Third, discuss how we can use the health impact pyramid to guide policy decisions to improve health at the population level for access to care and quality of care for racial/ethnic minority groups
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It prioritizes upstream, structural interventions at the base, followed by population-level interventions, clinical interventions, and individual behavior change at the top. Show more…
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This week, we will be examining aspects of health disparities in our communities. Despite being the richest nation in the world, some segments of our population continue to have health outcomes and conditions that are similar to those in developing nations. For example, infant mortality rates in African-Americans in many communities in the U.S. are two or three times higher than rates among White individuals. Similarly, they may have heart disease or breast cancer mortality rates many times higher than their White neighbors in the same community. Healthy People 2010 focused heavily on eliminating disparities, especially racial and ethnic disparities in health. While some progress was made, disparities in health still remain largely unchanged. In the past, much of the focus of addressing these disparities among public health professionals was on individual behavior change - getting people to make better choices. While this is an important approach to improving health, public health professionals increasingly recognize that the most effective way (and biggest obstacle) to assist individuals and communities in eliminating health disparities is by addressing the detrimental conditions that contribute to poor health - the social determinants of health. These community-level factors may seem outside the scope of public health, but as we saw in the APHA video "This is Public Health," community conditions including safety, transportation, housing, social isolation, and formal education play a role in health and public health. This is the basis of the social-ecological model of health and health improvement - poor health is the result of poor individual choices, but also community and societal factors that limit or impede these choices. Reversing these factors also requires a multi-tiered approach aimed not only at the individual. Our discussion questions then are: 1. What are the sources of health inequities in our communities and nation? 2. How can we best address these effectively? 3. How can we move beyond a clinical - doctor/practitioner/educator and patient/client model of prevention to focus on a population-based primary prevention model? 4. What are the opportunities and barriers in trying to address social determinants in order to reduce health inequities?
Adi S.
Text: HP2020 Impact Paper: Disability and Health, state - Illinois Identify your target population (for instance, age or other demographic, aggregate population); this must be in your city or state. Discuss population-based health education interventions for your target population that are aimed at reducing morbidity and mortality for the problem. Be sure to review the research literature and HP2020 for interventions. Identify how and what data for interventions are being tracked. In a four (4) page paper, address the following. Identify the problem in the introduction section. Provide an overview of the problem in your state/national. Review descriptive epidemiological and demographic data on mortality/morbidity and risk. HP2020: Present the goal, overview, and objectives of Healthy People 2020 for the paper topic. Population-level prevention and health promotion review. Describe population and/or primary health care-focused interventions. Use scholarly literature and HP2020 is required. There should be a direct correlation to evidence for all strategies.
Sri K.
Madhur L.
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