This Is Public Health Book Club discussion

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Previous Book Club Discussions > Upstream: Discussion 2

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message 1: by Ian Zonfa (new)

Ian Zonfa | 1 comments Mod
Hi everyone,

Today, we are going to talk about Chapters 5-9 of Upstream, where the author begins to discuss questions on that upstream leaders should be asking themselves when planning and implementing an upstream intervention. As a refresher, those questions that we are covering are:

1. How will you unite the right people?
2. How will you change the system?
3. Where can you find a point of leverage?
4. How will you get early warning of the problem?
5. How will you know when you're succeeding?

Each of those chapters also provided examples of ways that these questions are properly and improperly answered, ranging from how to keep uses engaged and using premium services on a social media platform to reducing EMS response times.

Discussion Questions:
1. In general, did any of these questions resonate with you and relate to your own work?

2. In Chapter 5, the author discusses bringing the right people together in order to discuss an upstream intervention. Often, in Public Health, we talk about this in terms of bringing stakeholders together to discuss an issue and intervention. What methods have been successful in finding the right people? Is a failure to find all the right people mean that the intervention will fail?

3. Trying to change the system and find a point of leverage requires you to understand "the water" that surrounds you and the field you are working in. What are some tools that can be successful in helping to understand the system that you are working in?

4. In Chapter 8, when trying to get early warning of the problem, the author cautions against "alarm fatigue", and offers two questions to decide where to set the line for an alarm. Those two questions are can there be an intervention in time after the alarm, and how many false positives will there be. Are the other questions that we should ask when coming up with early-warning systems? Is there a set line in Public Health?

Please feel free to add any questions you had, looking forward to our discussion!


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