Introduction.Public health is a specific field, which deals with an improvement of population health. It is an interdisciplinary and intersectoral activity and requires participation of various workers. All current documents and acts in public health field in Poland emphasize on the performance of specific tasks, but leave aside personal status and competencies. Many aspects were not resolved till now, e.g. which domains should be included in public health workforce, the problem of workforce enumeration: how large this group should be and what competencies should have.Aim. The aim of the study was an attempt to indicate some professional identity components for public health workers.Material and methods. The study was performed applying the semi-structured interviews method using a hermeneutic approach. The informants were a purposeful sample of 12 people who obtained the master's degree in public health and already took up professional work and graduated from two universities. The basic research question was: how do interviewees perceive the public health worker?Results. All respondents, regardless of the place of work, perceived themselves as public health workers and presumably as specialists. Attempts to describe a public health worker led to non-specific and generalized statements. There were no answers revealed to the responsibility issue for effects of work among interviews. Respondents tended to characterize public health worker competencies vertically, by domain categories, not functionally, by public health services, so the issue of key competencies importance for identity is controversial.Conclusions. There are no strong evidences that particular workplaces or core competencies are related to professional identity of public health workers. Universities have an important role in professionalization of such workers.
Background: The participation of older adults in population health interventions constitutes a key factor in their physical, mental and social health. The aim of this study was to determine variables considered as enablers and barriers to participation in health programmes. Methods: The conceptual framework of the study was developed and population health interventions were operationalised as health programmes. A total of 805 older adults participated in a questionnaire survey. The questionnaire included questions about socio-demographic, health and social connectedness-related factors as well as participation in population health interventions/programmes. Multiple logistic regression was used to examine the relationship between respondents’ characteristics and participation in the intervention. Results: Participation in health programmes was declared by 316 respondents. The enablers of participation were general practitioner’s affability (OR = 2.638 [1.453–4.791], p = 0.001), three or more social activities (OR = 3.415 [1.477–7.894], p = 0.004), taking part in support groups (OR = 4.743 [1.255–17.929], p = 0.022) and involvement in Universities of the Third Age (OR = 2.829 [1.093–7.327], p = 0.032). The barriers were primary education (OR = 0.385 [0.215–0.690], p = 0.001), infrequent general practitioner’s appointments (OR = 0.500 [0.281–0.888], p = 0.018) and lack of social activity (OR = 0.455 [0.299–0.632], p < 0.001). Conclusion: The enablers of participation appeared to solely include variables regarding health service utilisation, patient experience and social activity, i.e., interpersonal and community relationships, not intrapersonal factors.
Przygotowanie do wydania elektronicznego finansowane w ramach umowy 641/P-DUN/2018 ze środków Ministra Nauki i Szkolnictwa Wyższego przeznaczonych na działalność upowszechniającą naukę.
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