Ask many practicing public health professionals in the Caribbean (and North America) about the abundance of health models/theories versus the actual long-term practical problem solving success of any ongoing or current public health program/ mandate; and you would start what would likely end in a debate. The responses would likely depend on background, educational/ institutional affiliations, socio-economic level, and personal belief (including religion), present job satisfaction and personal experience with that specific issue or program. In the Caribbean therefore, the successful implementation (short-term and long-term problem solving success) of any ongoing or current public health program/ healthcare mandate requires that both national and locally established methods and definitions must comply with the spirit and intent of generally accepted international public health regulations. It does not require that exactly what was applied successfully in Canada and the United States must be copied and implemented unchanged. The combination of all the above, has lead to what amounts (over the past century of public health policies definitions and practice) to a generally self perpetuating array of analysis and counter analyses of accepted definitions and approaches and models. This has been a double-edged sword which when applied skillfully, improves the overall well-being of its target population and when poorly applied; could actually regress an already existing positive impact or at least greatly diminish expected positive outcomes. The efficient and strategic implementation of health models, public health programs and healthcare mandates would positively impact the previously highlighted "5 Major Factors impact Healthcare Delivery in the I. Island Politics, II. Island Population Size |
Thursday, August 20, 2009
Healthcare in the Caribbean - Implementing Practical & Successful Long-Term Problem Solving Strategies
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