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  • National Academy of Medicine » Closing the Loop: Why We Need to Invest—and Reinvest—in Prevention
    from the reduction in medical expenditures that would have been required to treat smoking related illnesses yet little of that money has gone into prevention programs Taking the 134 billion savings as an example the authors discuss how their model of closing the loop to consistently fund prevention programs using taxes fines and fees on behaviors such as smoking and drinking combined with other sources would serve the goal of reducing national health care expenditures currently nearly a trillion dollars By pooling and managing prevention funds from federal state and local sources philanthropies and others based on population needs and investing in evidence informed strategies in communities the prevention system continuously captures and reinvests savings through intermediary organizations that support the development of community strategies to improve health reduce costs and the need for additional health care thereby creating a virtuous cycle of investment before people are sick or injured The authors note that effectively closing the loop will depend on successful multi sector partnerships and collaborations with the broad understanding that not all investments bring a greater return than the expense but there is an urgent need to save lives and reduce misery now and into the future Read

    Original URL path: http://nam.edu/perspectives-2014-closing-the-loop-why-we-need-to-invest-and-reinvest-in-prevention/ (2015-07-15)
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  • National Academy of Medicine » Pervasive Bias: An Obstacle to Obesity Solutions
    discipline and personally to blame for their weight National estimates indicate that the prevalence of weight discrimination has significantly increased in recent decades and is comparable to rates of racial discrimination This form of bias is pervasive in many domains of living including employment settings health care educational institutions the media and interpersonal relationships Read more by topic Public Health Note The views expressed in this Perspective are those of

    Original URL path: http://nam.edu/perspectives-2015-pervasive-bias-an-obstacle-to-obesity-solutions/ (2015-07-15)
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  • National Academy of Medicine » Connecting Culture, Land, and Family to Health: Reflections on a Workshop: Advancing Health Equity for Native American Youth
    passion and authority the reverence and respect of the elder leader were undeniable It opened us all up to new possibilities a willingness to sit listen and learn I felt an unusual sense of collective humility in the room even among the most scholarly presenters I was ready to begin eager to know more about the topic that we began focusing on 2 years ago in Seattle at an earlier workshop The goal of that first workshop was to deepen our understanding of the unique health inequities within Native populations and to identify what was making a difference We convened a rich array of Native people from across North America including representatives from Hawaii various Pacific islands and Alaska the majority of participants in the room were from native populations While we learned a lot and were proud to have facilitated a place where colleagues could meet network and hear about strategies programs research and policies that seem to be gaining traction there was a noticeable gap it was clear that we needed to dive deeper into the unique challenges faced by Native youth We wanted to know about their assets and resilience Read more by topic Public Health Note

    Original URL path: http://nam.edu/perspectives-2014-connecting-culture-land-and-family-to-health-reflections-on-a-workshop-advancing-health-equity-for-native-american-youth/ (2015-07-15)
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  • National Academy of Medicine » Climate Change Poses Serious Risks to U.S. Health Care System
    hospitals shut down emergency rooms ERs for lack of space roads buckled from the heat and the Chicago Fire Department had to hose down children who were overcome by dehydration Now imagine if we experienced multiple Chicago heat waves every summer in cities all across the country That is the direction we are headed unless we change course and take strong decisive action to curb climate change Read more by

    Original URL path: http://nam.edu/perspectives-2014-climate-change-poses-serious-risks-to-u-s-health-care-system/ (2015-07-15)
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  • National Academy of Medicine » Understanding the Relationship Between Education and Health
    of health and explain that the relationship between educational attainment for example years of education and health is not entirely linear Education influences multiple skills and traits that mediate its relationship to health These skills and traits include problem solving ability literacy and personal control and some provoke physiologic responses or lead to greater ability to manage one s health Education is also likely to increase individuals access to earnings and wealth and to social networks and support Zimmerman and Woolf describe a range of community characteristics that appear to be linked with health outcomes and educational attainment For example people who are more educated are more likely to live in neighborhoods that have parks and green spaces good access to high quality foods greater safety lower crime rates and lower environmental exposures less proximity to power plants highways factories etc The authors explore the social policies that influence educational outcomes especially those that shape early childhood experiences and address problems that occur along biological pathways known to be linked with poor health and educational outcomes Read more by topic Public Health Note The views expressed in this Perspective are those of the author s and not necessarily of the

    Original URL path: http://nam.edu/perspectives-2014-understanding-the-relationship-between-education-and-health/ (2015-07-15)
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  • National Academy of Medicine » Engaging the Public Through Communities of Solution and Collaborative Empowerment
    of individual and social responsibility are required to promote healthy population and communities and describes how frameworks such as Communities of Solution and collaborative empowerment suggest a path for communities working in partnership with primary care public health practitioners and other key actors to identify and address health problems The crucial contribution of these frameworks however is that they describe how communities can find their own power develop capacity and

    Original URL path: http://nam.edu/perspectives-2014-engaging-the-public-through-communities-of-solution-and-collaborative-empowerment/ (2015-07-15)
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  • National Academy of Medicine » Safe Summer Parks Programs Reduce Violence and Improve Health in Los Angeles County
    communities in Los Angeles county The program Parks After Dark is elegantly simple in concept Parks could be the locus for recreation physical activity and community and civic interaction but parks are also the site of violent crime that makes community members feel unsafe and keeps them away from these green spaces and increasingly isolated from fellow residents The Los Angeles County Department of Public Health Sheriffs Department and Department of Parks and Recreation have been working with communities to transform parks after dark Safe Summer Parks activities were first introduced as a strategy of the county s Gang Violence Reduction Initiative but soon public health joined law enforcement and parks and recreation in developing summer park programming In addition to documented decreases in crime community members have reported increased satisfaction with and use of their local parks and the program has strengthened social cohesion and engagement and has spurred new and emerging collaborative projects such as between public health and community youth Read more by topic Public Health Note The views expressed in this Perspective are those of the author s and not necessarily of the author s organizations or of the National Academy of Medicine NAM The Perspective

    Original URL path: http://nam.edu/perspectives-2014-safe-summer-parks-programs-reduce-violence-and-improve-health-in-los-angeles-county/ (2015-07-15)
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  • National Academy of Medicine » Five Lessons from the Super Bowl for Improving Population Health
    the community Because communities are different and their resources and needs vary winning will mean a lower rate of diabetes or a drop in heart disease But every community requires a quarterback for example an organization or group that can help craft a vision and inspire the community and other partners attract funding and use it effectively and rally a team to plan and implement actions that will help to

    Original URL path: http://nam.edu/perspectives-2014-five-lessons-from-the-super-bowl-for-improving-population-health/ (2015-07-15)
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