A Public Health Approach to Emergency Medicine

Preparing for the Twenty‐first Century

Edward Bernstein, Lewis R. Goldrank, Arthur L. Kellerman, Stephen W. Hargarten, Jonathon Jui, Susan S. Fish, Barbara H. Herbert, Carlos Flores, Martin E. Caravati, Scott Krishel, Carl D. Stevens, Thomas D. Kirsch, Robert A. Lowe, S. R. Lowenstein, Larry J. Baraff, Elizabeth J. Mueller‐Orsay, Louis J. Ling, David P. Sklar

Research output: Contribution to journalArticle

Abstract

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.

Original languageEnglish (US)
Pages (from-to)277-286
Number of pages10
JournalAcademic Emergency Medicine
Volume1
Issue number3
DOIs
StatePublished - 1994
Externally publishedYes

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Emergency Medicine
Public Health
Consumer Advocacy
Minority Health
Preventive Health Services
Delivery of Health Care
Organizational Innovation
United States Public Health Service
Environmental Exposure
Women's Health
Insurance Benefits
Virus Diseases
Occupational Exposure
Public Policy
Internship and Residency
Sexually Transmitted Diseases
Systems Analysis
Medical Schools
Violence
Curriculum

ASJC Scopus subject areas

  • Emergency Medicine

Cite this

Bernstein, E., Goldrank, L. R., Kellerman, A. L., Hargarten, S. W., Jui, J., Fish, S. S., ... Sklar, D. P. (1994). A Public Health Approach to Emergency Medicine: Preparing for the Twenty‐first Century. Academic Emergency Medicine, 1(3), 277-286. https://doi.org/10.1111/j.1553-2712.1994.tb02446.x

A Public Health Approach to Emergency Medicine : Preparing for the Twenty‐first Century. / Bernstein, Edward; Goldrank, Lewis R.; Kellerman, Arthur L.; Hargarten, Stephen W.; Jui, Jonathon; Fish, Susan S.; Herbert, Barbara H.; Flores, Carlos; Caravati, Martin E.; Krishel, Scott; Stevens, Carl D.; Kirsch, Thomas D.; Lowe, Robert A.; Lowenstein, S. R.; Baraff, Larry J.; Mueller‐Orsay, Elizabeth J.; Ling, Louis J.; Sklar, David P.

In: Academic Emergency Medicine, Vol. 1, No. 3, 1994, p. 277-286.

Research output: Contribution to journalArticle

Bernstein, E, Goldrank, LR, Kellerman, AL, Hargarten, SW, Jui, J, Fish, SS, Herbert, BH, Flores, C, Caravati, ME, Krishel, S, Stevens, CD, Kirsch, TD, Lowe, RA, Lowenstein, SR, Baraff, LJ, Mueller‐Orsay, EJ, Ling, LJ & Sklar, DP 1994, 'A Public Health Approach to Emergency Medicine: Preparing for the Twenty‐first Century', Academic Emergency Medicine, vol. 1, no. 3, pp. 277-286. https://doi.org/10.1111/j.1553-2712.1994.tb02446.x
Bernstein, Edward ; Goldrank, Lewis R. ; Kellerman, Arthur L. ; Hargarten, Stephen W. ; Jui, Jonathon ; Fish, Susan S. ; Herbert, Barbara H. ; Flores, Carlos ; Caravati, Martin E. ; Krishel, Scott ; Stevens, Carl D. ; Kirsch, Thomas D. ; Lowe, Robert A. ; Lowenstein, S. R. ; Baraff, Larry J. ; Mueller‐Orsay, Elizabeth J. ; Ling, Louis J. ; Sklar, David P. / A Public Health Approach to Emergency Medicine : Preparing for the Twenty‐first Century. In: Academic Emergency Medicine. 1994 ; Vol. 1, No. 3. pp. 277-286.
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