Public Health Management and Leadership

Subject: Healthcare Research
Pages: 3
Words: 587
Reading time:
3 min
Study level: Master

The article focuses on the principles which can help a medical facility to overcome health inequity. As a matter of fact, the biggest challenge for a public health field is the lack of access to the health care services (Grenadier & Holtgrave, 2018). Some clinics might struggle to find a balance between resources and a number of patients who require medical assistance. The article proposes a set of 12 principles which focus on improving the effectiveness of public hospitals and the quality of services they provide (Grenadier & Holtgrave, 2018). There are elements such as investors and governmental agencies which might distract the hospital from its goal. However, the article is more of a guideline which can help medical workers and the community to achieve understanding and satisfaction with the medical services.

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One of the principles is cooperation between the medical facility and a local community. There are both federal and state programs aimed at the reduction of health inequity. However, for the clinics, it is essential to communicate with the community and see their unique needs, age, primary diseases, and other elements which influence this specific group of people (Grenadier & Holtgrave, 2018). The big-scaled policies which are established at a governmental level cannot analyze and predict every small community across the country. It is a necessity for the hospitals. For instance, the people experience high rates of AIDS; hence, the hospital has to adjust its equipment, communication, and structure to prevent AIDS, instead of the flu.

Furthermore, it is necessary for the medical facility to work within the four dimensions: individual, community, institutional, and policy. The dimensions mean how the hospital should place itself in the community (Grenadier & Holtgrave, 2018). It is not only a location for people where they can receive medical attention but it is also a vital social institution. At the same time, the clinic also represents the government; hence, there are different dimensions. The article includes this in the most important principles for the hospital. It is a proper scope for the authors as it actually reveals the role of the medical institution outside of the health care system (Schröder-Bäck, Duncan, Sherlaw, Brall, & Czabanowska, 2014). Indeed, the hospital plays a crucial role in any community as it provides a healthy environment for people to live in.

Another significant finding is the fact that the public health care has to be sustainable. The idea does not correlate with financial benefits for the hospitals. Instead, it focuses on the ability of the clinic to work effectively. It must encourage its employees to cooperate, advance their skills, and utilize resources and equipment in a reasonable way. Indeed, every clinic has to possess a certain extent of independence in its activity and existence (Grenadier & Holtgrave, 2018). It helps to increase the flexibility of hospital’s strategies which it applies to support the specific group of people.

The article creates the useful framework for the development of public health care. It can be applied in the real world as theories and principles which are presented in the article are based on existing issues. As a matter of fact, the public hospital has to make predictions and prepare for it (Schröder-Bäck, Duncan, Sherlaw, Brall, & Czabanowska, 2014). Even though there are a lot of challenges and troubles for it, the clinic has to accept the principles and adjust its policy to the needs of the local community. Addressing the medical needs of the group of people will reduce the same problems in a long-term perspective.


Grenadier, A., & Holtgrave, P. (2018). Fostering agency through local public health. Journal of Public Health Management and Practice, 24(5). Web.

Schröder-Bäck, P., Duncan, P., Sherlaw, W., Brall, C., & Czabanowska, K. (2014). Teaching seven principles for public health ethics: Towards a curriculum for a short course on ethics in public health programmes. BMC Medical Ethics, 15(73). Web.

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