It’s Not Your Father’s Public Health

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Its Not Your Fathers Public Health

• Louis Rowitz, PhD
• Director Mid America Regional Public Health
  Leadership Institute

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The Tipping Point
The Stickiness Factor (Host)
The Law of the Few (Agent)
The Tipping Point
The Power of Context (Environment)
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The Law of the FewPersonality Types

• Connectors - people specialists
• Mavens- information specialists
• Salespersons the persuaders

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Public Health ComplexityIssues Leadership
Demands
Strategic Challenges
P.H.
The Tipping Point
Societal Trends
Community Context
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Public Health Response
Societal Pressure
Local Public Health Response (Complexity)
Community Crisis and Priorities
Strategic Challenges
National Agenda
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Societal Pressures
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Dimensions of Culture (Hofstede, 1997)

• Power Distance
• Collectivism vs. Individualism
• Femininity vs. Masculinity
• Uncertainty Avoidance

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Power distance is the extent to which the less
powerful members of institutions and
organizations within a country expect or accept
that power is distributed unequally.
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Individualism pertains to societites in which the
ties between individuals are loose everyone is
expected to look after himself or herself and his
or her immediate familyCollectivism as its
opposite pertains to societies in which people
from birth onwards are integrated into strong,
cohesive ingroups, which throughout peoples
lifetimes continue to protect them in exchange
for unquestioning loyalty.
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Masculinity-femininity as a dimension of societal
culture
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Uncertainty of avoidance is the extent to which
the members of a culture feel threatened by
uncertain or unknown situations
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STRATEGIC CHALLENGES
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NATIONAL AGENDA
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NATIONAL AGENDA

• PUBLIC HEALTH CERTIFICATIONS
• HEALTH ALERT NETWORK
• PUBLIC HEALTH LEADERSHIP
• ESSEENTIAL PUBLIC HEALTH SERVICES
• WORKFORCE DEVELOPMENT

• PUBLIC HEALTH INFRASTRUCTURE
• HEALTH ALERT NETWORK
• NATIONAL PERFORMACE STANDARDS
• PUBLIC HEALTH INFORMATICS
• MAPP
• EVIDENCE-BASED PUBLIC HEALTH

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COMMUNITY CRISES AND PRIORITIES
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COMMUNITY CRISES AND PRIORITIES

• I-PLAN
• I-PLAN PRIORITIES
• STATE MANDATES
• BUDGETING REALITIES
• COUNTY BOARD
• BOARD OF HEALTH
• HEALTH CRISES