1990 Public Health Matters
نویسنده
چکیده
The managerial revolution in the health services of the Thatcher years included the field of public health: thus from 19891 the DHSS (NI) required each Area Board to designate a consultant in Public Health Medicine as the Board 'Director of Public Health' to oversee 'not only efforts to preserve health ... but also the provision of effective and efficient services to restore the sick to health ... and to reduce suffering, disability and dependence'.2 Each Director published his first annual report (for 1988) in October 1989: the subject of this review is the third annual report by Dr Gabriel Scally, Director of Public Health of the Eastern Board. These reports are not to be confused with the Annual Reports of the Boards, their various Supplements, nor the Annual Report of the Chief Medical Officer of DHSS (NI). Few fields have benefitted more from reports of public officers than has public health: 'The establish ment of the office of Registrar-General in 1837 marks a major turning point in the history of public health as well as of demography in Britain'.3 It is no accident that Britain's most influential Victorian public health pioneers were public servants William Farr ('compiler of abstracts' at the GRO), John Simon (medical officer to the Local Government Board and the Privy Council), and Edwin Chadwick (secretary to the Poor Law Commission). To emulate them their heirs must improve the present knowledge-base on the relationship between, on the one hand, the provision of health and other services and, on the other, population or individual health, and instigate those recommendations in the recent Green Paper4 concerning monitoring, assessing and evaluating indicators of 'health gain' rather than of 'process' or 'provision'. This will require a conceptual grasp of basics, sound views on health and sickness determinants, intellectual courage, awareness of political imperatives, and a consistent strategy over the years.
منابع مشابه
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ورودعنوان ژورنال:
- The Ulster Medical Journal
دوره 61 شماره
صفحات -
تاریخ انتشار 1992