       Document 0158
 DOCN  M95B0158
 TI    A public health approach to emergency medicine: preparing for the
       twenty-first century [see comments]
 DT    9511
 AU    Bernstein E; Goldfrank LR; Kellerman AL; Hargarten SW; Jui J; Fish SS;
       Herbert BH; Flores C; Caravati ME; Krishel S; et al; Department of
       Emergency Medicine, University Medical Center,; Boston City Hospital,
       Boston, USA.
 SO    Acad Emerg Med. 1994 May-Jun;1(3):277-86. Unique Identifier : AIDSLINE
       MED/95346659
 CM    Comment in: Acad Emerg Med 1994 May-Jun;1(3):203 Comment in: Acad Emerg
       Med 1994 May-Jun;1(3):204
 AB    This paper focuses on the implications of an inadequate public
       health/preventive health care system for emergency medicine (EM), the
       role that EM providers can play in remedying critical health problems,
       and the benefits gained from a public health approach to EM. A broad
       definition of public health is adopted, suggesting shared goals of
       public health and EM. Critical problems posed for EM include alcohol,
       tobacco, and other drug abuse; injury; violence; sexually transmitted
       diseases and human immunodeficiency virus (HIV) infection occupational
       and environmental exposures; and the unmet health needs of minorities
       and women. A blueprint for future merging of public health issues with
       EM is presented that includes the application of public health
       principles to 1) clinical practice; 2) public education, community
       involvement, and public policy advocacy; 3) development of medical
       school and residency public health/prevention curricula and teaching
       methods; and 4) research opportunities and surveillance. Finally,
       recommendations are proposed that require restructuring the present
       health care system to provide resources, incentives, and organizational
       changes that promote an integration of public health and preventive
       services in the practice of EM.
 DE    Emergency Medicine/EDUCATION/*TRENDS  Female  Human  Male  Minority
       Groups  *Physician's Role  *Public Health  United States  Women's Health
       JOURNAL ARTICLE  REVIEW  REVIEW, ACADEMIC

       SOURCE: National Library of Medicine.  NOTICE: This material may be
       protected by Copyright Law (Title 17, U.S.Code).

