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Public Health System Responsibilities and Duties

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America's public health system (PHS) is the largest in the world. It is directed by the assistant secretary for health, a position appointed by the President and confirmed by the Senate. The secretary's efforts are assisted by the surgeon general of the Public Health Service. As a system, the PHS has several duties and responsibilities. According to the United States Department of Health and Human Services (1994), the major responsibilities and duties of the system are:

(1) To conduct and support biomedical, behavioral and health services research.

(2) To communicate the results of the system's research to health professionals and to the public.

(3) To help in providing health care and related services to medically underserved populations (e.g. migrant workers, the mentally ill, substance abusers, underpriveledged ethnic groups, etc.)

(4) To prevent and control disease.

(5) To identify health hazards in the environment and take steps to correct them once identified.

(6) To promote healthy lifestyles for the nation's citizens.

(7) To ensure that drugs and medical devices are safe and effective.

(8) To ensure that food is safe and wholesome.

(9) To ensure that cosmetics are harmless.

(10) To ensure that electronic products do not expose users to dangerous amounts of radiation.

(11) To work with other nations and international agencies on global health problems and their solutions.

Turnock, Handler, Potsic, Nalluri and Vaughn (1994) state that the respons

. . .
e fully a cost-based reimbursement system, applicable to ambulatory services provided by local health departments. The paradigm includes four dimensions, one each for (1) defining the products, (2) assuring congruency between real and measured unit costs, (3) prescribing the cost-finding data transformations to be employed, and (4) adjusting the calculated rates to serve political goals. The rate-setting decision paradigm was used as the functional requirement to develop a flexible computer model. The resulting model uses linked spreadsheets on a personal computer. Using the model and any defined set of policies fulfilling the paradigm, a state or local health department can enter health department data and obtain the costs per unit of each product in each local health department. The model also produces local, peer group, or statewide rates based on the local unit costs while conforming to state rate-setting policy, along with information helpful in the evaluation of the equity of the rates from the varying perspectives of product managers, local health directors, state program managers, or the funding agency. In his study, Holmes reported on the use of this flexible model to determine the unit costs of North Carolina lo
. . .

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Approximate Word count = 6445
Approximate Pages = 26 (250 words per page)

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