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Mayo Clin Proc Innov Qual Outcomes. 2021 Feb;5(1):11-22. doi: 10.1016/j.mayocpiqo.2020.08.011. Epub 2020 Nov 19.

Improving Collaboration Between Public Health and Medicine: A Timely Survey of Clinician Public Health Knowledge, Training, and Engagement.

Mayo Clinic proceedings. Innovations, quality & outcomes

Shari Bornstein, James R Markos, M Hassan Murad, Karen Mauck, Robin Molella

Affiliations

  1. Division of General Internal Medicine, Department of Internal Medicine, Mayo Clinic, Rochester, MN.
  2. Mayo Clinic Alix School of Medicine, Rochester, MN.
  3. Preventive Medicine, Mayo Clinic, Rochester, MN.

PMID: 33230501 PMCID: PMC7674114 DOI: 10.1016/j.mayocpiqo.2020.08.011

Abstract

OBJECTIVE: To assess the core knowledge of health indicators, federal health programs, and public health functions in practicing clinicians along with perceptions of their education and engagement with public health.

PATIENTS AND METHODS: A paper survey in booklet form was administered to attendees at 2 general medical conferences in May 2019. The survey was divided into 5 sections: knowledge of health systems and policy, knowledge of public health concepts and function, public health engagement, public health education, and demographics.

RESULTS: One hundred two surveys were received from 402 attendees (response rate, 24.3%). Most were male (56%), older than 50 years (51%), and physicians (86%). Respondents had a fairly good knowledge of federal health programs (77%) and public health functions (84%), but less than half had a personal interaction with public health in the past 2 years (45%) or were aware of how to work with public health organizations in their community (46%). Only a few respondents rated their public health training as good or excellent during their primary degree (7%) or graduate medical education (15%), and most (75%) were interested in learning more about public health and health policy.

CONCLUSION: Respondents had generally good foundational knowledge of federal health programs and public health functions, although some gaps were identified. Inclusion of health policy and public health topics in continuing medical education would be well received by clinicians. To improve collaboration between public health and medicine, public health should personally engage clinicians more and explain how they can work together to improve population health.

© 2020 Mayo Foundation for Medical Education and Research. Published by Elsevier Inc.

Keywords: ACA, Patient Protection and Affordable Care Act; AMA, American Medical Association; CDC, Centers for Disease Control and Prevention; CME, continuing medical education; COVID-19, coronavirus disease 2019

References

  1. J Biomed Inform. 2009 Apr;42(2):377-81 - PubMed
  2. J Public Health Manag Pract. 2009 Nov-Dec;15(6):471-8 - PubMed
  3. Cureus. 2019 Jul 23;11(7):e5213 - PubMed
  4. Am J Prev Med. 2005 Aug;29(2):149-53 - PubMed
  5. Acad Med. 2008 Apr;83(4):399-407 - PubMed
  6. Am J Public Health. 2012 Jun;102 Suppl 3:S333-5 - PubMed
  7. Am J Public Health. 2012 Jun;102 Suppl 3:S307-9 - PubMed
  8. J Public Health Manag Pract. 2017 Nov/Dec;23(6):581-588 - PubMed
  9. Am J Prev Med. 2004 Dec;27(5):471-6 - PubMed
  10. J Biomed Inform. 2019 Jul;95:103208 - PubMed
  11. CMAJ Open. 2014 Oct 01;2(4):E288-94 - PubMed
  12. Teach Learn Med. 2017 Jul-Sep;29(3):255-267 - PubMed
  13. Am J Public Health. 2012 Jun;102 Suppl 3:S310-1 - PubMed
  14. J Public Health Manag Pract. 2003 Nov-Dec;9(6):440-2 - PubMed
  15. Otolaryngol Head Neck Surg. 2014 Feb;150(2):229-34 - PubMed
  16. Arch Intern Med. 2012 Nov 12;172(20):1603-5 - PubMed
  17. Acad Med. 2005 May;80(5):484-8 - PubMed
  18. Acad Med. 2010 Feb;85(2):211-9 - PubMed
  19. Pediatrics. 2018 Feb;141(2): - PubMed
  20. Am J Public Health. 2014 Jan;104(1):124-33 - PubMed
  21. Acad Med. 2009 Sep;84(9):1301-6 - PubMed
  22. N Engl J Med. 2011 Mar 10;364(10):e19 - PubMed
  23. Am J Prev Med. 2014 Nov;47(5 Suppl 3):S360-7 - PubMed

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