The Role of Structure and agency in the Public health Problems Sample Essay

The function of construction and bureau in the public wellness jobs peculiarly on usage of baccy. the usage of illicit drugs. and homelessness may be place with the policies and guidelines that buttocks and addresses the negative consequence of baccy. drugs and homeless on public wellness. In order to understand the function of construction and bureau in the public wellness jobs. it is really necessary that we have clear apprehension of what are the constructions and bureaus in the public wellness system. Structure in public wellness system varies harmonizing to the theoretical accounts that are most effectual to certain public wellness system.

Larry S. Gage. Anne B. Camper. and Robert B. Falk ( 2006 ) . stated in their article entitledLegal Structure and Governance of Public infirmaries and Health Systemsthat. many infirmaries and public wellness system have chosen their ain constructions through statute laws when the bing theoretical account did non adequately turn to their demands ( p. 6 ) . Pot. Camper. and Falk identified some constructions or theoretical account of public wellness based on how these public wellness systems are turn toing the demand of the public wellness. TheDirect Operation by Local Governmentconstruction of public wellness system meant that the direction of public wellness services is straight administered by the local authorities even if the public wellness systems have the consultative board ( Gage. Camper. & A ; Falk p. 6 ) .

Another construction of public wellness system isthe Direct Operation by State Government or University.Pot. Camper. and Falk noted that. most public wellness systems are capable to Procurement. civil service. and other limitation customized to a large province authorities or a university. instead than to a wellness attention system. The advantage of this structure/model it facilitates integrated planning and distribution of resources while in the instance university infirmaries it helps integrate the instruction and the explorative missions with the patient attention.

TheSeparate Board within Government Entitystructure/model is comparatively independent entity as it manages its day-to-day operation through its public wellness board. Although they do non stand for a lawfully independent organic structure. they exercise a higher grade of liberty than direct operation by province or local authorities. There are other constructions of public wellness system supplying benefits to province occupants. which are authorities entities irrespective of their constructions or theoretical account used to run the public wellness system.

The function of the Structure and bureau in Public wellness jobs

As we have seen in the treatment above. construction is of import in the operation of the public wellness system. peculiarly to ease the proviso necessary to prolong its bringing of basic services to the populace. It besides helps to ease resources. every bit good as to puting the way of its operation. based on the guidelines provided by either the State or the University. and implement plans designed to turn to public wellness jobs.

Three of the most urgent jobs of the public wellness today are the usage of baccy. the usage of illicit drugs. and homelessness.

The Use of Tobacco

The usage baccy has been the most controversial issue among other public wellness jobs as the baccy industry contributes a significant sum both politically and economically. Ronald Bayer and James Colgrove ( 2004 ) cited in their article entitledUnfiltered: Conflicts over Tobacco Policy and Public Healththe survey funded by the baccy industry in 1994 that some 1. 8 million people were employ in tobacco-related occupations and the industry has generated a immense $ 36 billion fiscal part in signifier of province and federal revenue enhancement grosss ( p. 8 ) . Nevertheless. Bayer and Colgrove pointed out that. during the 1950’s series of open uping surveies on the consequence of smoking on public wellness reveals that lung malignant neoplastic disease and respiratory diseases are linked to smoke ( p. 9 ) .

This survey was upheld a decennary subsequently by the Royal College of Physicians of London in 1962 by flatly saying that coffin nail smoke is a cause of bronchitis and lung malignant neoplastic disease and most likely contributes to the being of coronary bosom disease ( Bayer & A ; Colgrove. p. 9 ) . Today. it is established that malignant neoplastic disease of the lung. lip. oral cavity. voice box. tummy. vesica. and esophagus ; and besides not cancerous respiratory diseases such as chronic bronchitis and pneumonic emphysema. cardiovascular disease. peptic ulcer. and many other internal diseases. However. despite of the tremendous diseases linked to cigarette smoke. Bayer and Colgrove noted that in 1964. half of work forces and a 3rd of the adult females in the United States smoked.

Because of the powerful influence of the baccy industry. attempts to restrict the usage of baccy had been mostly unsuccessful. The deficiency of bureaus that would jointly transport on the attempts to contend against the consequence of coffin nail smoke has made it hard to turn to the job. as the political forces that the industry can rally are powerful plenty to defy attempts to halt coffin nail smoke. in position of its sick effects on public wellness. Tobacco industry can easy queer all steps that might dispute the standing of smoking in American society.

It is clear that the function of construction and bureau in turn toing public wellness plans is really of import in order to implement steps that may present challenge to big concern houses involve in the job. The function of public wellness bureaus is to place hazard or injuries and interfere to avoid or reconstitute them. It was evident that the failures of the Federal Trade Commission to turn to the wellness job caused by coffin nail smoke in the sixtiess were the deficiency of necessary support coming from established bureaus such as the American malignant neoplastic disease Society and the National Tuberculosis Association.

The Structures of public wellness system implement the policies and wellness steps that benefit the populace but when the steps are opposed by affected big concern house. the function of the bureau is to supply necessary aid to get the better of the hurdlings that hinders the executions of those steps. Such is besides the instance in the needle experiment strategy aimed at commanding HIV infection.

Warwick Anderson ( 1991 ) in his articleThe New York Needle Trial: The Politicss of Public Health in the age of Aidssexplained that the experiment was condemned outright by the jurisprudence enforcement bureau naming it “unthinkable” while many of the New York metropoliss minority leaders denounced it as unthinkable ( p. 1506 ) . Because of the deficiency of bureaus that teamed up with public wellness professional. no affair how good to the bulk the enterprise is. it can barely be successful against the powerful and extremely structured forces postulating the executions of such steps.

The Use of Illicit Drugs

The usage of illicit Drugs may non be every bit compared to the Numberss of baccy or coffin nail users as there are rigorous Torahs regulating the usage of illegal drugs. However. the consequence on public wellness of the usage of illicit drugs are every bit unsafe and some times. even fatal. The job of the usage of illicit drugs had come to its tallness in the early 1970s when the usage of diacetylmorphine had been increasing dramatically. James Q. Wilson stated in his article entitledAgainst the Legalization of Drugsthat in position of this societal malady. good known personalities in the rational society had even proposed for the legalisation of the usage of diacetylmorphine.

This proposal was non adopted. as it could hold led to a more serious job in the public wellness. During this clip. more immature people had been victims of drug dependence. which lead to many deceases of overdoses. or have acquired hepatitis due to their usage of dirty acerate leafs. Because of such impact of the usage of drugs on public wellness. Wilson stated that many people thought heroin epidemic would shortly overpower the society ( p. 21 ) .

However. what the people feared approximately did non happened as public wellness steps implemented has efficaciously addressed the job. Drug users were purely controlled although the usage of illicit drug was non wholly stopped. Wilson attributed the success in commanding the addition of drug users to the consequence of drugs on wellness as the very users of drugs had watched more and more users died of overdoses.

The function of construction and bureau in this public wellness job is seemingly to command the supply of the illegal drugs. The proposal to legalise the usage of drugs could hold merely worsened the general state of affairs of the public wellness system. as it will non pay any one to go addict or do some one an nut. Further more. by commanding the from purchasing peculiarly those whose fiscal capacity are limited. Although it is common even in many states around the universe that selling illegal drugs is a offense. but it is deserving adverting that efficient and effectual execution of the jurisprudence has made it hard for drug thrusters and users to prolong their activities ensuing to the diminution of the new recruits to utilize drugs.

The public wellness constructions and bureaus implementing strategic confederation with the jurisprudence enforcement bureaus are efficaciously turn toing the public wellness job. Wilson cited that in 1976. the age of common illicit drug users in hospital exigency suites was about 27. This dropped to 32 ten old ages subsequently. and even to over 30 old ages of age as old ages past by. The deduction of this observation of the age of people utilizing drugs is that they do non increase in Numberss. It means that the function of public wellness constructions and bureaus in the public wellness jobs about the usage of illicit drugs are more on measuring current steps whether it would genuinely be good to the public wellness. and collaborate with jurisprudence enforcement bureaus. about the possible execution of wellness policies.

The consequence Homelessness on Public wellness

Anthony Jackson stated. “The lodging industry trades on the cognition that no Western state can politically afford to allow its citizens to kip in the streets. ” In her study to fix for the Family Housing Fund. Ellen Hart-Shegos pointed out that. bulk of stateless people are individual parent adult females. who themselves were homeless as kids ( p. 2 ) . These adult females hurdlings many hinderances to healthy gestations. such as chronic and acute wellness jobs. chemical maltreatments. and deficiency of antenatal attention.

Homelessness badly affects kids excessively. Hart-Shegos noted that the child’s experience of homelessness decelerate down the physical. societal. emotional. cognitive. and behavioural development ( p. 2 ) . Academic public presentation of stateless kids is hindered both by the fortunes of their homelessness and by their hapless cognitive development. They barely score good on math. spelling. reading. and vocabulary trial and they by and large consistently display more wellness jobs even than underprivileged kids who have lodging. Trevor Hancock in his article entitledHomelessnessnoted some factors that contribute to homelessness.

Among these factors is the deficiency of low-cost lodging. unequal income supports. and alterations in the industrial economic system that leads to unemployment. the eroding of household and societal supports. and so fort. Hancock cited the consequence of homelessness to public such as high rates of infective disease. physical upsets. disablement. mental wellness jobs. and even premature deceases ( Honcock ) . Hancock cited that homeless people are besides prone to trauma. and good as to physical and sexual assault. Surveies reveal that homeless people are besides prone to endure from cardiovascular. respiratory and other diseases such as arthritis. and rheumatism.

The function of public wellness construction and public wellness bureaus is to help these stateless people and supply them necessary aid for them to assist their ain egos. The public wellness constructions and the public wellness bureaus should non merely give these people fish to eat but learn to larn how to angle and help them in their attempts to acquire out of their state of affairs.

Decision

Based on the above treatment. the Public wellness construction can therefore be defined as the people behind the direction of public wellness system. which implement the basic policy and guidelines of the public wellness system. They may compose of the consultative board and other organisational constructions with in the public wellness system. Public wellness bureau on the other manus may be defined as a peculiar office that has a specific map within the public wellness system. They may hold liberty from the public wellness construction but they are to help them to accomplish its end to be able to turn to the public wellness job facing the society.

Reference List

Anderson. W. ( 1991 ) .The New York Needle Trial: The Age of Public Health in the Age of AIDSVol. 81No. 11

Bayer R. & A ; Colgrove. J. ( 2004 ) .UnfilteredEngland: Harvard University Press

Pot. L. S. . Camper. A. B. . & A ; Falk. R. ( 2006 )Legal Structure and Governance of Public Hospitals and Health Systems

hypertext transfer protocol: //faculty. smu. edu/tmayo/1984. pdf

Hancock. T. Homelessness

hypertext transfer protocol: //www. healthline. com/galecontent/homelessness

Hopper. K. ( 2008 ) A Poor Apart: Social Exclusion. Homelessness and Mental Illness ( palatopharyngoplasty ) .

Shegos. E. Homelessness and its effects on Children

hypertext transfer protocol: //www. fhfund. org/_dnld/reports/SupportiveChildren. pdf

Wilson. J. Q. . ( 1990 ) . Against the legalisation