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  • National Academy of Medicine » A Bold Proposal for Advancing Population Health
    delivery public health and community and social services Although paying for accountable care as called for in the health care reform legislation is a start it is not enough Dr Shortell identifies the four components strategic structural cultural and technical that need to be addressed in guiding the implementation of paying for population health improvement through cross sectoral partnerships Read the Full Discussion Paper Read more by topic Public Health

    Original URL path: http://nam.edu/perspectives-2013-a-bold-proposal-for-advancing-population-health/ (2015-07-15)
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  • National Academy of Medicine » Integrating Health Literacy with Health Care Performance Measurement
    care quality agenda is an important step to help clinicians provide all patient populations with the resources necessary to improve their health status This paper describes opportunities for health care providers to link health literacy to quality measures and integrate health literacy performance measurement into every aspect of the patient experience Read the Full Discussion Paper Read more by topic Public Health Note The views expressed in this Perspective are

    Original URL path: http://nam.edu/perspectives-2013-integrating-health-literacy-with-health-care-performance-measurement/ (2015-07-15)
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  • National Academy of Medicine » Building Capacity for Population Intervention Research in Primary Care
    Act 4 7 These trends converge to create unprecedented potential for transforming health care delivery in the United States and effecting sustainable advances in population health Population health research examines a diverse set of determinants of the health of populations including social environmental behavioral and clinical factors 6 By adopting a population health perspective and engaging in relevant population health research primary care practice particularly through efforts outside of the traditional inoffice encounter has the potential to inform modify and deliver population level interventions 8 10 Although many of these interventions may appear to belong to the domain of public health health care delivery experts now recognize how primary care must engage with public health to achieve this potential 8 Primary care practices must abandon their passive approach to interacting with patients waiting for patients to contact them and schedule traditional visits and instead must re engineer their workflow so that they first and foremost are caring for their panels their populations of patients proactively anticipating their needs and reaching out to meet them so that the patients health needs drive the work of the practice The realization of this potential to inform modify and deliver population level interventions will

    Original URL path: http://nam.edu/perspectives-2013-building-capacity-for-population-intervention-research-in-primary-care/ (2015-07-15)
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  • National Academy of Medicine » Engaging Health in Decision Making: The Marcellus Shale and Sustainability
    Nelson 2001 In a decision maker s effort to move forward rapidly he or she may not be able to fully consider all the implications from cradle to grave of a new process or program But this haste often can result in further economic costs to the industry and the public When the health community is engaged only after problems are identified the results are often costly to correct and health is often unfairly portrayed as at odds with economic growth In this era of sustainable development there is a more mature understanding of the linkages among health the environment and economic factors However significant policy decisions are made daily across the United States and around the world and environmental public health is not part of the decision making process nor is it represented in high level commissions or committees A case in point are the efforts to establish energy policies both domestically and abroad This paper uses the new efforts to employ hydrofracturing technology to extract natural gas tightly bound to the Marcellus Shale in the eastern United States to illustrate how the environmental health perspective has much to contribute but these points are also crucial to many discussions

    Original URL path: http://nam.edu/perspectives-2013-engaging-health-in-decision-making-the-marcellus-shale-and-sustainability/ (2015-07-15)
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  • National Academy of Medicine » A High School Outbreak of Multidrug-Resistant or Extensively Drug-Resistant Tuberculosis: Is Your Local Health Department Ready?
    safe and effective for children infected with multidrug resistant MDR tuberculosis The failure to fully implement the 1989 plan to eliminate tuberculosis in the United States has left local health departments poorly prepared to deal with the Myco bacterium tuberculosis strains resistant to at least isoniazid and rifampin MDR strains account for 310 000 of the 8 7 million cases of tuberculosis globally with about 28 000 of those being extensively drug resistant XDR A key recommendation from the tuberculosis elimination plan in 1989 was to rapidly develop and implement new tools for the diagnosis and treatment of tuberculosis and tuberculosis infection Instead of benefiting from the implementation of new safe and effective short course regimens for active tuberculosis including drug resistant strains health departments still use the four drug regimen for drug susceptible tuberculosis that became the standard for the United States in 1993 This regimen developed after more than 40 years of clinical research was rendered useless for the hundreds of cases of MDR tuberculosis in U S cities in the 1980s and 1990s For treating MDR cases physicians reverted to old 18 to 24 month regimens with the addition of off label use of fluoroquinolones in the

    Original URL path: http://nam.edu/perspectives-2013-a-high-school-outbreak-of-multidrug-resistant-or-extensively-drug-resistant-tuberculosis-is-your-local-health-department-ready/ (2015-07-15)
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  • National Academy of Medicine » It’s a Matter of Life and Death
    right that demanded public health intervention to protect the public It is well understood that the role of a physician in responding to patients during these outbreaks can save lives one at a time The impact of a well trained well equipped public health system can multiply that benefit exponentially through prevention early detection and response to microbial threats That impact however depends on a strong public health foundation State health agencies ability to quickly detect and respond to infectious diseases depends on having strong capabilities as outlined in the recent Institute of Medicine IOM report entitled For the Public s Health Investing in a Healthier Future 2012 These core capacities sometimes referred to as the public health infrastructure are essential for planning delivering and evaluating public health State health agencies require effective and efficient systems for preventing infectious disease morbidity and mortality ensuring control of outbreaks and vigilance against existing diseases and preventing and responding to emerging and reemerging infectious disease threats Read more by topic Diseases 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

    Original URL path: http://nam.edu/perspectives-2013-its-a-matter-of-life-and-death/ (2015-07-15)
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  • National Academy of Medicine » Elder Abuse and the Contagion of Violence: One Size Doesn’t Fit All
    neglect and financial exploitation Despite the evidence suggesting that elder abuse is associated with morbidity and mortality great paucity remains in our understanding of theories etiologies and intervention strategies Read more by topic Global Health 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 is intended

    Original URL path: http://nam.edu/perspectives-2012-elder-abuse-and-the-contagion-of-violence-one-size-doesnt-fit-all/ (2015-07-15)
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  • National Academy of Medicine » Support Title X and Family Planning
    States 64 million receive at least one family planning or related medical service annually Mosher et al 2004 A remarkable consensus has emerged within the scientific and health care communities about the value of reproductive health care and evidence based guidelines to shape its delivery Three Institute of Medicine committees as well as many medical societies and other professional health associations have endorsed the adoption of evidence based guidelines for family planning care One of the most visible and important public sector investments in family planning is the federally funded Title X program which has a long history of providing evidence based cost effective family planning care Begun during the Nixon administration in 1970 Title X s mission is to provide grants to public or nonprofit private entities to assist in the establishment and operation of voluntary family planning projects which shall offer a broad range of acceptable and effective family planning methods and services including natural family planning methods infertility services and services for adolescents primarily for the benefit of low income individuals Read more by topic Public Health Women s Health Note The views expressed in this Perspective are those of the author s and not necessarily of

    Original URL path: http://nam.edu/perspectives-2012-support-title-x-and-family-planning/ (2015-07-15)
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