National Health Promotion Policy Impact

National Health Promotion Policy fixCritically analyse the impact of the National Health Promotion bulge outline 2000-2005 in the context of overall wellness readiness and the relevance to state-supported Health care forIntroductionThe National Health Promotion strategy addresses a new orientation towards illness prevention and reduction of map of secondary and tertiary saying at services. Its get a line focus on aspects of confederacy, wellness and the individual, and the intersections among these disparate elements, is suggestive of a great capacity for progress in chance on beas of wellness. This essay will look at this in proportion to health provision and cosmos Health treat in Ireland.Lifestyle Choices and Health, Population Approach and Major Determinants of HealthThe strategy considers the special(a) lifestyle factors and choices which appear to affect health in the Irish macrocosm, and examines key sectors and sub-groups of the population in relation to particular health posits. This is nothing new, and nurse in the community setting, in primary care and in semipermanent term tertiary care has long incorporated specialist provision for precise health-needs population groups (Watkins et al, 2003). However, health promotion at local and population levels may be focusing on a content of changing public opinion as well as personal choices, and on that point may be considerable resistance. explore might be essential into identifying where the greatest resistance is and in nonplusing strategies specifically to overcome this.Determinants of health remain related to issues such as socio-economic status and location, access to health services, level of education, and the like. These are wider public-health related issues, and ones which require longer term strategic modifications and longer term investment of resources. However, it might be that targeting the settings described at a lower place may contri exclusivelye to thi s. The policy/practice interface may change with time, with emergent social forces and changes in the economic climate, and so it may be important to build in a degree of flexibility and mountain chain for growth. Community organisations may play a key share here, but again, the funding of these is still indeterminate and poses questions for longer term sustainability.SettingsBringing health promotion into a range of community settings in a much proactive way seems a very positive step forward. Public health as a concept is very much or so every sector of the community (Cowley, 1995), and public health programmes are historically very much concerned with areas of greatest need (Ewles, 2005). However, the strategy would need to overcome the professional/cultural hegemonies of different settings, and set out ship canal in which inter-professional and inter-agency communications and collaborations can be fostered. Breaking down the barriers between health services, community settin gs, organisations and agencies may be challenging. An incorporation of primary care principles and models (Starfield, 1995), into other settings might be particularly challenging. There may be a real need to identify expertise in relation to professional knowledge of the identified settings and to use this expertise, as a office of delivering the strategy and as a means of educating a wider range of professionals to find identified needs. This could form part of the community health needs assessment, a mapping of existing resources and expertise against needs, and might perhaps form a more realistic component of the implementation of the strategy. However, this would have to be carried out on an individual level as well, which could in itself pose a significant resource question, in relation to who will go and consume the information about individual employee/professional expertise and capability addressable in each location, setting or district. The coordination of such a all- encompassing garnering of existing resources presents yet another challenge.Challenges and StrengthsWhile the strategy has a fond community focus, medical models still dominate much of the rhetoric. Medical models and community-focused health promotion do not necessarily sit well in concert (Carr, 2007). The issue of resources is also challenging, because while it will contribute to developing a skilled and responsive workforce, this itself must be resourced, as well as changes and expansions in service provision.TopicsThe topics focused on are unsurprising, and are key areas of health promotion need across the developed world. All of these are public health concerns for the general population, but although there is reference to intellectual health, there is not enough of a focus here on wellbeing and what constitutes wellbeing for different sectors of the community, social, racial, cultural or other. Similarly, it is important to look at the intersections between the different to pics, such as education and eating, socio-economic factors and goodish eating or lifestyles, and the like. This constitutes a major need for investigation and military rating as an ongoing component of the plan, drawing on academic resources as well as healthcare service resources.Public Health NursingThe role of the public health nurse in Ireland is that which is most suitable to deliver on all the above key areas of the strategy (Chavasse, 1995). However, the limitations of accepted systems might mean that public health nurses are being asked to be jack of all trades, and master of none. There may be a need to specialise in order to meet the needs of specific population sub-groups (Poulton et al, 2006 Barlow et al, 2007 Foxcroft et al, 2004). Public Health Nursing may provide a model of healthcare provision which can be used to develop services in line with the Strategy (Clarke, 2004 Markham and Carney, 2007), and contribute to the development of community health profiles, but e xtra resources will be required to curb they can do this as well as carrying out their patient-facing role (Clarke, 2004 Cowley, 1995). Public Health Nurses can also provide a means of disseminating good practice, service innovation, change and innovation. However, the considerable demands would suggest there is a need to examine the current models of provision and supervision of these key members of staff. final stageAcheson (1988) doctors public health as a community endeavour, the art and perception of preventing disease, promoting health and extending life through the organised efforts of society. This is a very praiseworthy sentiment, but it still remains to be seen if the priorities of those in power, in society, those who define policy, are able to meet the needs of all those who constitute that society, without prejudice, or inequality. The history of health services would suggest otherwise.ReferencesAcheson, D. (1988) Committee of Inquiry into the early Development of the Public Health function. HMSO, London. Acheson, D. (1988) Independent Inquiry into Inequalities in health. The letter paper Office, London.Barlow, J., Davis, H., McIntosh, E. et al (2007) Role of home visiting in improving parenting and health in families at risk of abuse and neglect results of a multicentre disarrange controlled trial and economic evaluation Archives of Disease in childishness 92 229-233.Carr, S.M. (2007) Leading change in public health factors that prohibit and facilitate energizing the process master(a) Health look at Research Development (2007), 8 207-215 Cambridge University PressChavasse, J. (1995) Public Health Nursing in the Republic of Ireland. Nursing Review 14 (1) 4-8.Clarke, J. (2004) Public Health Nursing in Ireland A Critical Overview *. Public Health Nursing. 21(2)191-198,Cowley, S. (1995) Health-as-process a health visiting perspective. Journal of Advanced Nursing. 22 433-441. plane section of Health and Children (2001) Primary Care a New Direction. easy from http//www.dohc.ie/publications/pdf/primcare.pdf?direct=1 Accessed 10-11-08.Department of Health and Children (2005) National Health Promotion Strategy 2000-2005 Dept. of Health Available from www.dohc.ie Accessed 17-11-08.Ewles, L. (2005). Key Topics in Public Health. London. 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