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Healthcare 2018, 6(2), 42;

The Delivery of Health Promotion and Environmental Health Services; Public Health or Primary Care Settings?

Public Health Consultant, Haderslev Municipality, Noerregade 41, 6100 Haderslev, Denmark
Unit for Health Promotion Research, University of Southern Denmark, 6700 Esbjerg, Denmark
Author to whom correspondence should be addressed.
Received: 11 April 2018 / Revised: 4 May 2018 / Accepted: 4 May 2018 / Published: 7 May 2018
(This article belongs to the Special Issue Feature Papers in Healthcare in 2018)
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The WHO Regional Office for Europe developed a set of public health functions resulting in the ten Essential Public Health Operations (EPHO). Public health or primary care settings seem to be favorable to embrace all actions included into EPHOs. The presented paper aims to guide readers on how to assign individual health promotion and environmental health services to public health or primary care settings. Survey tools were developed based on EPHO 2, 3 and 4; there were six key informant surveys out of 18 contacted completed via e-mails by informants working in Denmark on health promotion and five face-to-face interviews were conducted in Australia (Melbourne and Victoria state) with experts from environmental health, public health and a physician. Based on interviews, we developed a set of indicators to support the assignment process. Population or individual focus, a system approach or one-to-one approach, dealing with hazards or dealing with effects, being proactive or reactive were identified as main element of the decision tool. Assignment of public health services to one of two settings proved to be possible in some cases, whereas in many there is no clear distinction between the two settings. National context might be the one which guides delivery of public health services. View Full-Text
Keywords: public health operations; settings; decision tools; primary care public health operations; settings; decision tools; primary care
This is an open access article distributed under the Creative Commons Attribution License which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited (CC BY 4.0).

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Bjørn Jensen, L.; Lukic, I.; Gulis, G. The Delivery of Health Promotion and Environmental Health Services; Public Health or Primary Care Settings? Healthcare 2018, 6, 42.

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