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Practising Public HealthAn Eyewitness Account$
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John Ashton

Print publication date: 2019

Print ISBN-13: 9780198743170

Published to Oxford Scholarship Online: January 2020

DOI: 10.1093/oso/9780198743170.001.0001

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PRINTED FROM OXFORD SCHOLARSHIP ONLINE (oxford.universitypressscholarship.com). (c) Copyright Oxford University Press, 2020. All Rights Reserved. An individual user may print out a PDF of a single chapter of a monograph in OSO for personal use. date: 27 October 2020

Population health care

Population health care

(p.142) Chapter 6 Population health care
Practising Public Health

John Ashton

Oxford University Press

This chapter addresses the value of health services as a public health measure and makes the case for the use of public health skills in health service planning. The question as to what sort of health services are most appropriate to optimize population health is explored with reference to the development of the World Health Organization Alma Ata Declaration with its emphasis on the eight elements of primary health care. The application of epidemiological thinking in National Health Service frameworks for health care is described. Examples of the use of a public health approach in health care planning include: planned parenthood and family planning services; population-based diabetic retinopathy screening; and whole-system health care transformation in the county of Cumbria. Also covered are the proactive role of the mainstream media in taking the public on a journey of change and the handling of serious clinical service failure in the form of inappropriate organ retention at the Alder Hey Children’s Hospital, breast screening failure in a Cumbrian hospital, and a corporate clinical disaster at the Morecambe Bay University Hospitals.

Keywords:   uses of epidemiology, health care public health, planning appropriate health services, wider health system, Wanless Report

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