Public health methods and research could be of great value to healthcare! If we managed populations of people in health care settings, particularly primary care, using population/public health methods, we actually could preserve health very effectively. Almost 80% of the population visits a health care professional every year in Canada!! Imagine if we thought about them in terms of where they live, work and play instead of just their diagnosis.

Clinicians are talking about patient-oriented care. PH offers the opportunity to add the concepts underlying population oriented care.  I think there have been important conceptual shifts in health and healthcare thinking in recent years.  Even Institute for Health Improvement (IHI, the triple aim people) has added a population health pillar.  

PS - PH defines prevention  in three levels: primary (prevention in the conventional sense), secondary (preventing the harmful effects of risk taking e.g. smoking cessation) and tertiary (preventing the harmful effects of disease e.g. reducing the risk of stroke in people with HyT).  All three levels are considered in the development of PH interventions even if the last is the focus of health care system.

I think articles published in Journal of Healthcare Management can help. Thanks

https://ache.org/pubs/jhm/jhm_index.cfm

I am going to be deliberately provocative here: it doesn't! The reason is that public health research is all about prevention. Healthcare management is all about dealing with diseases and injuries that have not been prevented. Ideally, the two would never overlap. The major contribution of public health to healthcare management should be demand reduction. The major contribution of healthcare management to public health should be to deal with the failures of prevention and the inevitable burden of disease and injury that cannot be prevented.

See the argument put forward by Sir Geoffrey Rose (easy to find - there is a book by this name and a widely-cited review article) on the Strategies of Prevention. He makes a clear distinction between strategies he labels "public health" (which protects entire populations by controlling hazard and reducing risk) and "preventive medicine" (which protects individuals at high risk after identifying them through screening programs).

In this scheme, the main contribution of healthcare to preventive medicine (as distinct from public health in Rose's model) should be to prevent progression to disease after screening for disease (secondary prevention) and prevention of disability after disease and injury occur (tertiary prevention). The main contribution of preventive medicine to healthcare would be demand reduction (as for public health) and to provide an infrastructure for the delivery of individualized services, such as immunization. Again, the healthcare system also deals with diseases and injuries that were not or cannot be prevented.

In practice they do overlap, to some extent. Health services planning is based, directly or indirectly, on estimates of the prevalence of disease in a community and need for services and some preventive services (such as immunizations) are provided through the healthcare system as preventive medicine services.

There is a large literature, esp. from the 1980's and 1990's, on epidemiology in healthcare services and planning.

You might find our book Occupational Health Services: A Practical Approach 2/ed (Routledge, 2013) of interest, but it emphasizes occupational health. We have another book coming out next month called Health and Sustainability (Oxford, 2015) that discusses healthcare, public health, population health (a more policy-oriented approach to public health) in the context of environmental health and sustainability.

Sorry to go on for so long.

Thanks Tee Guidotti a lot for the valuable,  detailed comments

Thank you so much Tee for your thorough response and thank you Tilahun for pointing me to some articles.  Your contributions really helped.

My views:

Public Health Problems are managed through Public Health Management  Knowledge and Skills. Which are mostly Project/Programme Management, Various Tools and Techniques, Human Resource Management, Monitoring & Evaluation etc. etc.

Where are Healthcare Management is related to Hospital/Healthcare Organisation management. The knowledge and skills involved are Financial Mgt, Marketing Mgt, Human Resources Mgt, Operations Mgt., Organisational Behavior, Procurement and Supply chain mgt. etc. etc.

Public Health Research most often is related to diseases, epidemiology, prevention strategies, Magnitude etc. and very few research on Public Health Management which is a solution for Public Health Problems.

In the last few decades, management plays an important role in tackling the problems of health. Sector. By applying managerial skills, we can manage these problems scientifically. So we can apply principles of management in public health. These are just tools which we can use. Study objective is not tackling public health management through public health research, but research on management, how this science helps us to improve the public health services.

Public health methods and research could be of great value to healthcare! If we managed populations of people in health care settings, particularly primary care, using population/public health methods, we actually could preserve health very effectively. Almost 80% of the population visits a health care professional every year in Canada!! Imagine if we thought about them in terms of where they live, work and play instead of just their diagnosis.

Clinicians are talking about patient-oriented care. PH offers the opportunity to add the concepts underlying population oriented care.  I think there have been important conceptual shifts in health and healthcare thinking in recent years.  Even Institute for Health Improvement (IHI, the triple aim people) has added a population health pillar.  

PS - PH defines prevention  in three levels: primary (prevention in the conventional sense), secondary (preventing the harmful effects of risk taking e.g. smoking cessation) and tertiary (preventing the harmful effects of disease e.g. reducing the risk of stroke in people with HyT).  All three levels are considered in the development of PH interventions even if the last is the focus of health care system.

I agree with Maura Ricketts

Hello-

I agree with  Maura also.  Public Health encompasses all levels of prevention as the goal is prevention of disease and/or injury or further disease or injury.  Public Health is about prevention however the field encompasses really all aspects of health.

Well.

I think there is no single answer of how does public health research contribute to tackling the challenges facing healthcare management because,firstly the conceptual framework of public health and health care management are different. Secondly, public health research have a different inclination from management research. 

Briefly I would say,since health care system faces various management challenges which can be grouped as policy, strategic and/or operational challenges. Then, a public health research might be designed to address these challenges.

I am not sure whether you are asking whether public health research can be used for tackling health care management issues or whether you are asking whether there has been research on the application of public health research to health care management issues.  .

If the former the answer is of course yes.  Just as public health uses research from many fields (e.g., business, medicine, sociology, economics, public administration, etc.), other fields can benefit from public health research. To not utilize public health research when trying to solve

If the latter, I do not know but is seems like such a no-brainer that I doubt it.

Problem identification is globally accepted as half solution to the problem. Hence, public health research avails us of previously unknown or unverified facts about our public health. Once discovered, it is discussed. Matters of such discussion get to the appropriate quarters through publications and dissemination of the facts as recommendations. As such, the public health authorities and government take appropriate steps to tackling such anomalies and or otherwise.

Thank you

Adeleke IT

100436H

Hi 

yes , there is no clinical verdict without research , this the principle   , health care management is aide term including from the Heath system design to clinical practice and public health from my perspective including health care , I think the WHO report 2013 (research for universal Heath coverage is agood guide and have a lot of successful stories may answering your question and help you ,

thanks 

saleh -Iraq