Clinical public health: harnessing the best of both worlds in sickness and in health

Author:

Choi Bernard C. K.123,King Arlene S.1,Gupta Neeru145,Morris Shaun K.167,Upshur Ross189,Graham Kathryn110,Bilotta Rose1,Selby Peter110811,Harvey Bart J.1,Young Eric13,Buklis Pierrette1,Reynolds Donna L.18,Rachlis Beth112

Affiliation:

1. Division of Clinical Public Health, Dalla Lana School of Public Health, University of Toronto, Toronto, Ontario, Canada

2. Public Health Agency of Canada, Ottawa, Ontario, Canada

3. School of Epidemiology and Public Health, University of Ottawa, Ottawa, Ontario, Canada

4. Department of Ophthalmology and Vision Sciences, Faculty of Medicine, University of Toronto, Toronto, Ontario, Canada

5. Keenan Research Centre for Biomedical Science, St. Michael’s Hospital, Unity Health Toronto, Ontario, Canada

6. Department of Pediatrics, Faculty of Medicine, University of Toronto, Toronto, Ontario, Canada

7. Division of Infectious Diseases, Hospital for Sick Children, Toronto, Ontario, Canada

8. Department of Family and Community Medicine, Faculty of Medicine, University of Toronto, Toronto, Ontario, Canada

9. Lunenfeld Tanenbaum Research Institute, Sinai Health System, Toronto, Ontario, Canada

10. Centre for Addiction and Mental Health, Toronto/London, Ontario, Canada

11. Department of Psychiatry, Faculty of Medicine, University of Toronto, Toronto, Ontario, Canada

12. ICES, Toronto, Ontario, Canada

Abstract

Introduction

Effective, sustained collaboration between clinical and public health professionals can lead to improved individual and population health. The concept of clinical public health promotes collaboration between clinical medicine and public health to address complex, real­world health challenges.

In this commentary, we describe the concept of clinical public health, the types of complex problems that require collaboration between individual and population health, and the barriers towards and applications of clinical public health that have become evident during the COVID­19 pandemic.

Rationale

The focus of clinical medicine on the health of individuals and the aims of public health to promote and protect the health of populations are complementary. Interdisciplinary collaborations at both levels of health interventions are needed to address complex health problems. However, there is a need to address the disciplinary, cultural and financial barriers to achieving greater and sustained collaboration. Recent successes, particularly during the COVID­19 pandemic, provide a model for such collaboration between clinicians and public health practitioners

Conclusion

A public health approach that fosters ongoing collaboration between clinical and public health professionals in the face of complex health threats will have greater impact than the sum of the parts.

Publisher

Health Promotion and Chronic Disease Prevention Branch (HPCDP) Public Health Agency of Canada

Subject

Public Health, Environmental and Occupational Health,Health Policy,Epidemiology

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