Medicine & Public Health:
The Power of Collaboration

Health professionals in America today are working in a chaotic and anxiety- provoking environment. For both the medical and public health sectors, change is the only predictable aspect of that environment, and change is accelerating, making it apparent that working in traditional ways is no longer a viable option. By reshaping the relationship between medicine and public health -- and between the health sectors and the broader community -- some health professionals and organizations have identified powerful strategies for dealing with the problems they face. The monograph Medicine & Public Health: The Power of Collaboration elucidates these strategies, giving a broader audience effective tools not only for improving health, but also for enhancing their own effectiveness and economic stability.

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TABLE OF CONTENTS

PART I: THE COLLABORATIVE IMPERATIVE

An Initial Paradox

The Historical Relationship Between Medicine and Public Health

Previous Attempts to Bridge the Gap Between Medicine and Public Health

The Current Predicament

A New Dilemma

PART II: MODELS OF MEDICINE AND PUBLIC HEALTH COLLABORATION

The Case Study

Synergy I: Improving Health Care by Coordinating Services for Individuals

Synergy II: Improving Access to Care by Establishing Frameworks to Provide Care for the Un- and Underinsured

Synergy III: Improving the Quality and Cost-Effectiveness of Care by Applying a Population Perspective to Medical Practice

Synergy IV: Using Clinical Practice to Identify and Address Community Health Problems

Synergy V: Strengthening Health Promotion and Health Protection by Mobilizing Community Campaigns

Synergy VI: Shaping the Future of the Health System by Collaborating Around Policy, Training, and Research

Structural Foundations of Medicine and Public Health Collaborations

Strategies for Successful Partnerships

PART III: CONCLUSION AND NEXT STEPS

The Benefits of Collaboration in Today's Environment

The Collaborative Paradigm

Moving Forward with Cross-Sectoral Collaboration

REFERENCES

FIGURES

I -1 Medicine and Public Health Timeline

II -1 Geographic Distribution of Cases

II -2 Models of Collaboration

CASE ILLUSTRATIONS

Synergy I-A South Carolina "Partnerships for Children" (SC)
Synergy I-B South Madison Health and Family Center (WI)
Synergy I-C East St. Louis Health Coalition (IL)

Synergy II-B Escambia County "We Care" Program (FL)
Synergy II-D Albany County "Healthy Partnerships" (NY)

Synergy III-A Georgia HIV/AIDS Guides (GA)
Synergy III-B Monroe County "Women's Health Partnership" (NY)
Synergy III-C Parkland Community-Oriented Primary Care Clinics (TX)

Synergy IV-A New Jersey Information Systems (NJ)
Synergy IV-B Kennedy Krieger Institute Lead Program (MD)
Synergy IV-C Monroe County "McFlu" Campaign (NY)

Synergy V-A Clark County Community Health Assessment (WA)
Synergy V-B Hawaii "HealthScope TV Series (HI)
Synergy V-C Emory University Center for Injury Control (GA)
Synergy V-D Seattle Bike Helmet Campaign (WA)
Synergy V-E Clark County "Community Choices 2010" (WA)

Synergy VI-A State of Florida Department of Health (FL)
Synergy VI-B Northeast Ohio Universities College of Medicine (OH)
Synergy VI-C The Center for the Study of Issues in Public Mental Health (NY)