Therapies (IAPT) service, which delivers psychological therapies recommended by the National Institute for Health and Care Excellence for depression and anxiety disorders to more than 537 000 patients (...) in the UK each year. A session-by-session outcome monitoring system ensures that IAPT obtains symptom scores before and after treatment for 98% of patients. Service outcomes can then be reported, along with contextual information, on public websites. METHODS: We used publicly available data to identify predictors of variability in clinical performance. Using β regression models, we analysed the outcome data released by National Health Service Digital and PublicHealth England for the 2014-15 financial
Identifying and Addressing the PublicHealth Risks of Splash Parks IDENTIFYING AND ADDRESSING THE PUBLICHEALTH RISKS OF SPLASH PARKS KEY MESSAGES • Recirculating splash parks have caused several large gastrointestinal outbreaks in recent years. • Outbreaks are typically linked to failure of the chlorination/ filtration systems and/or lack of secondary disinfection, such as ultraviolet light, but may also derive from user behaviour as well as design and operating conditions. • This document (...) . 1,2 Splash parks may take one of two basic designs, which influences the associated publichealth risks. Non-recirculating or flow-through parks discharge the water directly to waste and present a relatively low risk to their users as the design is based on using fresh potable water (Figure 1a). In contrast, recirculating parks collect water in an underground tank, apply some form of water treatment, and re-use the water again (Figure 1b). This presents an increased risk of contamination
The future of publichealth research The future of publichealth research Summary report of a workshop held 20-21 July 2017 The Academy of Medical Sciences The Academy of Medical Sciences The Academy of Medical Sciences is the independent body in the UK representing the diversity of medical science. Our mission is to promote medical science and its translation into benefits for society. The Academy’s elected Fellows are the United Kingdom’s leading medical scientists from hospitals, academia (...) , industry and the public service. We work with them to promote excellence, influence policy to improve health and wealth, nurture the next generation of medical researchers, link academia, industry and the NHS, seize international opportunities and encourage dialogue about the medical sciences. Opinions expressed in this report do not necessarily represent the views of all participants at the event, the Academy of Medical Sciences or its Fellows, the NIHR, or the Faculty of PublicHealth. All web
Association of PublicHealth Initiatives With Outcomes for Out-of-Hospital Cardiac Arrest at Home and in Public Locations 28979980 2018 11 15 2380-6591 2 11 2017 Nov 01 JAMA cardiology JAMA Cardiol Association of PublicHealth Initiatives With Outcomes for Out-of-Hospital Cardiac Arrest at Home and in Public Locations. 1226-1235 10.1001/jamacardio.2017.3471 Little is known about the influence of comprehensive publichealth initiatives according to out-of-hospital cardiac arrest (OHCA) location (...) to Enhance Survival (CARES) from January 1, 2010, through December 31, 2014. The setting was 16 counties in North Carolina. Patients were stratified by home vs public OHCA. Publichealth initiatives to improve bystander and first-responder interventions included training members of the general population in CPR and in the use of automated external defibrillators, teaching first responders about team-based CPR (eg, automated external defibrillator use and high-performance CPR), and instructing dispatch
Predictors and consequences of rural clientsâ€™ satisfaction level in the district public-private mixed health system of Bangladesh 29202099 2018 11 13 2397-0642 2 2017 Global health research and policy Glob Health Res Policy Predictors and consequences of rural clients' satisfaction level in the district public-private mixed health system of Bangladesh. 31 10.1186/s41256-017-0052-9 We investigated predictors of the rural clients' satisfaction level (CSL), and interlinks between perceived (...) specific service quality (PSSQ), perceived utility value (PUV), CSL, and clients' reactions (CR) towards current and future utilization of providers and facilities in the public-private mixed health system of Bangladesh. A quantitative study using interviewer-administered questionnaire was conducted among 400 rural patients. CSL was measured both directly and indirectly. Clients' opinions of PSSQ relating to healthcare structure and process features were measured for indirectly assessing
Civil rights as determinants of publichealth and racial and ethnic health equity: Health care, education, employment, and housing in the United States 29250579 2018 11 13 2352-8273 4 2018 Apr SSM - population health SSM Popul Health Civil rights as determinants of publichealth and racial and ethnic health equity: Health care, education, employment, and housing in the United States. 17-24 10.1016/j.ssmph.2017.10.006 This essay examines how civil rights and their implementation have affected (...) when civil rights are enforced. Discrimination and segregation in housing persist because anti-discrimination civil rights laws have not been well enforced. Enforcement is an essential component for the success of civil rights law. Civil rights and their enforcement may be considered a powerful arena for publichealth theorizing, research, policy, and action. Hahn R A RA Division of PublicHealth Information Dissemination, Center for Surveillance, Epidemiology, and Laboratory Services, Centers
My Signals - Publichealth My Signals - Publichealth collection Dissemination Centre Search this site My Signals - Publichealth collection In My Signals , health and social care staff and service users tell us what research is important to them and why they feel others need to know about it. Join the conversation on Twitter and tell us which Signals have interested, excited or surprised you, using #MySignals. You can find out more or read the latest on the . In this collection, ( ), Director (...) of PublicHealth at Doncaster Council, explains the role of research evidence in publichealth, and highlights NIHR Signals of particular interest to people working to improve publichealth. Evidence use in publichealth Since April 2013, local authorities in England have regained their role in leading the local publichealth system. Whilst the transfer of publichealth from the NHS is a key part of this, it is worth remembering that local government was already working to improve social, economic
Transport and publichealth in China: the road to a healthy future. Transportation-related risk factors are a major source of morbidity and mortality in China, where the expansion of road networks and surges in personal vehicle ownership are having profound effects on publichealth. Road traffic injuries and fatalities have increased alongside increased use of motorised transport in China, and accident injury risk is aggravated by inadequate emergency response systems and trauma care. National (...) air quality standards and emission control technologies are having a positive effect on air quality, but persistent air pollution is increasingly attributable to a growing and outdated vehicle fleet and to famously congested roads. Urban design favours motorised transport, and physical activity and its associated health benefits are hindered by poor urban infrastructure. Transport emissions of greenhouse gases contribute substantially to regional and global climate change, which compound public
A PublicHealth Preparedness Logic Model: Assessing Preparedness for Cross-border Threats in the European Region 29058967 2018 06 06 2018 11 13 2326-5108 15 5 2017 Sep/Oct Health security Health Secur A PublicHealth Preparedness Logic Model: Assessing Preparedness for Cross-border Threats in the European Region. 473-482 10.1089/hs.2016.0126 Improving preparedness in the European region requires a clear understanding of what European Union (EU) member states should be able to do, whether acting (...) internally or in cooperation with each other or the EU and other multilateral organizations. We have developed a preparedness logic model that specifies the aims and objectives of publichealth preparedness, as well as the response capabilities and preparedness capacities needed to achieve them. The capabilities, which describe the ability to effectively use capacities to identify, characterize, and respond to emergencies, are organized into 5 categories. The first 3 categories-(1) assessment; (2) policy
HIV and Chronic Pain, Part 2: Addressing the Opioid PublicHealth Crisis 29662723 2018 11 14 2168-3808 35 4 2017 Oct Rehabilitation oncology (American Physical Therapy Association. Oncology Section) Rehabil Oncol HIV and Chronic Pain, Part 2: Addressing the Opioid PublicHealth Crisis. 197-198 Pullen Sara D SD Emory University School of Medicine, Department of Rehabilitation Medicine, Atlanta, GA 30322. eng P30 AI050409 AI NIAID NIH HHS United States Journal Article United States Rehabil Oncol
Beyond pulmonary nontuberculous mycobacteria disease: do extra-pulmonary forms represent an emerging clinical and publichealth threat? 28948162 2018 11 13 2312-0541 3 3 2017 Jul ERJ open research ERJ Open Res Beyond pulmonary nontuberculous mycobacteria disease: do extra-pulmonary forms represent an emerging clinical and publichealth threat? 00091-2017 10.1183/23120541.00091-2017 Pulmonary and extra-pulmonary diseases caused by nontuberculous mycobacteria: new clinical and publichealth
The International Health Regulations (IHR) – 10 years of global publichealth security – Le Règlement sanitaire international (RSI) – 10 ans de sécurité sanitaire mondiale WHO IRIS: The International Health Regulations (IHR) – 10 years of global publichealth security – Le Règlement sanitaire international (RSI) – 10 ans de sécurité sanitaire mondiale Browse Related links Files in This Item: File Description Size Format 161.66 kB Adobe PDF Title: The International Health Regulations (IHR) – 10 (...) years of global publichealth security – Le Règlement sanitaire international (RSI) – 10 ans de sécurité sanitaire mondiale Authors: Issue Date: 8-Sep-2017 Publisher: World Health Organization = Organisation mondiale de la Santé Journal: Weekly Epidemiological Record = Relevé épidémiologique hebdomadaire, 92 (36): 534-536 Place of publication: Geneva = Genève Language: English French Description: 3 p Subject: URI: Appears in Collections: Items in WHO IRIS are protected by copyright, with all rights
Investment for health and well-being: a review of the social return on investment from publichealth policies to support implementing the Sustainable Development Goals by building on Health 2020 HEALTH EVIDENCE NETWORK SYNTHESIS REPORT 51 Investment for health and well-being: a review of the social return on investment from publichealth policies to support implementing the Sustainable Development Goals by building on Health 2020 Mariana Dyakova | Christoph Hamelmann | Mark A. Bellis | Elodie (...) Besnier Charlotte N.B. Grey | Kathryn Ashton | Anna Schwappach | Christine ClarThe Health Evidence Network HEN – the Health Evidence Network – is an information service for publichealth decision-makers in the WHO European Region, in action since 2003 and initiated and coordinated by the WHO Regional Office for Europe under the umbrella of the European Health Information Initiative (a multipartner network coordinating all health information activities in the WHO European Region). HEN supports public
The tyranny of the averages and the indiscriminate use of risk factors in publichealth: The case of coronary heart disease 29349257 2018 11 13 2352-8273 3 2017 Dec SSM - population health SSM Popul Health The tyranny of the averages and the indiscriminate use of risk factors in publichealth: The case of coronary heart disease. 684-698 10.1016/j.ssmph.2017.08.005 Modern medicine is overwhelmed by a plethora of both established risk factors and novel biomarkers for diseases. The majority (...) very little to the discriminatory accuracy (DA) of traditional risk factors. However, the value added by traditional risk factors alongside simple demographic variables such as age and sex has been the subject of less discussion. Moreover, in publichealth, we use the OR to calculate the population attributable fraction (PAF), although this measure fails to consider the DA of the risk factor it represents. Therefore, focusing on CHD and applying measures of DA, we re-examine the role of individual
Improving the quality of care in the publichealth system in Bangladesh: building on new evidence and current policy levers WHO IRIS: Improving the quality of care in the publichealth system in Bangladesh: building on new evidence and current policy levers Browse Related links Files in This Item: File Description Size Format 885.85 kB Adobe PDF Title: Improving the quality of care in the publichealth system in Bangladesh: building on new evidence and current policy levers Authors: Issue Date (...) : Aug-2017 Publisher: World Health Organization. Regional Office for South-East Asia Place of publication: New Delhi Language: English Gov't Doc #: SEA-APO-001 URI: Appears in Collections: Items in WHO IRIS are protected by copyright, with all rights reserved, unless otherwise indicated. |
Tea, talk and technology: patient and public involvement to improve connected health â€˜wearablesâ€™ research in dementia 29062537 2018 11 13 2056-7529 3 2017 Research involvement and engagement Res Involv Engagem Tea, talk and technology: patient and public involvement to improve connected health 'wearables' research in dementia. 12 10.1186/s40900-017-0063-1 There are a growing number of mobile phones, watches and electronic devices which can be worn on the body to track aspects of health (...) public involvement Physical activity Public engagement Wearable e-health m-health 2017 01 10 2017 07 24 2017 10 25 6 0 2017 10 25 6 0 2017 10 25 6 1 epublish 29062537 10.1186/s40900-017-0063-1 63 PMC5611650 BMC Med Ethics. 2016 Nov 10;17 (1):73 27832780 Chron Respir Dis. 2016 May;13(2):189-91 27440790 Br J Clin Pharmacol. 2016 Feb;81(2):196-8 26542184 Dementia (London). 2016 Oct 16;:null 27753612 PLoS Med. 2016 Feb 02;13(2):e1001953 26836780 Comput Human Behav. 2010 Nov 1;26(6):1710-1721 20967133
Evolutionary publichealth: introducing the concept. The emerging discipline of evolutionary medicine is breaking new ground in understanding why people become ill. However, the value of evolutionary analyses of human physiology and behaviour is only beginning to be recognised in the field of publichealth. Core principles come from life history theory, which analyses the allocation of finite amounts of energy between four competing functions-maintenance, growth, reproduction, and defence (...) . A central tenet of evolutionary theory is that organisms are selected to allocate energy and time to maximise reproductive success, rather than health or longevity. Ecological interactions that influence mortality risk, nutrient availability, and pathogen burden shape energy allocation strategies throughout the life course, thereby affecting diverse health outcomes. Publichealth interventions could improve their own effectiveness by incorporating an evolutionary perspective. In particular, evolutionary
Publichealth information in crisis-affected populations: a review of methods and their use for advocacy and action. Valid and timely information about various domains of publichealth underpins the effectiveness of humanitarian publichealth interventions in crises. However, obstacles including insecurity, insufficient resources and skills for data collection and analysis, and absence of validated methods combine to hamper the quantity and quality of publichealth information available (...) to humanitarian responders. This paper, the second in a Series of four papers, reviews available methods to collect publichealth data pertaining to different domains of health and health services in crisis settings, including population size and composition, exposure to armed attacks, sexual and gender-based violence, food security and feeding practices, nutritional status, physical and mental health outcomes, publichealth service availability, coverage and effectiveness, and mortality. The paper also