HealthLINE Texas Woman’s University T. Boone Pickens Institute of Health Sciences January 17, 2013...
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Transcript of HealthLINE Texas Woman’s University T. Boone Pickens Institute of Health Sciences January 17, 2013...
HealthLINETexas Woman’s University T. Boone Pickens Institute of Health Sciences January 17, 2013
Public Health Information on the Web
Agenda
Overview - What is public health?Health promotion and educationEvidence-based practiceStatistics and Data SetsKeeping UpExercises
What is Public Health?
MISSION: improve/promote physical and mental healthprevent disease, injury and disability
http://www.whatispublichealth.org (Association of Schools of Public Health)
VISION: Healthy People in Healthy Communities
What is Public Health?
20th Century’s Ten Great Public Health Achievements in the U.S.
• Vaccination• Motor vehicle safety• Control of infectious diseases• Safer workplaces• Safer and healthier foods• Family planning• Fluoridation of drinking water• Recognition of tobacco use as a health hazard• Healthier mothers and babies• Decline in deaths from coronary heart disease
and stroke
Partners in Information Access for the Public Health Workforce
• Collaboration of U.S. government agencies, public health organizations and health science libraries.
• Mission: Helping the public health workforce find and use information effectively to improve and protect the public’s health.
http://phpartners.org/
Partners in Information Access for the Public Health Workforce
Agency for Healthcare Research and Quality (AHRQ) American Public Health Association (APHA) Association of Schools of Public Health (ASPH) Association of State and Territorial Health Officials (ASTHO) Centers for Disease Control and Prevention (CDC) Health Resources and Services Administration (HRSA) Medical Library Association (MLA) National Agricultural Library National Association of County and City Health Officials
(NACCHO) National Association of Local Boards of Health (NALBOH) National Library of Medicine (NLM) National Network of Libraries of Medicine (NN/LM) Public Health Foundation (PHF) Society for Public Health Education (SOPHE)
http://phpartners.org/
Core Functions and Essential Services
3 core functions
10 essential serviceshttp://www.health.gov/phfunctions/public.htm
Health Promotion & Education
Resources for health educators and health promotion specialists.
Putting good information in the hands of those who need it.
An informed public is a healthy public.
Health Promotion & Education
MedlinePlushttp://www.medlineplus.gov Health Topics
Frequently Requested TopicsMultiple Languages (now 49!) Health and WellnessDemographic GroupsHealth News
Drugs & SupplementsVideos & Cool Tools
Health Promotion and Education
Agency for Healthcare Research and Quality (AHRQ)http://www.ahrq.gov Sections useful for health educators and Public Health
Preparedness
American Public Health Association (APHA)“Healthy You”
http://thenationshealth.aphapublications.org/ Free health fact sheets on a variety of topics
Get Ready Campaign and National PublicHealth Week
Health Promotion & Education• Centers for Disease Control and Prevention (CDC)
▫ http://www.cdc.gov▫ A – Z Index▫ For Specific Groups: State, Tribal, Local & Territorial Public
Health Professionals Gateway ▫ New Health Literacy website:
http://www.cdc.gov/healthliteracy
• Food and Drug Administration (FDA)▫ http://www.fda.gov▫ A to Z Subject Index▫ FDA For You: For Consumers & Patients, For Health
Professionals
Health Promotion & Education
Healthy Roads MediaHealth information in many languages and
multiple formatshttp://www.healthyroadsmedia.org
Refugee Health Information Network (RHIN) Health and cultural information for refugees
and health providers http://www.rhin.org/
Exercises Part 1
Evidence-Based Practice
Evidence-Based Practice
Collection of scientific evidence to support decisions in public health.
Why is it important?Allocation of resourcesReturn on investment
For every $1 spent on smoking cessation programs, you save $1.50 in reduction of health care costs
Example: “City Initiative Brings Fresh Produce to Houston’s ‘Food Deserts’”
Evidence-Based Public Health
“the development, implementation, and evaluation of effective programs and policies in public health through application of principles of scientific reasoning, including systematic uses of data and information systems, and appropriate use of behavioral science theory and program planning models.”
Source: Brownson, Ross C., Elizabeth A. Baker, Terry L. Leet, and Kathleen N. Gillespie, Editors. Evidence-Based Public Health. New York: Oxford University Press, 2003.
PHPartners.org
Literature and GuidelinesPubMed
More than 20 million citations for biomedical articleshttp://pubmed.gov/
“Research is Just a Click Away…”Individual Journal TitlesNewslettersAgency Reports
Evidence-Based Public Health
• Healthy People 2020 Structured Evidence Queries ▫ http://phpartners.org/hp2020/index.html
• Guide to Community Preventive Services▫ Summaries of population-based interventions▫ CDC and U.S. Dept. of Health & Human Services▫ http://thecommunityguide.org
Evidence-Based Public Health
• NACCHO Model Practices Database▫ National Association of County & City Health
Officials▫ http://www.naccho.org/topics/modelpractices
/database/
• National Guideline Clearinghouse (AHRQ)• Guidelines with recommendations,
strategies, etc.• http://www.guideline.gov/
Exercises, Part 2
Break!!
Statistics & Data Sets
• Caveat: statistics are collected to meet the needs of the collector!
• Organizational perspective and bias • Biases can determine what data are collected,
how they are collected and outcomes that are reported• Data: raw numbers; must be processed to be of practical
use• Statistics: analyzed raw data in a meaningful format
To count … or not to count
“Everything that can be counted does not necessarily count; everything that counts cannot necessarily be counted.”
--Albert Einstein
Key Features of Health Statistics
• Population based• Measure a wide range of health indicators• Often collected and analyzed over a period of
time• Include different types of data
▫ Vital (birth, death, marriage, divorce)▫ Morbidity & mortality▫ Use and cost of health care▫ Epidemiology
How is the data gathered?
Uses of Data and Statistics
Measure wide range of health indicators
Assess costs of health care
Identify needed prevention targets for outcomes (e.g. Healthy People 2020)
Evaluate effectiveness of public health programs
Health Data Tools & Statistics
PHPartners.orgGateway to a wealth of statistics sites and data
sets
CDC Data and StatisticsCDC is the best in the world for data & statisticsNational Center for Health Statistics (NCHS)http://www.cdc.gov/DataStatistics/ http://www.cdc.gov/nchs/
Health Data Tools & StatisticsFastStats A – Z
http://www.cdc.gov/nchs/fastats/ Quick access to topics relevant to public healthA to Z listing
BRFSS (Behavioral Risk Factor Surveillance System) http://www.cdc.gov/brfss/ World’s largest telephone survey (both landlines
and cell phones) Tracks health risks in the U.S.
WISQARS (Web-based Injury Statistics Query and Reporting Systems)http://www.cdc.gov/injury/wisqars Information on fatal and non-fatal injuries
Health Data Tools & Statistics
State Health Facts Online (Kaiser Family Foundation)http://www.statehealthfacts.orgAllows comparison on a state level
County Health Rankingshttp://www.countyhealthrankings.orgProvides snapshot of a county’s overall
health
Exercises, Part 3
Keeping Up and Staying Informed
Staying informed is a professional responsibility.
Being informed is important at every level.
Efficient strategies provide the most value (relevant items) while expending the least amount of time.
It’s easy to become overwhelmed!
Why is it important?Ever-increasing amounts of informationNew legislation New guidelinesFunding
StrategiesEmail lists and RSS feeds Tables of contents of journalsAutomatic update searches (e.g. My NCBI)Social media (Twitter, Facebook, blogs)Joining or following organizations (APHA,
NACCHO, SOPHE)Not all information is available electronically
Thank you!
Cheryl Rowan, Consumer Health CoordinatorNational Network of Libraries of Medicine, South
Central Region [email protected]://nnlm.nih.gov/scr
South Central Region
Closing thoughts….
“Clean water and health care and school and food and tin roofs and cement floors, all of
these things should constitute a set of basics that people must have as birthrights.”
~Paul Farmer, Mountains Beyond Mountains,
founder, Partners in Health