Alberto Cardelle | East Stroudsburg University of PA (original) (raw)
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Papers by Alberto Cardelle
Family medicine, 2000
To determine the impact of international health experiences on physicians in training, we studied... more To determine the impact of international health experiences on physicians in training, we studied 60 US medical students who participated in an International Health Fellowship Program (IHFP). In 1995 and 1996, US medical students were selected to participate in the IHFP, which included training at three US medical schools and at seven medical schools in developing countries. The program included a 2-week preparatory course at a US school and a 6- to 8-week field experience. Evaluative data were collected prior to the course, after the course, after the field experience, and 1-2 years later. A total of 60 students were selected from 145 applicants. At the end of the fellowship, a majority of participants noted that the exposure affected them in the following ways: changed world views; increased cultural sensitivity; enhanced community, social, and public health awareness; enhanced clinical and communication skills; more appropriate resource utilization; changes in career plans; and a...
The increasingly diminished role of the state in Latin America has been accompanied by decentrali... more The increasingly diminished role of the state in Latin America has been accompanied by decentralization of health care delivery and an enhanced role of the private sector in delivery of services. Simultaneously, in the process of regional democratization, the number of organized civil society groups, NGOs, has expanded, increasing the alliances formed between NGOs and governments in the process of state reform. This paper examines the experiences of 20 NGOgovernment collaborative health care reform projects undertaken in Guatemala, Chile, and Ecuador. Assessments are made as to how factors, such as civil society-state relations, democratization, state reform, and international pressure, have catalyzed or constrained policies promoting the collaborations. The projects ’ implementation processes are analyzed with an emphasis on determining their sustainability, and various aspects of the collaborations — for example, funding, coordinated planning, and training — are evaluated. The pap...
Commonwealth
One of the essential functions of public health services is to “inform, educate, and empower peop... more One of the essential functions of public health services is to “inform, educate, and empower people about health issues” (CDC 1994). Throughout the United States, the tendency is to have decentralized public health systems that leave the decision-making and a significant part of the financing to local county and municipal governments. This strong reliance on local government financing and control translates into extreme variations in per capita expenditures and access. This paper examines whether or not individuals residing in areas without a centralized public health infrastructure have more difficulty accessing health information to help them make informed decisions about healthy living and lifestyle choices. The paper compares the ease and accuracy of accessing basic public health information in counties and municipalities without a Local Health Department (LHD) as compared to counties and municipalities served by a LHD. The study examines the case of Pennsylvania, because the st...
Commonwealth
Currently, none of Pennsylvania's 48 rural counties has a local health department (LHD). This... more Currently, none of Pennsylvania's 48 rural counties has a local health department (LHD). This is despite the existance of laws that provide locales with per capita funding for public health and environmental services. This study examines the financial issues that may influence the establishment of a robust public health infrastructure in rural areas. The study looks at 10 rural counties in the state and, through financial analysis of different LHD models (using the 2003-04 financial data) for rural counties, helps demonstrate that the relatively high levels of local funds required to establish LHDs would be a major financial undertaking. Testing three models - single-county, bi-county and tri-county LHDs - the study shows that locales would require an average of $16 per capita annually in local funds. the model analysis shows that small population size, large geographic area, and the low availability of primary care servics drive expenses higher. Since rural counties have low po...
HEAd'15. Conference on Higher Education Advances, Jun 24, 2015
In response to the national agenda to increase the number of adults with bachelor's degrees, East... more In response to the national agenda to increase the number of adults with bachelor's degrees, East Stroudsburg University (ESU), a regional master-degree granting university, has implemented several degree completion programs geared towards non-traditional students. Using the Council for Adult and Experiential Learning (CAEL) "Eight Principles of Effectiveness for Serving Adult Learners," this study assessed the first three years of the program's implementation. This assessment used primary data collection, including a student and faculty survey. The study found that the program is replicating its teaching processes, use of technology for teaching, and advising and mentoring well. However, the assessment revealed that the program was weaker on three primary items more unique to adult learners: 1) Flexible financing options; 2) Awarding credit for prior learning; and 3) Enhancing strategic community partnerships. Parallels are drawn to similar challenges Europe faces in meeting the social dimension of the Bologna Process. The paper concludes that in order to implement successful degree completion programs, key in advancing completion goals and equity demands in both the U.S. and Europe, institutions need to commit themselves to going beyond the replication of traditional undergraduate programs, and plan for the long-term transformation of current models of education.
Thesis (Ph. D.)--University of Miami, 1999. Includes bibliographical references (leaves 277-303).... more Thesis (Ph. D.)--University of Miami, 1999. Includes bibliographical references (leaves 277-303). Photocopy.
International public health journal, 2015
IntroductionPractitioners, educators, and researchers working in the fields of public health and ... more IntroductionPractitioners, educators, and researchers working in the fields of public health and primary care strive for the common goal of improved health of individuals and their communities. Despite this mutual aim, the efforts of primary care physicians and public health practitioners are often disconnected from one another, to the detriment of their patients and communities. In a healthcare environment characterized by marked policy change, limited resources, and increasing need, the fields of primary care and public health will require more support from one another. A symbiotic relationship between these fields that involves interprofessional collaborations, community engagement, and collaborative evidence-based research endeavors will be essential to the achievement of the mutual goals of enhanced primary care and improved community health.Medical schools provide natural opportunities to integrate public health training and primary care. To this end, The Commonwealth Medical ...
Reflecting the state's diminishing role in Latin America, collaborative projects between nong... more Reflecting the state's diminishing role in Latin America, collaborative projects between nongovernmental organizations and governments have emerged as important strategies for health reforms that increase the role of the private sector. This study explores the new roles NGOs now play.
HEAd'15. Conference on Higher Education Advances, 2015
International Journal of Health Services, 1994
As a result of a massive public health system and state-of-the-art tertiary medical care services... more As a result of a massive public health system and state-of-the-art tertiary medical care services, Cuba's health profile now indicates a high incidence of chronic noncommunicable diseases; Cuban health authorities concluded that this required a community-based primary care solution. In the early 1980s the Ministry of Health (MINSAP) implemented a national family medicine program with the goal of providing one “Medico de la Familia” (family physician) for every 700 persons. To attain and ensure the sustainability of this primary care model, MINSAP reformed the medical education curriculum. The reform strategies created a primary care “specialty” and provided a broad-based interdisciplinary approach to primary care training. The reforms place primary care in a prominent position within the predoctoral medical education curriculum. Cuba's approach is an innovation for a country that attained impressive medical advances through a specialized high-technology medical system.
Preventing Chronic …, 2006
The future of the constantly changing public health profession is tied to the development of prac... more The future of the constantly changing public health profession is tied to the development of practice skills through competency-based training. In this article, we describe a program change in the Master of Public Health program at East Stroudsburg University in northeastern Pennsylvania. The first goal of the program transition was to ensure that all program elements included the relevant vision, values, mission, goals, and objectives. The second goal was to use continuous data input and evaluation to incorporate opportunities for flexible assessments. The change process helped the university faculty define the program's vision and fostered an environment of community collaboration that guides training for public health professionals.
Family medicine, 2000
To determine the impact of international health experiences on physicians in training, we studied... more To determine the impact of international health experiences on physicians in training, we studied 60 US medical students who participated in an International Health Fellowship Program (IHFP). In 1995 and 1996, US medical students were selected to participate in the IHFP, which included training at three US medical schools and at seven medical schools in developing countries. The program included a 2-week preparatory course at a US school and a 6- to 8-week field experience. Evaluative data were collected prior to the course, after the course, after the field experience, and 1-2 years later. A total of 60 students were selected from 145 applicants. At the end of the fellowship, a majority of participants noted that the exposure affected them in the following ways: changed world views; increased cultural sensitivity; enhanced community, social, and public health awareness; enhanced clinical and communication skills; more appropriate resource utilization; changes in career plans; and a...
The increasingly diminished role of the state in Latin America has been accompanied by decentrali... more The increasingly diminished role of the state in Latin America has been accompanied by decentralization of health care delivery and an enhanced role of the private sector in delivery of services. Simultaneously, in the process of regional democratization, the number of organized civil society groups, NGOs, has expanded, increasing the alliances formed between NGOs and governments in the process of state reform. This paper examines the experiences of 20 NGOgovernment collaborative health care reform projects undertaken in Guatemala, Chile, and Ecuador. Assessments are made as to how factors, such as civil society-state relations, democratization, state reform, and international pressure, have catalyzed or constrained policies promoting the collaborations. The projects ’ implementation processes are analyzed with an emphasis on determining their sustainability, and various aspects of the collaborations — for example, funding, coordinated planning, and training — are evaluated. The pap...
Commonwealth
One of the essential functions of public health services is to “inform, educate, and empower peop... more One of the essential functions of public health services is to “inform, educate, and empower people about health issues” (CDC 1994). Throughout the United States, the tendency is to have decentralized public health systems that leave the decision-making and a significant part of the financing to local county and municipal governments. This strong reliance on local government financing and control translates into extreme variations in per capita expenditures and access. This paper examines whether or not individuals residing in areas without a centralized public health infrastructure have more difficulty accessing health information to help them make informed decisions about healthy living and lifestyle choices. The paper compares the ease and accuracy of accessing basic public health information in counties and municipalities without a Local Health Department (LHD) as compared to counties and municipalities served by a LHD. The study examines the case of Pennsylvania, because the st...
Commonwealth
Currently, none of Pennsylvania's 48 rural counties has a local health department (LHD). This... more Currently, none of Pennsylvania's 48 rural counties has a local health department (LHD). This is despite the existance of laws that provide locales with per capita funding for public health and environmental services. This study examines the financial issues that may influence the establishment of a robust public health infrastructure in rural areas. The study looks at 10 rural counties in the state and, through financial analysis of different LHD models (using the 2003-04 financial data) for rural counties, helps demonstrate that the relatively high levels of local funds required to establish LHDs would be a major financial undertaking. Testing three models - single-county, bi-county and tri-county LHDs - the study shows that locales would require an average of $16 per capita annually in local funds. the model analysis shows that small population size, large geographic area, and the low availability of primary care servics drive expenses higher. Since rural counties have low po...
HEAd'15. Conference on Higher Education Advances, Jun 24, 2015
In response to the national agenda to increase the number of adults with bachelor's degrees, East... more In response to the national agenda to increase the number of adults with bachelor's degrees, East Stroudsburg University (ESU), a regional master-degree granting university, has implemented several degree completion programs geared towards non-traditional students. Using the Council for Adult and Experiential Learning (CAEL) "Eight Principles of Effectiveness for Serving Adult Learners," this study assessed the first three years of the program's implementation. This assessment used primary data collection, including a student and faculty survey. The study found that the program is replicating its teaching processes, use of technology for teaching, and advising and mentoring well. However, the assessment revealed that the program was weaker on three primary items more unique to adult learners: 1) Flexible financing options; 2) Awarding credit for prior learning; and 3) Enhancing strategic community partnerships. Parallels are drawn to similar challenges Europe faces in meeting the social dimension of the Bologna Process. The paper concludes that in order to implement successful degree completion programs, key in advancing completion goals and equity demands in both the U.S. and Europe, institutions need to commit themselves to going beyond the replication of traditional undergraduate programs, and plan for the long-term transformation of current models of education.
Thesis (Ph. D.)--University of Miami, 1999. Includes bibliographical references (leaves 277-303).... more Thesis (Ph. D.)--University of Miami, 1999. Includes bibliographical references (leaves 277-303). Photocopy.
International public health journal, 2015
IntroductionPractitioners, educators, and researchers working in the fields of public health and ... more IntroductionPractitioners, educators, and researchers working in the fields of public health and primary care strive for the common goal of improved health of individuals and their communities. Despite this mutual aim, the efforts of primary care physicians and public health practitioners are often disconnected from one another, to the detriment of their patients and communities. In a healthcare environment characterized by marked policy change, limited resources, and increasing need, the fields of primary care and public health will require more support from one another. A symbiotic relationship between these fields that involves interprofessional collaborations, community engagement, and collaborative evidence-based research endeavors will be essential to the achievement of the mutual goals of enhanced primary care and improved community health.Medical schools provide natural opportunities to integrate public health training and primary care. To this end, The Commonwealth Medical ...
Reflecting the state's diminishing role in Latin America, collaborative projects between nong... more Reflecting the state's diminishing role in Latin America, collaborative projects between nongovernmental organizations and governments have emerged as important strategies for health reforms that increase the role of the private sector. This study explores the new roles NGOs now play.
HEAd'15. Conference on Higher Education Advances, 2015
International Journal of Health Services, 1994
As a result of a massive public health system and state-of-the-art tertiary medical care services... more As a result of a massive public health system and state-of-the-art tertiary medical care services, Cuba's health profile now indicates a high incidence of chronic noncommunicable diseases; Cuban health authorities concluded that this required a community-based primary care solution. In the early 1980s the Ministry of Health (MINSAP) implemented a national family medicine program with the goal of providing one “Medico de la Familia” (family physician) for every 700 persons. To attain and ensure the sustainability of this primary care model, MINSAP reformed the medical education curriculum. The reform strategies created a primary care “specialty” and provided a broad-based interdisciplinary approach to primary care training. The reforms place primary care in a prominent position within the predoctoral medical education curriculum. Cuba's approach is an innovation for a country that attained impressive medical advances through a specialized high-technology medical system.
Preventing Chronic …, 2006
The future of the constantly changing public health profession is tied to the development of prac... more The future of the constantly changing public health profession is tied to the development of practice skills through competency-based training. In this article, we describe a program change in the Master of Public Health program at East Stroudsburg University in northeastern Pennsylvania. The first goal of the program transition was to ensure that all program elements included the relevant vision, values, mission, goals, and objectives. The second goal was to use continuous data input and evaluation to incorporate opportunities for flexible assessments. The change process helped the university faculty define the program's vision and fostered an environment of community collaboration that guides training for public health professionals.