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J Am Med Inform Assoc 8:585-597 doi:10.1136/jamia.2001.0080585
  • The Practice of Informatics
  • Review

Public Health 101 for Informaticians

  1. Denise Koo,
  2. Patrick O'Carroll,
  3. Martin LaVenture
  1. Affiliations of the authors: Centers for Disease Control and Prevention, Atlanta, Georgia (DK, PO'C); Minnesota Department of Health, Minneapolis, Minnesota (MLV)
  1. Correspondence and reprints: Denise Koo, MD, MPH, Associate Director for Science, Epidemiology Program Office, Mailstop C-08, Centers for Disease Control and Prevention, 1600 Clifton Road NE, Atlanta, GA 30333; e-mail: <dkoo{at}cdc.gov>
  • Received 7 June 2001
  • Accepted 23 July 2001

Abstract

Public health is a complex discipline that has contributed substantially to improving the health of the population. Public health action involves a variety of interventions and methods, many of which are now taken for granted by the general public. The specific focus and nature of public health interventions continue to evolve, but the fundamental principles of public health remain stable. These principles include a focus on the health of the population rather than of individuals; an emphasis on disease prevention rather than treatment; a goal of intervention at all vulnerable points in the causal pathway of disease, injury, or disability; and operation in a governmental rather than a private context. Public health practice occurs at local, state, and federal levels and involves various professional disciplines. Public health principles and practice are illustrated by a case study example of neural tube defects and folic acid. The application of information science and technology in public health practice provides previously unfathomed opportunities to improve the health of the population. Clinical informaticians and others in the health care system are crucial partners in addressing the challenges and opportunities offered by public health informatics.

Footnotes

  • This manuscript is based in part on presentations made by the authors at an orientation session entitled “Public Health for Informaticians” at the AMIA 2001 Spring Congress, May 15-17, 2001, in Atlanta, Georgia,

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