Preventive Healthcare

Standardised packaging can save lives and boost local economies – Public Health England – 6 August 2014

Posted on August 8, 2014. Filed under: Preventive Healthcare, Public Hlth & Hlth Promotion | Tags: |

Standardised packaging can save lives and boost local economies – Public Health England – 6 August 2014

“New Public Health England (PHE) figures reveal the potential benefits that standardised packaging of tobacco products could bring, not only for health, but in savings of around £500 million – providing a real economic boost to the most deprived communities.

The new figures come following recent official data from Australia, where standardised packaging was introduced in December 2012. Data from the Australian Treasury shows a 3.4% fall in tobacco sales by volume in the first year following the introduction of standardised packs. If that was mirrored here, PHE predicts that total savings across England would be around £500 million.

With tobacco a major cause of health inequalities – the greatest harm being suffered by the most disadvantaged – the benefits would be most felt in areas of greater social deprivation; not only reducing the devastating harm caused by smoking and boosting health improvement, but also increasing families’ disposable income – money that could be spent on other things providing a real boost to local economies.

Retailers earn relatively little profit from tobacco sales. On average, only 7 to 9% of the cost of tobacco is retained by the retailer, compared to 20 to 30% for food and drink products. Money saved by customers from reduced spending on tobacco is likely to be spent elsewhere locally and benefit local businesses more.”

… continues on the site

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Center for Evidence and Practice Improvement (CEPI) – AHRQ – [AHRQ = US Agency for Healthcare Research and Quality]

Posted on July 23, 2014. Filed under: Evidence Based Practice, Health Informatics, Preventive Healthcare, Primary Hlth Care | Tags: |

Center for Evidence and Practice Improvement (CEPI) – AHRQ – [AHRQ = US Agency for Healthcare Research and Quality]

CEPI consists of five divisions:

Evidence-Based Practice Center Program
U.S. Preventive Services Task Force Program
Division of Decision Science and Patient Engagement
Division of Health Information Technology
Division of Practice Improvement

CEPI is also home to AHRQ’s National Center for Excellence in Primary Care Research (NCEPCR)

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Guide to Clinical Preventive Services, 2014: Recommendations of the U.S. Preventive Services Task Force – AHRQ

Posted on July 17, 2014. Filed under: Preventive Healthcare | Tags: , |

Guide to Clinical Preventive Services, 2014: Recommendations of the U.S. Preventive Services Task Force – AHRQ

 

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Preventing dementia: a provocation – International Longevity Centre – UK (ILC-UK) – 14 July 2014

Posted on July 15, 2014. Filed under: Aged Care / Geriatrics, Preventive Healthcare | Tags: |

Preventing dementia: a provocation – International Longevity Centre – UK (ILC-UK) – 14 July 2014

How can we do more to prevent dementia, save lives and reduce avoidable costs?

“This report highlights how we can do more to prevent dementia, save lives and reduce avoidable costs.

A new Provocation launched today from the ILC-UK and Improving Care explores potential savings to the state if we were able to intervene successfully on the risk factors that cause dementia- these include physical activity, smoking, obesity and depression.

The authors of the report have modelled the impact of matching best practice interventions from global case studies on reducing six risk factors for dementia.

We estimate that over a 27 year period (2013-2040) this could prevent nearly 3 million people developing dementia in the UK – and would reduce the costs to the state in the UK by £42.9 billion between now and 2040 (minus any associated costs of intervention).

For example, if we managed to successfully reduce depression by 22.5% by 2040 (best practice intervention) this could prevent 22,000 dementia cases and save the state £308million. Similarly, if we managed to reduce type 2 diabetes by 58% through intensive lifestyle interventions, through weight reduction and exercise, we could potentially prevent 40,000 people developing dementia by 2040 and save the state £560million.

This Provocation links to the key messages of a study published in the Lancet Neurology today that argues one in three cases of dementia could be avoided by changes in lifestyle.”

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Investing in Prevention: A National Imperative – The Vitality Institute – 18 June 2014

Posted on June 23, 2014. Filed under: Chronic Disease Mgmt, Preventive Healthcare |

Investing in Prevention: A National Imperative – The Vitality Institute – 18 June 2014

Key Findings and Recommendations of the Vitality Institute Commission on Health Promotion and the Prevention of Chronic Disease in Working-Age Americans

“The Commission conducted a first-of-its kind, comprehensive review of existing chronic disease prevention research and programs, commissioned 11 original research papers, and debated the findings in private meetings and public forums. The result was a series of five actionable recommendations to build a culture of health that incentivizes and encourages working-age Americans to make healthier choices.

The Recommendations represent a way forward, based on pathways and short- medium- and long-term measures of success, reflecting thorough strategies for change.”

… continues on the site

 

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The New Zealand Guidelines for Helping People to Stop Smoking – Ministry of Health – 6 June 2014

Posted on June 6, 2014. Filed under: Preventive Healthcare, Public Hlth & Hlth Promotion | Tags: |

The New Zealand Guidelines for Helping People to Stop Smoking – Ministry of Health – 6 June 2014

“The New Zealand Guidelines for Helping People to Stop Smoking (the Guidelines) provide health care workers with advice they can use when dealing with people who smoke. These Guidelines replace the 2007 New Zealand Smoking Cessation Guidelines and are based on a recent review of the effectiveness and affordability of stop-smoking interventions.

These Guidelines remain structured around the ABC pathway, which was introduced in the 2007 Guidelines. However, the definitions of A, B and C (see below) have been improved to emphasise the importance of making an offer of cessation support and referring people who smoke to a stop-smoking service.”

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Actions to Encourage Healthy Weight and Healthy Lifestyles – NZ Ministry of Health – 27 May 2014

Posted on May 28, 2014. Filed under: Preventive Healthcare, Public Hlth & Hlth Promotion | Tags: |

Actions to Encourage Healthy Weight and Healthy Lifestyles – NZ Ministry of Health – 27 May 2014

“Encouraging families to live healthy lives – by making good food choices, being physically active, sustaining a healthy weight, not smoking and drinking alcohol only in moderation – is part of the Government’s approach to promoting good health.

As in many countries around the world, obesity and its associated health problems are increasing in New Zealand. A high body mass index is now one of the top three risk factors contributing to ill health and disability, and reduced life expectancy. The costs of the consequences of obesity are shouldered not only by individuals and families, but also by our communities, our health services and the whole of society.

A number of steps are being taken to help New Zealanders improve their nutrition, increase their physical activity and to achieve and maintain a healthy weight. Drivers of obesity are complex and are shaped by biological, environmental, and social influences. International evidence on what is effective in reducing obesity is still evolving; there is agreement that multiple actions across a range of sectors and settings are required to cover both prevention and treatment.

The purpose of this publication is to outline for the public, in a single place, the many and varied actions being taken to help New Zealanders improve their nutrition, increase their physical activity and to achieve and maintain a healthy weight.”

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Supporting people to manage their health: An introduction to patient activation – King’s Fund – 16 May 2014

Posted on May 16, 2014. Filed under: Chronic Disease Mgmt, Preventive Healthcare | Tags: |

Supporting people to manage their health: An introduction to patient activation – King’s Fund – 16 May 2014

” With 60 to 70 per cent of premature deaths caused by detrimental health behaviours, it is vital that people engage more with improving their own health. This paper introduces a way of conceptualising and measuring that engagement known as ‘patient activation’.

Patient activation can be used to reduce health inequalities and deliver improved outcomes, better quality care and lower costs. Drawing on US and UK-based evidence, the paper describes the robust patient-reported measure – the PAM – used to gauge patient activation. PAM measures an individual’s knowledge, skill, and confidence for self-management. Research shows that appropriately designed interventions can increase patients’ levels of activation, with associated health benefits. The paper explores how this is being achieved in practice and offers recommendations for extending early use of the PAM in the United Kingdom.”

How do people become good managers of their own health? – King’s Fund – 16 May 2014

 

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Looking Forward to Later Life Taking an early action approach to our ageing society – Community Links [UK] – 15 May 2014

Posted on May 16, 2014. Filed under: Aged Care / Geriatrics, Preventive Healthcare |

Looking Forward to Later Life Taking an early action approach to our ageing society – Community Links [UK] – 15 May 2014

Media release: Looking Forward to Later Life – new report published today – Community Links – 15 May 2014

 

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Weight Management Economic Assessment Tool [for public health professionals] – Public Health England – 28 April 2014

Posted on May 1, 2014. Filed under: Health Economics, Preventive Healthcare, Public Hlth & Hlth Promotion | Tags: |

Weight Management Economic Assessment Tool [for public health professionals] – Public Health England – 28 April 2014

“The newly developed tool will help local authorities (LAs) to assess the financial benefit of adult weight management programmes to prevent and reduce obesity. LAs will now be able to compare the cost of a programme with potential future healthcare savings that may result. This will help them in their ongoing efforts to achieve a decline in obesity rates by 2020.

The tool estimates the health impact of weight loss in any group of adults who have participated in a programme. The tool is accessible, easy to use and allows users to enter their own local data which will produce forecasts for up to 25 years.”

… continues on the site

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Living Well for Longer: National Support for Local Action to Reduce Premature Avoidable Mortality – England, Department of Health – 28 April 2014

Posted on April 29, 2014. Filed under: Chronic Disease Mgmt, Preventive Healthcare |

Living Well for Longer: National Support for Local Action to Reduce Premature Avoidable Mortality – England, Department of Health – 28 April 2014

“Sets out how the health and care system will become amongst the best in Europe at reducing levels of avoidable mortality

This document will help people understand how the national system as a whole is supporting local action to help people live well for longer.

It includes actions already taken in prevention, early diagnosis and treatment.

It focuses on the 5 big killers:

cancer
stroke
heart disease
lung disease
liver diseases

It includes examples of good practice and help for local commissioning and service delivery.”

Includes – Equality Analysis

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How does money influence health? – Joseph Rowntree Foundation JRF – 10 March 2014

Posted on March 13, 2014. Filed under: Preventive Healthcare, Public Hlth & Hlth Promotion | Tags: , , |

How does money influence health? – Joseph Rowntree Foundation – 10 March 2014

“This study looks at hundreds of theories to consider how income influences health. There is a graded association between money and health – increased income equates to better health. But the reasons are debated.

Researchers have reviewed theories from 272 wide-ranging papers, most of which examined the complex interactions between people’s income and their health throughout their lives.

Key points

This research identifies four main ways money affects people’s wellbeing:”

… continues on the site

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A portable asbestos detector that could save thousands of lives – project ALERT – European Commission – 7 March 2014

Posted on March 10, 2014. Filed under: Preventive Healthcare, Respiratory Medicine |

A portable asbestos detector that could save thousands of lives – project ALERT – European Commission – 7 March 2014

EU Research Projects – ALERT

“A European research project, ALERT, has developed an asbestos detection device that could save thousands of lives. The project team is building the first real-time, portable detector of asbestos fibres in the air. The low-cost ALERT Rapid Asbestos Detection (ARAD) tool, which will be the size of a hand-held drill, is expected to enable construction workers and surveyors to test for the mineral’s presence in building and demolition sites.”

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Alcohol-use disorders: preventing harmful drinking – NICE Evidence Update March 2014

Posted on March 5, 2014. Filed under: Alcohol & Drug Dep., Preventive Healthcare | Tags: |

Alcohol-use disorders: preventing harmful drinking – NICE Evidence Update March 2014

A summary of selected new evidence relevant to NICE public health guidance 24 ‘Alcohol-use disorders: preventing harmful drinking’ (2010)

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Better coordination of screening in Canada: What is the best way forward? – Health Council of Canada – January 2014

Posted on February 25, 2014. Filed under: Preventive Healthcare | Tags: |

Better coordination of screening in Canada: What is the best way forward? – Health Council of Canada – January 2014

 

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Commuting and Personal Well-being, 2014 – Office for National Statistics [UK] – 12 February 2014

Posted on February 17, 2014. Filed under: Preventive Healthcare, Public Hlth & Hlth Promotion | Tags: |

Commuting and Personal Well-being, 2014 – Office for National Statistics [UK] – 12 February 2014

Full text of the paper

“Abstract

This article examines the relationship between commuting to work and personal well-being using regression analysis. It identifies how time spent commuting and method of travel affect life satisfaction, a sense that our daily activities are worthwhile, and levels of happiness and anxiety.”

 

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Unfair economic arrangements make us sick: How should Australia respond to the expanding financial inequities among its citizens? – Australia 21 – 2014

Posted on February 17, 2014. Filed under: Preventive Healthcare, Public Hlth & Hlth Promotion | Tags: , |

Unfair economic arrangements make us sick: How should Australia respond to the expanding financial inequities among its citizens? – Australia 21 – 2014

Prepared by Sharon Friel, Professor of Health, Equity, National Centre for Epidemiology and Population Health, Australian National University and Richard Denniss, Executive Director, The Australia Institute

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Ashgabat Declaration on the Prevention and Control of Noncommunicable Diseases in the Context of Health 2020 – WHO – 4 December 2013

Posted on January 9, 2014. Filed under: Chronic Disease Mgmt, Preventive Healthcare, Public Hlth & Hlth Promotion | Tags: |

Ashgabat Declaration on the Prevention and Control of Noncommunicable Diseases in the Context of Health 2020 – WHO – 4 December 2013

 

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Road Diets: Fitter, Healthier Public Ways – National Collaborating Centre for Healthy Public Policy [Canada] – September 2013

Posted on September 12, 2013. Filed under: Preventive Healthcare, Public Hlth & Hlth Promotion | Tags: |

Road Diets: Fitter, Healthier Public Ways – National Collaborating Centre for Healthy Public Policy [Canada] – September 2013

“This briefing note discusses the road diet, an intervention that can mitigate the health impacts of motorized traffic on public roadways that carry through traffic. These roads are often quite dangerous and uncomfortable for the various users. The road diet consists of a reallocation of the space on these public roadways to accommodate uses other than motorized traffic.

The effectiveness of this intervention is considered “proven” by the Federal Highway Administration. It’s also an intervention that is more and more commonly used, whether in urban, suburban or rural settings. In addition, its potential is very important because it may be relevant to all public roadways that are not used to full capacity – which is very common in North America.

In this text, the author defines road diets, shares some study results, and outlines some practical considerations for how to implement them.”

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State of Preventive Health 2013 – Australian National Preventive Health Agency – 26 July 2013

Posted on July 30, 2013. Filed under: Preventive Healthcare | Tags: |

State of Preventive Health 2013 – Australian National Preventive Health Agency – 26 July 2013

Australian National Preventive Health Agency (ANPHA). State of Preventive Health 2013. Report to the Australian Government Minister for Health. Canberra; ANPHA, 2013

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The fiscal, social and economic dividends of feeling better and living longer – University of Calgary – June 2013

Posted on June 24, 2013. Filed under: Health Economics, Preventive Healthcare, Public Hlth & Hlth Promotion |

The fiscal, social and economic dividends of feeling better and living longer – University of Calgary – June 2013

“SUMMARY

While Canada has socialized most of the costs of treating illness, Canada has maintained a reliance on individuals interacting through private markets to invest in upstream health promotion and disease prevention. The failure of the market to provide the efficient level of upstream investment in health is leading to large and avoidable increases in the need for downstream medical treatment. The way to reduce the future deadweight loss of illness and disease is for provincial governments to address the upstream market failures through an expansion of the scope of public payment for health care to include upstream services for health promotion and disease prevention. Perhaps somewhat counterintuitively, spending public health-care dollars across a broader range of health and wellness services can result in spending less in total, because of the efficiency gains that will come from better health in the population.

That is certainly what the evidence from a unique Albertan pilot project leads us to conclude. The Pure North S’Energy Foundation is a philanthropic initiative that pays for and provides preventative health-care services for Albertans drawn from groups that are vulnerable to poor health. This includes homeless people, people suffering from addiction, people with low incomes, people in isolated areas and susceptible seniors. The health improvements observed in those participating in the Pure North program have been significant.”

… continues

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New Zealand Suicide Prevention Action Plan 2013–2016 – Ministry of Health – 27 May 2013

Posted on June 6, 2013. Filed under: Mental Health Psychi Psychol, Preventive Healthcare | Tags: |

New Zealand Suicide Prevention Action Plan 2013–2016 – Ministry of Health – 27 May 2013

“Summary

The New Zealand Suicide Prevention Action Plan 2013–2016 outlines a programme of actions that the Government will implement over the next four years. It is a cross-government Action Plan bringing together the work of eight agencies. The Action Plan builds on the previous action plan covering 2008–2012. Both action plans reflect the goals of the New Zealand Suicide Prevention Strategy 2006–2016.

The Action Plan includes actions designed to:

address the impact of suicide on families, whānau and communities by strengthening support for family, whānau and communities
build the evidence base, specifically around what works for Māori and Pasifika
extend existing services, specifically addressing geographical gaps in the coverage of services
strengthen suicide prevention targeted to high risk populations who are in contact with agencies.”

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Hospital bed management and primary preventive health – Tasmanian Audit Office – May 2013

Posted on May 31, 2013. Filed under: Preventive Healthcare, Primary Hlth Care | Tags: , |

Hospital bed management and primary preventive health – Tasmanian Audit Office – May 2013

Summary brochure

“Executive summary

Background

In the Australian public health sector there is a persistent demand for hospital beds that is fuelled by numerous factors that include an ageing population and increasing rates of illness caused by lifestyle factors.

To ensure that government achieves maximum value for its investment in public health, maximising the use of existing hospital beds is an important strategy. In this audit, we took the approach that more efficient use of existing facilities could be attained through two strategies at opposite ends of the health care spectrum; improving patient throughput in hospitals and preventing people acquiring chronic conditions that could lead to hospitalisation in future years.

Patient throughput in hospitals could be aided through the use of out-of-hospital alternatives (e.g. outpatient treatment, clinics, Hospital in The Home (HITH), aged care or home care), minimising the length of stay and inter-hospital transfers (to free up beds in busy hospitals).

With a focus on improving public health into the future, we examined two areas of primary preventive health; vaccination and encouraging healthier lifestyle choices. Accordingly, the objective of the audit was to assess the effectiveness of the Department of Health and Human  Services’ (DHHS) efforts to improve patient throughput in hospitals and to prevent people acquiring chronic conditions through primary preventive health strategies. ”

… continues

ISBN 978‐0‐9775898

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Developing a Specification for Lifestyle Weight Management Services: Best Practice Guidance for Tier 2 Services – UK – 19 March 2013

Posted on March 20, 2013. Filed under: Preventive Healthcare, Public Hlth & Hlth Promotion | Tags: |

Developing a Specification for Lifestyle Weight Management Services: Best Practice Guidance for Tier 2 Services – UK – 19 March 2013

“This document provides best practice guidance to help improve the commissioning of weight management services in local areas.

It is aimed at local authorities, in particular Directors of Public Health, and commissioners of weight management services.

The document includes:

■explanatory notes for developing a specification for tier 2 lifestyle weight management services
■two best practice example service specifications, one for adults and one for children
■information on outcomes that a commissioner should expect from a tier 2 service”

continues

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Challenges and Opportunities for Change in Food Marketing to Children and Youth – Workshop Summary – Institute of Medicine – 4 March 2013

Posted on March 5, 2013. Filed under: Child Health / Paediatrics, Preventive Healthcare, Public Hlth & Hlth Promotion | Tags: , , , |

Challenges and Opportunities for Change in Food Marketing to Children and Youth – Workshop Summary – Institute of Medicine – 4 March 2013

Full text
“The childhood obesity epidemic is an urgent public health problem, and it will continue to take a substantial toll on the health of Americans. The most recent data show that almost a third of U.S. children and adolescents are overweight or obese. Children are exposed to an enormous amount of commercial advertising and marketing for food. In 2009, children age 2-11 saw and average of more than 10 television food ads per day. Internet-based advergames, cell phones, and social network marketing create even more avenues for children to be exposed to food advertisements. The marketing of high-calorie, low-nutrient foods and beverages is linked to overweight and obesity. A 2006 IOM report provided evidence that television advertising influences the food and beverage preferences, requests, and short-term consumption of children.

To review progress and explore opportunities for action on food and beverage marketing that targets children and youth, the IOM’s Standing Committee on Childhood Obesity Prevention hosted a workshop on November 5, 2012. The workshop featured presentations and discussion on contemporary trends in marketing of foods and beverages to children and youth and the implications of those trends for obesity prevention. This document summarizes the workshop.”

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Measuring up: The medical profession’s prescription to the nation’s obesity crisis – Academy of Medical Royal Colleges – 15 February 2013

Posted on February 21, 2013. Filed under: Preventive Healthcare, Public Hlth & Hlth Promotion | Tags: , |

Measuring up: The medical profession’s prescription to the nation’s obesity crisis – Academy of Medical Royal Colleges – 15 February 2013

“Medical professionals – from surgeons and psychiatrists to paediatricians and GPs – have set out their recommendations for tackling obesity in a report published today by the Academy of Medical Royal Colleges (AoMRC).
 
Measuring up: the medical profession’s prescription for the nation’s obesity crisis follows a 6-month inquiry by a steering group comprising representatives from 20 of the Royal Medical Colleges and Faculties.
 
The report presents an action plan for future campaigning activity, setting out 10 recommendations for healthcare professionals, local and national government, industry and schools which it believes will help tackle the nation’s obesity crisis.”

… continues

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Re-orienting health systems: towards modern, responsive and sustainable health promoting systems – EuroHealthNet – December 2012

Posted on January 14, 2013. Filed under: Preventive Healthcare, Public Hlth & Hlth Promotion | Tags: , |

Re-orienting health systems: towards modern, responsive and sustainable health promoting systems – EuroHealthNet – December 2012

“This position paper, commissioned by EuroHealthNet and authored initially by Nicoline Tamsma of RIVM, whom we sincerely thank, aims to succinctly capture the key aspects of the approaches needed for sustainable health and social protection systems across Europe, and to focus on the part that the EU can play. Its aim is to help stimulate debate and actions, together with other initiatives.”

… continues

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Action on obesity: Comprehensive care for all – Royal College of Physicians – 1 January 2013

Posted on January 4, 2013. Filed under: Health Status, Preventive Healthcare | Tags: , |

Action on obesity: Comprehensive care for all – Royal College of Physicians – 1 January 2013

“Obesity is an increasing and costly public health problem which is not being addressed by current services or policy. This new report confronts the issues, and sets out how the NHS should adapt to meet the demands of an increasingly obese nation.”

Media release

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Interventions to Prevent Suicide: A Literature Review to Guide Evaluation of California’s Mental Health Prevention and Early Intervention Initiative – RAND – 2012

Posted on January 3, 2013. Filed under: Mental Health Psychi Psychol, Preventive Healthcare | Tags: , |

Interventions to Prevent Suicide: A Literature Review to Guide Evaluation of California’s Mental Health Prevention and Early Intervention Initiative – RAND – 2012

by Joie Acosta, Rajeev Ramchand, Lisa H. Jaycox, Amariah Becker, Nicole K. Eberhart

“A number of prevention and early intervention initiatives aim to reduce the incidence of suicide, and the authors evaluate these initiatives by reviewing suicide prevention (SP) literature to learn about SP program effectiveness and the methodologies previously used to evaluate SP programs. Using evidence from the literature review, they provide an overview of the epidemiology of suicides and of non-fatal self-inflicted injuries in California and present a framework for conceptualizing SP programs. They find that identifying whether a SP program was effective at reducing suicide deaths is challenging because suicide is such a rare event. They also find that programs may have differential effects on population subgroups, because suicide rates differ by age, race, and gender. Finally, they determine that SP programs may show immediate reductions in suicide attempts but their long-term effects are uncertain.”

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An Integrated Framework for Assessing the Value of Community-Based Prevention – Institute of Medicine – 2 November 2012

Posted on November 20, 2012. Filed under: Preventive Healthcare, Public Hlth & Hlth Promotion | Tags: , , |

An Integrated Framework for Assessing the Value of Community-Based Prevention – Institute of Medicine – 2 November 2012

Full text

“Over the last century, the major causes of disease and death among Americans have changed, shifting from predominantly communicable diseases spread by germs to chronic ailments. This shift has been accompanied by a deeper understanding about what keeps people healthy or leaves them vulnerable to becoming ill. To get at the heart of the challenges to living a healthy life, we must increasingly emphasize factors that affect today’s causes of morbidity and mortality.

Despite their importance to preventing illness, determining the value of community-based interventions has proven difficult. Preventing illness requires immediate investments with benefits that might not be realized for many years.

This report proposes a framework to assess the value of community-based, non-clinical prevention policies and wellness strategies. The framework represents a valuable step toward realizing the elusive goal of appropriately and comprehensively valuing community-based prevention.”

 

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WHO Member States make progress on noncommunicable diseases – 9 November 2012

Posted on November 13, 2012. Filed under: Chronic Disease Mgmt, Preventive Healthcare, Public Hlth & Hlth Promotion | Tags: |

WHO Member States make progress on noncommunicable diseases – 9 November 2012

“The first-ever global monitoring framework to combat several of the world’s biggest killers has been agreed this week by WHO Member States. The framework comprises nine voluntary global targets and 25 indicators to prevent and control diseases such as heart disease, diabetes, cancer, chronic lung disease and other noncommunicable diseases. The draft framework aims to focus efforts to address the impact of noncommunicable diseases and assess:

the progress made in reducing associated illness and death;
the reduction of exposures to the main risk factors for the diseases, including tobacco use, harmful use of alcohol, unhealthy diet and physical inactivity; and
the response of national health systems to noncommunicable diseases”

… continues on the site

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Exposing the Charade: the failure to protect children from unhealthy food advertising – Obesity Policy Coalition [Australia] – 12 November 2012

Posted on November 13, 2012. Filed under: Child Health / Paediatrics, Preventive Healthcare, Public Hlth & Hlth Promotion | Tags: , |

Exposing the Charade: the failure to protect children from unhealthy food advertising – Obesity Policy Coalition [Australia] – 12 November 2012

Media release:  Investigation finds inherent conflict of interest in self-regulation 

“Today, the Obesity Policy Coalition, a coalition of leading health bodies, has released one of the most comprehensive investigations into Australia’s self-regulatory system for food marketing ever undertaken.

Jane Martin, Executive Manager of the OPC, said the detailed analysis illustrated how the advertising codes that claim to protect children from junk food advertising had resolutely failed. Further, the report highlighted the litany of loopholes being used by the processed food industry to continue to promote their products despite childhood obesity sitting at record levels.

“We have rigorously interrogated the current system and found it has failed in three key ways:”

… continues on the site

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An Integrated Framework for Assessing the Value of Community-Based Prevention – Institute of Medicine – 2 November 2012

Posted on November 5, 2012. Filed under: Community Services, Preventive Healthcare | Tags: , |

An Integrated Framework for Assessing the Value of Community-Based Prevention – Institute of Medicine – 2 November 2012

Full text

“Over the last century, the major causes of disease and death among Americans have changed, shifting from predominantly communicable diseases spread by germs to chronic ailments. This shift has been accompanied by a deeper understanding about what keeps people healthy or leaves them vulnerable to becoming ill. To get at the heart of the challenges to living a healthy life, we must increasingly emphasize factors that affect today’s causes of morbidity and mortality.

Despite their importance to preventing illness, determining the value of community-based interventions has proven difficult. Preventing illness requires immediate investments with benefits that might not be realized for many years.

This report proposes a framework to assess the value of community-based, non-clinical prevention policies and wellness strategies. The framework represents a valuable step toward realizing the elusive goal of appropriately and comprehensively valuing community-based prevention.”

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Adherence to health guidelines: Findings from the Australian Longitudinal Study on Women’s Health – Women’s Health Australia – 26 September 2012

Posted on September 27, 2012. Filed under: Health Status, Preventive Healthcare | Tags: , |

Adherence to health guidelines: Findings from the Australian Longitudinal Study on Women’s Health – Women’s Health Australia – 26 September 2012

Extract from the executive summary:

“This report uses data from the Australian Longitudinal Study on Women’s Health (ALSWH) to assess adherence to national guidelines for preventive health behaviours and selected health screening.

Women were randomly selected from the Medicare database in 1995 and have been followed up regularly since 1996. Initially there were more than 40,000 participants in three cohorts, born in 1973-78, 1946-51 and 1921-26.

The guidelines used for this report are those disseminated by the National Health and Medical Research Council, the Royal Australian College of General Practitioners, and/or the Australian Government Department of Health and Ageing, based on the best available evidence at the time.”

… continues

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Risk factor trends: age patterns in key health risk factors over time – AIHW – 11 September 2012

Posted on September 12, 2012. Filed under: Preventive Healthcare, Public Hlth & Hlth Promotion | Tags: |

Risk factor trends: age patterns in key health risk factors over time – AIHW – 11 September 2012

“This report presents comparisons over time for different age groups for key health risk factors, including overweight and obesity, physical inactivity, poor diet, smoking and excessive alcohol consumption. The good news is that smoking rates have declined, particularly among younger people. However, overweight/obesity rates have increased for virtually all age groups, especially females aged 12 to 44.”

ISBN 978-1-74249-342-8; Cat. no. PHE 166; 140pp.

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Costing the Walking for Health Programme – RAND – July 2012

Posted on August 28, 2012. Filed under: Health Economics, Preventive Healthcare, Public Hlth & Hlth Promotion | Tags: , |

Costing the Walking for Health Programme – RAND – July 2012

“BACKGROUND: When Walking for Health was launched in 2000 walking was not considered a serious form of exercise. Now the health benefits of short, regular, brisk walks are widely understood. The Department of Health considers that health walks can be a way of increasing people’s levels of physical activity and improving their health. In 2007, Department of Health and Natural England working in partnership with local statutory and voluntary organisations took the decision to invest in an expansion of Walking for Health as part of the package of public health initiatives aimed at getting people more active. As part of the Walking for Health expansion a programme of evaluation was established. The aims of the programme were to evaluate, quantitatively and qualitatively, both health and environmental outcomes from the Walking for Health intervention. To deliver the breadth and depth of evaluation Natural England has worked with research and academic partners. This report was commissioned through University of East Anglia and RAND Europe. Walking for Health is a physical activity intervention with the primary purpose of making a positive difference to people’s physical health. Other studies have looked at the differences the intervention makes to people’s level of physical activity (NECR068, 2011). This report presents research the economic costs of Walking for Health. Specifically, the economic costs involved in delivering the programme. These include financial (or accounting) costs and opportunity costs, which are the values of the foregone costs that could have been dedicated some other objective. The results presented in this report are based on a small sample of schemes representative of the variety across the programme as a whole. The results of this work provide a useful insight into economic costs of running local Walking for Health schemes, and the overarching national support programme. The costs are presented by scheme type, walk hours, and walk register. As the report concludes, these data do not provide insight into the cost-effectiveness of Walking for Health as health outcome data were not considered. The purpose of Natural England commissioning this study was to increase our understanding of economic costs of establishing and running a volunteer lead initiative. Natural England will use these findings to inform and support communities in the development of local initiatives to facilitate access and engagement of people with their natural environments.”

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Clustering of unhealthy behaviours over time: Implications for policy and practice – King’s Fund – 23 August 2012

Posted on August 24, 2012. Filed under: Health Status, Preventive Healthcare, Public Hlth & Hlth Promotion | Tags: |

Clustering of unhealthy behaviours over time: Implications for policy and practice – King’s Fund – 23 August 2012

David Buck, Francesca Frosini

“Summary

People’s lifestyles – whether they smoke, how much they drink, what they eat, whether they take regular exercise – affect their health and mortality. It is well known that each of these lifestyle risk factors is unequally distributed in the population.

Less is known about how these behaviours co-occur or cluster in the population and about how these patterns of multiple lifestyle risk have been evolving over time. This paper considers this in the context of the English population and sets out the implications for public health policy and practice that flow from the findings.

It reviews the current evidence on multiple lifestyle risks and analyses data from the Health Survey for England on the distribution of these risks in the adult population and how this is changing over time.”

… continues on the site

Blog entry on this report:  Improving the health of the poorest, fastest: why clusters of lifestyle behaviours matter

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Sport and exercise science and medicine: building on the Olympic legacy to improve the nation’s health. Report – House of Lords, Select Committee on Science and Technology – 18 July 2012

Posted on July 20, 2012. Filed under: Health Status, Preventive Healthcare, Public Hlth & Hlth Promotion |

Sport and exercise science and medicine: building on the Olympic legacy to improve the nation’s health. Report – House of Lords, Select Committee on Science and Technology – 18 July 2012

Extract from the summary:

“In this short inquiry we asked two questions: how robust is the research and evidence base for improving the performance of elite and non-elite athletes; and how can this knowledge be translated into treatments and preventative interventions to improve the nation’s health? We focused on biomedical research that could enhance the performance of the individual. The context for our inquiry was the London 2012 Summer Olympic Games and the Government’s commitments to the following legacies: to support the performance of elite athletes (measured by medals won at the Games); and to encourage the nation to be “healthier, happier and more active”.

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An Interactive Preventive Care Record (IPHR): A Handbook for Using Patient-Centered Personal Health Records to Promote Prevention – AHRQ – June 2012

Posted on July 20, 2012. Filed under: Chronic Disease Mgmt, Health Informatics, Medical Records, Preventive Healthcare | Tags: |

An Interactive Preventive Care Record (IPHR): A Handbook for Using Patient-Centered Personal Health Records to Promote Prevention – AHRQ – June 2012

Prepared for: Agency for Healthcare Research and Quality, U.S. Department of Health and Human Services

Krist A, Rothemich S, Kashiri P, et al. An Interactive Preventive Care Record: A Handbook for Using Patient-Centered Personal Health Records To Promote Prevention. (Prepared by Virginia Commonwealth University, Department of Family Medicine, Virginia Ambulatory Care Outcomes Research Network (ACORN), under Grant No. R18 HS 017046.) AHRQ Publication No. 12-0051-EF. Rockville, MD: Agency for Healthcare Research and Quality. June 2012.

Extract from the introduction:

“Purpose of This Handbook

This step-by-step guide introduces you to—
●● Using personal health records (PHRs) to promote prevention.
●● Preparing your practice to use a PHR for promoting prevention.
●● Implementing and sustaining the use of a PHR for prevention.

The intended audience for this guide includes primary care practice personnel (e.g., office managers, clinicians, and nurses), practice leaders responsible for selecting informatics systems and ensuring that they are implemented well, and practice informatics staff.

Although the content of this guide can apply to using any PHR to promote prevention, we have focused on a specific type of PHR called an Interactive Preventive Health Record (IPHR). An IPHR is a highly advanced, patient-centered, evidence-based, patient portal focused on prevention. As information systems continue to advance, we believe that more PHRs will have interactivity functionality in the future.

Given the similarities between preventive and chronic care, the steps in this guide can also apply to using an IPHR to promote chronic disease management.

We have used organizational change theory to help determine the steps in this guide. While some steps may be specific to large practices and health systems, the concepts apply equally well to smaller primary care practices.”

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The Cost of Inaction on the Social Determinants of Health – Catholic Health Australia – 4 June 2012

Posted on June 5, 2012. Filed under: Health Status, Preventive Healthcare, Public Hlth & Hlth Promotion | Tags: |

The Cost of Inaction on the Social Determinants of Health – Catholic Health Australia – 4 June 2012

“An Australia-first study has found 500,000 people could avoid chronic illness, $2.3 billion in annual hospital costs could be saved, and the annual number of taxpayer-funded Pharmaceutical Benefits Scheme prescriptions could be cut by 5.3 million.

The study, The Cost of Inaction on the Social Determinants of Health, reveals avoidable chronic illness costs the Federal Government $4 billion each year in welfare payments and the national economy $8 billion in lost earnings.

Click here to read the study’s findings.

Catholic Health Australia (CHA) commissioned the University of Canberra’s National Centre for Social and Economic Modeling (NATSEM) to calculate savings the Federal Government could achieve if the 2008 World Health Organisation (WHO) action plan on social determinants of health was implemented.”

… continues on the site

Senate Committee to Consider Social Determinants of Health – Ministerial media release

Senate Standing Committees on Community Affairs

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National Guide to a Preventive Health Assessment for Aboriginal and Torres Strait Islander People 2nd ed – launched 31 May 2012

Posted on May 31, 2012. Filed under: Aboriginal TI Health, Preventive Healthcare |

National Guide to a Preventive Health Assessment for Aboriginal and Torres Strait Islander People 2nd ed – launched 31 May 2012

National guide to a preventive health assessment for Aboriginal and Torres Strait Islander People   ISBN: 978-0-86906-341-5

“The review and updating of the first (2005) edition of the National guide to a preventive health assessment for Aboriginal and Torres Strait Islander people (‘National Guide’) was a joint initiative of the National Aboriginal Community Controlled Health Organisation (NACCHO) and The Royal Australian College of General Practitioners (RACGP) National Faculty of Aboriginal and Torres Strait Islander Health. The National Guide is a practical resource intended for all health professionals delivering primary healthcare to Aboriginal and/or Torres Strait Islander people. Its purpose is to provide GPs and other health professionals with an accessible, user-friendly guide to best practice in preventive healthcare for Aboriginal and Torres Strait Islander patients.

This second edition of the National Guide comprises:

the National Guide, which contains evidence statements, recommendations, risk calculation tables and an outline of the development of the guide
the evidence base: the collection of evidence underpinning the guide and recommendations (electronic only) (see the Methodology section ‘Searching the evidence base and drafting recommendations’)
a child and adult lifecycle summary wall chart listing activities recommended at each age group.”

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Improving Health Outcomes: The Role of Food in Addressing Chronic Diseases – The Conference Board of Canada – May 2012

Posted on May 28, 2012. Filed under: Chronic Disease Mgmt, Dietetics, Preventive Healthcare, Public Hlth & Hlth Promotion | Tags: |

Improving Health Outcomes: The Role of Food in Addressing Chronic Diseases – The Conference Board of Canada – May 2012

“Improving Health Outcomes gives an overview of the issues, challenges, and potential solutions for improving dietary risk management. It examines the relationship between food, health, and chronic diseases.

Document Highlights

This report examines the relationship between food, health, and chronic diseases—a key consideration for the Canadian Food Strategy being developed by The Conference Board of Canada’s Centre for Food in Canada (CFIC). The report considers the food-related risk factors for three highly prevalent chronic diseases—cardiovascular disease, cancer, and diabetes. It examines current and historical dietary patterns to assess Canadians’ food-related risks; assesses how well consumers, industry, and governments are managing the key dietary risks; and considers the effectiveness of interventions to encourage healthy eating. The report concludes by proposing seven potential measures that consumers, government, and industry can take to improve dietary risk management to cut the burden of chronic diseases.”

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Health Indicators 2012 – Canadian Institute for Health Information – 24 May 2012

Posted on May 28, 2012. Filed under: Health Status, Preventive Healthcare, Public Hlth & Hlth Promotion | Tags: , |

Health Indicators 2012 – Canadian Institute for Health Information – 24 May 2012

“The rate of deaths that could potentially be avoided through timely and effective health care and disease prevention dropped from 373 per 100,000 Canadians in 1979 to 185 per 100,000 Canadians in 2008. Health Indicators 2012, the most recent edition of the report produced annually by the Canadian Institute for Health Information (CIHI) and Statistics Canada, includes updates on more than 40 measures for Canadian regions, including a suite of new avoidable mortality indicators.

“When we look into pan-Canadian results for avoidable deaths,” says Jeremy Veillard, Vice President, Research and Analysis, CIHI, “we can determine the respective impact of prevention efforts and of health care improvements.”

The report reveals that the rate of deaths that could be avoided by preventing disease from developing or an injury from occurring has decreased by 47% over a 30-year period. The rate for Canadians went from 225 per 100,000 in 1979 to 119 per 100,000 in 2008.

Meanwhile, deaths that could have been avoided through timely and effective health care intervention were reduced by 56%. This rate went from 149 per 100,000 Canadians in 1979 to 66 per 100,000 in 2008.”

… continues

Health Indicators 2012 is the 13th in a series of annual reports containing the most recently available health indicators data from the Canadian Institute for Health Information and Statistics Canada. In addition to presenting the most recent indicator results, this year’s report introduces a suite of new acute-care readmission indicators, as well as three new indicators focusing on avoidable mortality. An in depth analysis of Avoidable mortality indicators is presented in the In-Focus section of the report.”

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[US] Taskforce recommends against PSA test – ABC – 22 May 2012

Posted on May 22, 2012. Filed under: Oncology, Preventive Healthcare | Tags: , |

[US] Taskforce recommends against PSA test – ABC – 22 May 2012

“A high level US expert taskforce has caused a stir by recommending against the use of the PSA test to screen for prostate cancer in men, regardless of their age.

The US Preventive Services Task Force (USPSTF) findings are published today in the Annals of Internal Medicine.

“The USPSTF concludes that there is moderate certainty that the benefits of PSA-based screening for prostate cancer do not outweigh the harms,” says the Task Force report. “The USPSTF now recommends against PSA-based screening for prostate cancer in all age groups.”

The PSA test is used to pick up cancers before symptoms occur, but many of these cancers are slow growing and would not become a problem in a man’s lifetime.”

… continues on the site

Annals of Internal Medicine links:

In the Balance: What the U.S. Preventive Services Task Force Missed in Its Prostate Cancer Screening Recommendation
William J. Catalona et al
Annals of Internal Medicine 21 May 2012

In the Balance: Prostate Cancer Screening: What We Know, Don’t Know, and Believe
Otis W. Brawley
Annals of Internal Medicine 21 May 2012

Clinical Guidelines: Screening for Prostate Cancer: U.S. Preventive Services Task Force Recommendation Statement
Virginia A. Moyer et al
Annals of Internal Medicine 21 May 2012

Summaries for Patients: Screening for Prostate Cancer: U.S. Preventive Services Task Force Recommendation Statement
Annals of Internal Medicine 21 May 2012

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Heatwave Plan for England 2012 published – 18 May 2012

Posted on May 21, 2012. Filed under: Preventive Healthcare, Public Hlth & Hlth Promotion | Tags: |

Heatwave Plan for England 2012 published – 18 May 2012

“The Heatwave Plan and accompanying guidance is intended to raise public and professional awareness on how to prepare in case of severe hot weather and potential heatwaves this summer.

The Plan has been developed in partnership with the Health Protection Agency, and is supported by the Met Office. It sets out the risks to health of exposure from severe heat, and the steps people can take to protect their own health, and to reduce the risks of illness and death in the most vulnerable people.”

… continues on the site

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Alliances for Obesity Prevention: Finding Common Ground – Workshop Summary – Institute of Medicine – 11 May 2012

Posted on May 14, 2012. Filed under: Child Health / Paediatrics, Preventive Healthcare, Public Hlth & Hlth Promotion | Tags: , , |

Alliances for Obesity Prevention: Finding Common Ground – Workshop Summary – Institute of Medicine – 11 May 2012

Full text

“What do obesity prevention groups have in common with the Federal Reserve and the National Gardening Association? In October 2011, the Institute of Medicine’s Standing Committee on Childhood Obesity Prevention hosted a workshop in order to hear from organizations, movements, and sectors with the potential to be allies for obesity prevention, and to identify common ground and engender dialogue among them. The workshop speakers discussed how to develop innovative alliances that can bring synergies to efforts and resources, accelerate progress, and sustain efforts toward obesity prevention. They explored common ground for joint activities and mutual successes, and lessons learned from efforts at aligning diverse groups with goals in common. This document summarizes the workshop.”

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Accelerating Progress in Obesity Prevention: Solving the Weight of the Nation – National Academies Press – 2012

Posted on May 9, 2012. Filed under: Preventive Healthcare, Public Hlth & Hlth Promotion | Tags: |

Accelerating Progress in Obesity Prevention: Solving the Weight of the Nation – National Academies Press – 2012

ISBN-10: 0-309-22154-4     ISBN-13: 978-0-309-22154-2

“Accelerating Progress in Obesity Prevention is the basis of Weight of the Nation, a multipronged project, which will shed new light on the facts and myths of this urgent public health issue and explore how obesity is impacting our nation and the health care system. This project will feature a series of four documentary films, a three-part HBO Family series, 14 bonus short films, a social media campaign, a companion book, and a nationwide community-based outreach campaign. The four-part documentary series – which will air May 14 and 15 – and other facets of the initiative were developed with expert input from IOM as well as CDC and NIH.”

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The Weight of the Nation – Groundbraking multi-part documentary series on the obesity epidemic debuts May 14 and 15 exclusively on HBO [US] – 16 April 2012

Posted on April 20, 2012. Filed under: Preventive Healthcare, Public Hlth & Hlth Promotion | Tags: |

The Weight of the Nation – Groundbraking multi-part documentary series on the obesity epidemic debuts May 14 and 15 exclusively on HBO [US] – 16 April 2012

Press release

About the documentary:

“Bringing together the nation’s leading research institutions, THE WEIGHT OF THE NATION is a presentation of HBO and the Institute of Medicine (IOM), in association with the Centers for Disease Control and Prevention (CDC) and the National Institutes of Health (NIH), and in partnership with the Michael & Susan Dell Foundation and Kaiser Permanente.

The centerpiece of THE WEIGHT OF THE NATION campaign is the four-part documentary series, each featuring case studies, interviews with our nation’s leading experts, and individuals and their families struggling with obesity. The first film, CONSEQUENCES, examines the scope of the obesity epidemic and explores the serious health consequences of being overweight or obese. The second, CHOICES, offers viewers the skinny on fat, revealing what science has shown about how to lose weight, maintain weight loss and prevent weight gain. The third, CHILDREN IN CRISIS, documents the damage obesity is doing to our nation’s children. Through individual stories, this film describes how the strong forces at work in our society are causing children to consume too many calories and expend too little energy; tackling subjects from school lunches to the decline of physical education, the demise of school recess and the marketing of unhealthy food to children. The fourth film, CHALLENGES, examines the major driving forces causing the obesity epidemic, including agriculture, economics, evolutionary biology, food marketing, racial and socioeconomic disparities, physical inactivity, American food culture, and the strong influence of the food and beverage industry.”

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[UK] Consultation launched on standardised tobacco packaging – 16 April 2012

Posted on April 17, 2012. Filed under: Preventive Healthcare, Public Hlth & Hlth Promotion | Tags: , , |

[UK] Consultation launched on standardised tobacco packaging – 16 April 2012

Plain tobacco packaging : A systematic review – Public Health Research Consortium (PHRC) [UK] – Final report

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Country-Level Decision Making for Control of Chronic Diseases – Workshop Summary – Institute of Medicine – 2 April 2012

Posted on April 3, 2012. Filed under: Chronic Disease Mgmt, Health Policy, Preventive Healthcare | Tags: |

Country-Level Decision Making for Control of Chronic Diseases – Workshop Summary – Institute of Medicine – 2 April 2012

Full text

“A 2010 IOM report, Promoting Cardiovascular Health in the Developing World, found that not only is it possible to reduce the burden of cardiovascular disease and related chronic diseases in developing countries, but also that such a reduction will be critical to achieving global health and development goals. One key step to achieving this outcome is to identify practical ways to assist low- and middle-income countries in improving control of chronic diseases through the approaches that are led by a country’s decision makers and stakeholders and that will be most appropriate, effective, and feasible based on a country’s circumstances.

As part a series of follow-up activities to the 2010 report, the IOM planned a workshop to explore ideas and opportunities for supporting country-specific assessment of resource needs and planning of resource allocation for chronic diseases as part of the broader process of priority setting, decision making, and planning. The workshop, held in July 2011, aimed to identify what is needed to create tools for country-led planning of effective, efficient, and equitable provision of programs to prevent and reduce the burden of chronic diseases. This document summarizes the workshop.”

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Connecting Those at Risk to Care: The Quick Start Guide to Developing Community Care Coordination Pathways – AHRQ – 29 February 2012

Posted on March 29, 2012. Filed under: Community Services, Preventive Healthcare, Primary Hlth Care | Tags: , , |

Connecting Those at Risk to Care: The Quick Start Guide to Developing Community Care Coordination Pathways – AHRQ – 29 February 2012

AHRQ = Agency for Healthcare Research and Quality

“Developed by: Community Care Coordination Learning Network

This quick start guide is a reference and resource for public and private stakeholders engaged in improving the system for identifying and connecting at-risk individuals within a community to appropriate health and social services. The target audience includes all those involved in the design, implementation, and financing of care coordination services. This Quick Start guide complements Connecting Those at Risk to Care: A Guide to Building a Community “HUB” To Promote a System of Collaboration, Accountability, and Improved Outcomes.

Contents:

Overview

Why Create a Community HUB and Pathways?
Reason #1: To Promote the Goals of Health Care Reform
Reason #2: To Close the Nation’s Cost and Quality Gap by Paying for Value, Not Volume

A Quick Guide to Creating and Using a Community HUB and Pathways
Key Elements of an Effective Community HUB
A Step-by-Step Process for Using a Pathway

Examples of Six Core Pathways
Core Pathway 1: Medical Home
Core Pathway 2: Medical Referral
Core Pathway 3: Social Service Referral
Core Pathway 4: Health Insurance
Core Pathway 5: Medication Assessment
Core Pathway 6: Pregnancy

Other Resources

Appendix A: Pathways Compendium

Exhibits
Exhibit A-1: Sample Demographic and Referral Form
Exhibit A-2: Sample Care Planning Checklists
Exhibit A-3: Followup Adult Checklist
Exhibit A-4: Examples of Reports for the Community HUB and Participating Agencies”

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Risk factors contributing to chronic disease – AIHW – 29 March 2012

Posted on March 29, 2012. Filed under: Chronic Disease Mgmt, Preventive Healthcare, Public Hlth & Hlth Promotion | Tags: |

Risk factors contributing to chronic disease – AIHW – 29 March 2012

“Chronic diseases are responsible for a large portion of the disease burden in Australia, and many are highly preventable by reducing known risk factors. This report shows that: ~Most people have at least one risk factor and more than 90% do not consume enough vegetables. ~Social disadvantage is associated with risky health behaviours. ~Nearly 60%of Australians do not undertake sufficient levels of physical activity, and many of us (almost 80%) usually spend 3 or more hours sitting during our leisure time.”

ISBN 978-1-74249-283-4; Cat. no. PHE 157; 124pp

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Acceptable Behaviour? Public opinion on behaviour change policy – Ipsos MORI – 27 February 2012

Posted on March 13, 2012. Filed under: Preventive Healthcare, Public Hlth & Hlth Promotion |

Acceptable Behaviour? Public opinion on behaviour change policy – Ipsos MORI – 27 February 2012

“Many of the biggest challenges we face as societies around the world could be largely solved if people changed their behaviours and habits.  It’s no surprise then that behavioural economics or “nudge” approaches are of increasing interest to governments and policy-makers.  In these austere times, relatively cheap ways to deal with major issues is hugely attractive.

But at the same time, politicians have been cautious about wholeheartedly backing behaviour change policies – perhaps because they are concerned about how acceptable their citizens (and voters) will find government interference in their decisions.

Our report, Acceptable Behaviour? looks at exactly this issue – asking citizens across 24 countries how acceptable they find different levels of government intervention on four key policy issues:

smoking;
eating unhealthy foods;
saving for retirement; and
living in an environmentally sustainable way.

The findings throw up some interesting surprises and paradoxes. Large parts of the world are not as opposed to government intervention as might be first imagined. But whilst people are willing for governments to intervene in specific areas, when asked about government intervention at a general level there is still strong resistance.

As far as we are aware, this is the first report that addresses these issues internationally.  We are also delighted to have a foreword from Dr David Halpern, the Director of the UK government’s Behavioural Insight Team, and one of the world’s leading thinkers on these issues.”

… continues

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Review of the Evidence on Falls Prevention in Hospitals. Task 4 Final Report – RAND – February 2012

Posted on March 13, 2012. Filed under: Patient Safety, Preventive Healthcare | Tags: , , |

Review of the Evidence on Falls Prevention in Hospitals. Task 4 Final Report – RAND – February 2012

by Susanne Hempel, Sydne Newberry, Zhen Wang, Paul G. Shekelle, Roberta M. Shanman, Breanne Johnsen, Tanja Perry, Debra Saliba, David A. Ganz

“To facilitate the development of a hospital falls prevention resource guide, the authors systematically reviewed and documented the existing evidence base for interventions to prevent falls in hospitals, provided an overview of the performance of existing tools with known measurement properties, and compiled available online resources. The search identified a large number of published fall prevention intervention evaluations. Almost all interventions were multi-component in nature and included fall risk assessments and education for staff and patients and/or families. Intervention complexity and organizational implications varied widely. The review also identified a wide variety of tools for the prevention of falls in hospitals; the majority of the documented tools were fall risk assessment scales. Very few tools, such as the Morse Fall Scale and the STRATIFY scale, have been applied in a number of studies and have generalizable reliability and validity estimates. The documented evidence-based interventions and tools may assist in the development of programs to prevent falls in hospitals. Which tools and interventions are suitable for use in individual hospitals must be evaluated in the context of existing approaches, resources, and individual needs. The identified material will be integrated into the AHRQ toolkit as resources to guide fall prevention approaches for hospitals.”

AHRQ = US Agency for Healthcare Research & Quality

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National Bowel Cancer Screening Program monitoring report: phase 2, July 2008- June 2011 – AIHW – 2 March 2012

Posted on March 2, 2012. Filed under: Gastroenterology, Oncology, Preventive Healthcare | Tags: , |

National Bowel Cancer Screening Program monitoring report: phase 2, July 2008- June 2011 – AIHW – 2 March 2012

“This report presents statistics on the National Bowel Cancer Screening Program for Australians invited to take part between July 2008 and June 2011. Just over 800,000 people were screened in that time, with about 60,000 found to require further assessment. One out of every 11 colonoscopies performed for further assessment detected and removed an advanced adenoma (pre-cancerous lesion), and a cancer was detected in 1 out of every 33 colonoscopies. However, this represents only a partial picture of outcomes due to incomplete reporting.”

ISBN 978-1-74249-280-3; Cat. no. CAN 61; 120pp

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Measuring Progress in Obesity Prevention – Workshop Report – Institute of Medicine – 23 February 2012

Posted on February 27, 2012. Filed under: Preventive Healthcare, Public Hlth & Hlth Promotion | Tags: , |

Measuring Progress in Obesity Prevention – Workshop Report – Institute of Medicine – 23 February 2012

Full text

“Nearly 69 percent of U.S. adults and 32 percent of children are either overweight or obese, creating an annual medical cost burden that may reach $147 billion. The physical environments and the kinds of foods available where people live and work, the marketing and media messages they receive, and the public policies that govern their lives all play a major role in their diets and physical activity levels. Researchers and policy makers are eager to identify improved measures of environmental and policy factors that contribute to obesity prevention.

The IOM formed the Committee on Accelerating Progress in Obesity Prevention to review the IOM’s past obesity-related recommendations, identify a set of recommendations for future action, and recommend indicators of progress in implementing these actions. The committee held a workshop in March 2011 about how to improve measurement of progress in obesity prevention. The workshop was an opportunity for the committee to discuss opportunities and challenges related to measurement and to hear from experts in relevant fields, including public health, economics, nutrition, media studies and communication, marketing, and public policy. This document summarizes the workshop.”

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A smokefree future: a comprehensive tobacco control strategy for England – 1 February 2012

Posted on February 17, 2012. Filed under: Preventive Healthcare, Public Hlth & Hlth Promotion | Tags: , |

A smokefree future: a comprehensive tobacco control strategy for England – 1 February 2012

“This new tobacco control strategy for England establishes a vision of eradicating tobacco harms and creating a smokefree future, so that we can support people to live healthier and longer lives. The strategy follows on from a successful public consultation in 2008 on the future of tobacco control, which drew nearly 100,000 individual responses.

To deliver this vision the strategy sets out three overarching objectives to make significant progress towards a smokefree society:

1. To stop the inflow of young people recruited as smokers.
2. To motivate and assist every smoker to quit.
3. To protect families and communities.

Against each objective, we are setting an aspiration of what could be achieved by 2020, including halving the numbers of adult smokers to just one in ten, and reducing the number of children who take up smoking to negligible levels.  Delivering these aspirations will maintain England’s position as a world leader in tobacco control but can only be achieved if all partners across the public, private and voluntary sectors continue to prioritise tobacco control and implement the evidence-based policies set out in this strategy.”

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Health economic assessment tools (HEAT) for walking and for cycling. Methodology and user guide. Economic assessment of transport infrastructure and policies – WHO – 2011

Posted on January 18, 2012. Filed under: Health Economics, Preventive Healthcare, Public Hlth & Hlth Promotion |

Health economic assessment tools (HEAT) for walking and for cycling. Methodology and user guide. Economic assessment of transport infrastructure and policies – WHO – 2011

Available in:  English (PDF), 2.3 MB
By Sonja Kahlmeier, Nick Cavill, Hywell Dinsdale, Harry Rutter, Thomas Götschi, Charlie Foster, Paul Kelly, Dushy Clarke, Pekka Oja, Richard Fordham, Dave Stone and Francesca Racioppi      39 pages     ISBN 978 92 890 0251 6

“The promotion of cycling and walking for everyday physical activity not only promotes health but can also have positive effects on the environment.

This booklet summarizes the tools and guidance developed to facilitate this shift: the methodology for the economic assessment of transport infrastructure and policies in relation to the health effects of walking and cycling; systematic reviews of the economic and health literature; and guidance on applying the health economic assessment tools and the principles underlying it.

This methodology and user guide will be of key interest to professionals at both national and local levels: transport planners, traffic engineers, and special interest groups working on transport, walking, cycling or the environment, as well as health economists, physical activity experts and health promotion experts.”

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IOM Partners in ‘The Weight of the Nation,’ A New National Initiative to Engage Individuals, Communities in Confronting Obesity Crisis – 2012

Posted on January 18, 2012. Filed under: Preventive Healthcare | Tags: , |

IOM Partners in ‘The Weight of the Nation,’ A New National Initiative to Engage Individuals, Communities in Confronting Obesity Crisis

Text taken from an email alert from the Institute of Medicine

“As obesity continues to diminish the quality of people’s lives and raise health care costs, the Institute of Medicine is pleased to join HBO, the Centers for Disease Control and Prevention (CDC), the National Institutes of Health (NIH), the Michael & Susan Dell Foundation, and Kaiser Permanente in developing “The Weight of the Nation,” a new national campaign tackling the obesity crisis.

The Weight of the Nation will shed new light on the facts and myths of this urgent public health issue and explore how obesity is impacting our nation and the health care system. This multipronged project will feature a series of four documentary films, a three-part HBO Family series, 14 bonus short films, a social media campaign, a companion book, and a nationwide community-based outreach campaign. The four-part documentary series — which HBO announced will air May 14 and 15 — and other facets of the initiative were developed with expert input from IOM as well as CDC and NIH.”

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Improving Health Together: A Policy Framework for Chronic Disease Prevention and Management in Newfoundland and Labrador – 20 December 2011

Posted on January 9, 2012. Filed under: Chronic Disease Mgmt, Preventive Healthcare |

Improving Health Together: A Policy Framework for Chronic Disease Prevention and Management in Newfoundland and Labrador – 20 December 2011

“The Chronic Disease Control Division is responsible for the development, implementation and evaluation of provincial policies and programs related to chronic disease prevention and management in Newfoundland and Labrador. Improving Health Together: A Policy Framework for Chronic Disease Prevention and Management in Newfoundland and Labrador  sets the direction for action by all partners including government, community groups, employers, the health system, and individuals.”

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Cholesterol and a healthier nation: shared responsibility for better public health – Heart UK – 2011

Posted on December 16, 2011. Filed under: Cardiol / Cardiothor Surg, Preventive Healthcare, Public Hlth & Hlth Promotion |

Cholesterol and a healthier nation: shared responsibility for better public health – Heart UK – 2011

Extract from the foreword:

“This excellent report by HEART UK, the Cholesterol Charity, is an important reminder to all involved in the NHS and policy making to keep heart disease as a number one priority. It is also a wake-up call for the new NHS Health Checks programme – a great initiative to help early diagnosis and prevention of  ardiovascular disease – despite clear instructions from both the current and the previous government, at least nine PCTs have failed to offer a single health check since roll-out of the programme began in 2009.”

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Providing the scientific evidence for healthier Australian diets – NHMRC – 13 December 2011

Posted on December 13, 2011. Filed under: Dietetics, Preventive Healthcare | Tags: , |

Providing the scientific evidence for healthier Australian diets – NHMRC – 13 December 2011

“Tomorrow, the National Health and Medical Research Council will release its draft Australian Dietary Guidelines and the Australian Guide to Healthy Eating for public consultation.

The draft guidelines provide evidence-based advice to health professionals and the general public about food choices to promote health and wellbeing and reduce the risk of diet-related diseases.”

… continues

“Consultation on the draft Australian Dietary Guidelines, incorporating the Australian Guide to Healthy Eating, opens on 13 December 2011 and closes on 29 February 2012. To provide feedback or for more information, please visit: http://www.eatforhealth.gov.au

 

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The causes of cancer you can control – Cancer Research UK – 7 December 2011

Posted on December 8, 2011. Filed under: Oncology, Preventive Healthcare |

The causes of cancer you can control – Cancer Research UK – 7 December 2011

“Can cancer be prevented? Decades of research have shown that a person’s chances of getting cancer depends on a mishmash of their genes and their environment, but also certain aspects of their lives, many of which they can control.

Today saw the publication of a landmark Cancer Research UK-funded review by Professor Max Parkin, outlining the latest evidence behind the preventable causes of UK cancers.”

… continues on the site

The review was published in Nature (open access)
The Fraction of Cancer Attributable to Lifestyle and Environmental Factors in the UK in 2010
includes:
The fraction of cancer attributable to lifestyle and environmental factors in the UK in 2010
1. The fraction of cancer attributable to lifestyle and environmental factors in the UK in 2010
2. Tobacco-attributable cancer burden in the UK in 2010
3. Cancers attributable to consumption of alcohol in the UK in 2010
4-7. Cancers attributable to dietary factors in the UK in 2010
8. Cancers attributable to overweight and obesity in the UK in 2010
9. Cancers attributable to inadequate physical exercise in the UK in 2010
10. Cancers attributable to exposure to hormones in the UK in 2010
11. Cancers attributable to infection in the UK in 2010
12. Cancers in 2010 attributable to ionising radiation exposure in the UK
13. Cancers attributable to solar (ultraviolet) radiation exposure in the UK in 2010
14. Cancers attributable to occupational exposures in the UK in 2010
15. Cancers attributable to reproductive factors in the UK in 2010
16. The fraction of cancer attributable to lifestyle and environmental factors in the UK in 2010

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BreastScreen Australia monitoring report 2008-2009 – AIHW – 6 December 2011

Posted on December 6, 2011. Filed under: Oncology, Preventive Healthcare | Tags: , |

BreastScreen Australia monitoring report 2008-2009 – AIHW – 6 December 2011

“BreastScreen Australia aims to reduce morbidity and mortality from breast cancer through organised breast cancer screening. This report presents national statistics for the program. More than 1.3 million women aged 50-69 participated in BreastScreen Australia in 2008-2009, equivalent to around 55% of the target age group. Deaths from breast cancer are at an historic low at 47 deaths per 100,000 women aged 50-69 in 2007.”

ISSN 1039-3307; ISBN 978-1-74249-261-2; Cat. no. CAN 60; 98pp

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Protecting human health and safety during severe and extreme heat events. A national framework – pwc – November 2011

Posted on November 16, 2011. Filed under: Preventive Healthcare, Public Hlth & Hlth Promotion |

Protecting human health and safety during severe and extreme heat events. A national framework – pwc – November 2011

Extract from the foreword:

“Heatwaves kill more Australians than any other natural disasters. They have received far less public attention than cyclone, flood or bushfire – they are private, silent deaths which only hit the media when morgues reach capacity or infrastructure fails. There has never been a national study which uses a common definition of heatwaves and directly comparable mortality data. Australia has no national heatwave plan. This report remedies these deficiencies and recommends strategies for the national, state and local governments as well as for citizens.

Working with support from the Commonwealth Government and the Bureau of Meteorology, PwC has demonstrated that heatwaves have led to considerable excess deaths in Melbourne, Adelaide, Brisbane, Sydney and Perth over the past 50 years. These deaths are likely to increase with population growth, ageing and climate change. By 2050 an extreme heat event in Melbourne alone could typically kill over one thousand people in a few days if we don’t improve the way we forecast, prepare for and manage these events. It is likely that Brisbane would face a similar death toll, with Adelaide, Sydney and Perth also increasingly impacted. To put this in perspective 173 people died in the Black Saturday fires in Victoria in 2009 and 35 in the floods in Queensland in 2010-11. However more than 370 people died from extreme heat in Victoria in the same week as the Black Saturday fires. The morbidity impacts from future extreme heat events are likely to also be very large. Those who are affected come disproportionally from the vulnerable groups in our community.

Much is being done, but there is much more we can do to make our cities, our homes and businesses, our infrastructure and our citizens more resilient. Central to this effort will be the development of a national Excessive Heat Factor forecasting framework which recognises local differences in heat conditions and experience – fortunately this report suggests that with the right support the Bureau of Meteorology could provide this tool quite rapidly. With this early warning, and making intelligent use of conventional and social media, emergency services, social and health workers, families and carers will be in a much better position to respond.”

… continues

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From illness to wellness: achieving efficiencies and improving outcomes – NHS Confederation – 3 November 2011

Posted on November 14, 2011. Filed under: Preventive Healthcare, Public Hlth & Hlth Promotion | Tags: |

From illness to wellness: achieving efficiencies and improving outcomes – NHS Confederation – 3 November 2011
 
“At a time of major transformation for public health in England, services aimed at improving well-being present a key opportunity to significantly shift approaches towards improving population health.

This briefing is intended to share learning with commissioners and providers in the NHS, local government and health and wellbeing boards, to support integration of wellness approaches within existing programmes and services and scale-up system-wide change.”

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Transition of Care for Acute Stroke and Myocardial Infarction Patients: From Hospitalization to Rehabilitation, Recovery, and Secondary Prevention – AHRQ – October 2011

Posted on November 11, 2011. Filed under: Cardiol / Cardiothor Surg, Neurology, Preventive Healthcare, Rehabilitation | Tags: |

Transition of Care for Acute Stroke and Myocardial Infarction Patients: From Hospitalization to Rehabilitation, Recovery, and Secondary Prevention – AHRQ – October 2011

AHRQ = US Agency for Healthcare Research and Quality

“Structured Abstract

Objectives: To review the available published literature to assess whether evidence supports a beneficial role for coordinated transition of care services for the postacute care of patients hospitalized with first or recurrent stroke or myocardial infarction (MI). This review was framed around five areas of investigation:

1.Key components of transition of care services.
2.Evidence for improvement in functional outcomes, morbidity, mortality, and quality of life.
3.Associated risks or potential harms.
4.Evidence for improvement in systems of care.
5.Evidence that benefits and harms vary by patient-based or system-based characteristics.

Data Sources: MEDLINE®, CINAHL®, Cochrane Database of Systematic Reviews, and Embase®.

Review Methods: We included studies published in English from 2000 to 2011 that specified postacute hospitalization transition of care services as well as prevention of recurrent stroke or MI.

Results: A total of 62 articles representing 44 studies were included for data abstraction. Transition of care interventions were grouped into four categories:

1.Hospital-initiated support for discharge was the initial stage in the transition of care process.
2.Patient and family education interventions were started during hospitalization but were continued at the community level.
3.Community-based models of support followed hospital discharge.
4.Chronic disease management models of care assumed the responsibility for long-term care.

Early supported discharge after stroke was associated with reduced total hospital length of stay without adverse effects on functional recovery, and specialty care after MI was associated with reduced mortality. Because of several methodological shortcomings, most studies did not consistently demonstrate that any specific intervention resulted in improved patient- or system-based outcomes. Some studies included more than one intervention, which made it difficult to determine the effect of individual components on clinical outcomes. There was inconsistency in the definition of what constituted a component of transition of care compared to “standard care.” Standard care was poorly defined, and nearly all studies were underpowered to demonstrate a statistical benefit. The endpoints varied greatly from study to study. Nearly all the studies were single-site based, and most (26 of 44) were conducted in countries with national health care systems quite different from that of the U.S., therefore limiting their generalizability.

Conclusions: Although a basis for the definition of transition of care exists, more consensus is needed on the definition of the interventions and the outcomes appropriate to those interventions. There was limited evidence that two components of hospital-initiated support for discharge (early supported discharge after stroke and specialty care followup after MI) were associated with beneficial effects. No other interventions had sufficient evidence of benefit based on the findings of this systematic review. The adoption of a standard set of definitions, a refinement in the methodology used to study transition of care, and appropriate selection of patient-centered and policy-relevant outcomes should be employed to draw valid conclusions pertaining to specific components of transition of care.”

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Promoting Health Literacy to Encourage Prevention and Wellness: Workshop Summary – Institute of Medicine – November 2011

Posted on November 4, 2011. Filed under: Preventive Healthcare, Public Hlth & Hlth Promotion | Tags: , , |

Promoting Health Literacy to Encourage Prevention and Wellness: Workshop Summary – Institute of Medicine – November 2011
Authors: Lyla Hernandez and Suzanne Landi, Rapporteurs; Roundtable on Health Literacy; Institute of Medicine

ISBN-10: 0-309-21577-3    ISBN-13: 978-0-309-21577-0

“Health literacy has been shown to affect health outcomes. The use of preventive services improves health and prevents costly health care expenditures. Several studies have found that health literacy makes a difference in the extent to which populations use preventive services. On September 15, 2009, the Institute of Medicine Roundtable on Health Literacy held a workshop to explore approaches to integrate health literacy into primary and secondary prevention.

Promoting Health Literacy to Encourage Prevention and Wellness serves as a factual account of the discussion that took place at the workshop. The report describes the inclusion of health literacy into public health prevention programs at the national, state and local levels, reviews how insurance companies factor health literacy into their prevention programs, and discusses industry contributions to providing health literate primary and secondary prevention.”

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Should Soft Drinks be Taxed More Heavily? – Agricultural & Applied Economics Association

Posted on November 3, 2011. Filed under: Preventive Healthcare, Public Hlth & Hlth Promotion |

Should Soft Drinks be Taxed More Heavily? – Agricultural & Applied Economics Association 

“The articles in this theme consider a controversial policy issue: whether sweetened soda should be subject to increased taxation. The justification for such taxes relates both to economics and public health, but such taxes are hardly without critics. The authors of these articles are drawn from numerous fields: medicine, public health, economics, applied economics, political science, public affairs, and industry. They represent a cross-section of informed opinion and analysis that we hope will be helpful as the debate unfolds.”

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Change4Life three year social marketing strategy – Department of Health [UK] – 13 October 2011

Posted on October 18, 2011. Filed under: Preventive Healthcare, Public Hlth & Hlth Promotion | Tags: |

Change4Life three year social marketing strategy – Department of Health [UK] – 13 October 2011

“This document sets out a new three-year marketing strategy (2011–14) for the Change4Life programme. It is published as a companion to Healthy Lives, Healthy People: A call to action on obesity in England and describes how the Change4Life social marketing programme will support the achievement of the new national obesity ambitions, as well as promoting other, broader, lifestyle changes.”

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Healthy Lives, Healthy People: A call to action on obesity in England – HM Government – 13 October 2011

Posted on October 18, 2011. Filed under: Preventive Healthcare, Public Hlth & Hlth Promotion | Tags: |

Healthy Lives, Healthy People: A call to action on obesity in England – HM Government – 13 October 2011

“This document sets out how the new approach to public health will enable effective action on obesity and encourages a wide range of partners to play their part.”

More 

Equality analysis.  Standard template for DH staff – October 2011

“As part of the new approach to obesity, the Government also makes clear that, given the different levels of risk faced by different groups, it is vital that action on excess weight reduces health inequalities. It emphasises that particular attention needs to be given to specific socioeconomic and ethnic groups and to disabled people and people with mental health needs.”

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National Social Housing Survey: a summary of national results – AIHW – 7 October 2011

Posted on October 18, 2011. Filed under: Preventive Healthcare | Tags: , , |

National Social Housing Survey: a summary of national results – AIHW – 7 October 2011

“The majority of National Social Housing Survey respondents were either `satisfied’ or `very satisfied’ with living in either public housing or community housing. In addition, most respondents indicated that the amenity and location of their housing met the needs of their household. These respondents also recorded experiencing `benefits’ from living in social housing–around 90% felt more settled and over two-thirds felt they enjoyed better health. These findings are particularly noteworthy given that social housing is typically targeted at groups such as low income earners, those who were previously homeless and people who are otherwise disadvantaged in the housing market.”

ISSN 1446-9820; ISBN 978-1-74249-208-7; Cat. no. AUS 141; 16pp

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Innovations in Knowledge Translation: the SPHERU KT Casebook – Saskatchewan Population Health and Evaluation Research Unit – June 2011

Posted on October 18, 2011. Filed under: Knowledge Translation, Preventive Healthcare, Public Hlth & Hlth Promotion |

Innovations in Knowledge Translation: the SPHERU KT Casebook – Saskatchewan Population Health and Evaluation Research Unit – June 2011
Saskatchewan Population Health and Evaluation Research Unit (SPHERU)

“In November of 2009, the Saskatchewan Population Health and Evaluation Research Unit (SPHERU) issued a call for abstracts on knowledge translation (KT). We invited researchers, academics, policy makers, community practitioners and others to submit examples highlighting their work with KT initiatives. We asked contributors to focus on one of the following three themes: KT Strategies; KT in Action: Leading to Change in Policy or Practice; and Evaluation of KT Effectiveness. Our goal for the Innovations in Knowledge Translation: the SPHERU KT Casebook was to provide a toolkit of different knowledge translation (KT) strategies, actions, and evaluations to highlight concrete examples and best practices in knowledge translation.

The Casebook represents a diverse collection of innovative knowledge translation stories ranging from developing a music video for sharing healing stories of Aboriginal women’s drug addiction, to a national symposium to promote healthy lifestyle behaviors among school-aged children in Trinidad and Tobago. The casebook provides a means for sharing knowledge translation (KT) strategies, actions, and evaluations to help guide academics, researchers, community practitioners, policy makers and others in their application of knowledge translation.”  … continues

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National Partnerships – Health – Ministerial Council for Federal Financial Relations

Posted on September 1, 2011. Filed under: Aged Care / Geriatrics, Health Economics, Health Informatics, Preventive Healthcare, Public Hlth & Hlth Promotion |

National Partnerships – Health – Ministerial Council for Federal Financial Relations

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Australian National Preventive Health Agency Strategic Plan and Operating Plan – 22 August 2011

Posted on August 22, 2011. Filed under: Preventive Healthcare |

Australian National Preventive Health Agency Strategic Plan and Operating Plan – 22 August 2011

 

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The science of prevention for children and youth – July 2011

Posted on August 1, 2011. Filed under: Child Health / Paediatrics, Preventive Healthcare |

The science of prevention for children and youth.
Stephen R. Zubrick, Sophie S. Havighurst, Ann V. Sanson
Australian Review of Public Affairs vol. 10 no. 1 July 2011: 79-93

“The high prevalence of social, emotional and behavioural health problems in children and young people in Australia, and the high cost and relative ineffectiveness of treatments to ‘cure’ them, lead to the conclusion that the most efficient and cost effective approach is to prevent them from occurring. The challenge is in determining what to prevent and how to do so. While there are complex social and political aspects to prevention, it must also be guided by a solid scientific basis. This paper makes the case that prevention science provides a framework for ensuring that prevention initiatives are founded on robust evidence and implemented in a way that will allow progressive growth in knowledge of ‘what works’ in prevention. The paper examines some of the opportunities and challenges in a shift to an evidence-based prevention agenda to improve the lives of children and young people.”

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Leveraging Food Technology for Obesity Prevention and Reduction Effort – Institute of Medicine Workshop Summary – 27 July 2011

Posted on August 1, 2011. Filed under: Dietetics, Preventive Healthcare, Public Hlth & Hlth Promotion | Tags: , |

Leveraging Food Technology for Obesity Prevention and Reduction Effort – Institute of Medicine Workshop Summary – 27 July 2011

Full text

 “We make over 200 food-related decisions each day, and our complex eating behaviors  have multiple layers of influence. Eating is affected by the physiological responses that occur when we are in the presence of food as well as societal norms and values around portion size and eating behaviors. With more than one-third of the U.S. adult population considered obese, behavioral scientists have emphasized building an evidence base for understanding what drives the energy imbalance – particularly with regard to portion size, energy density, and satiety – in overweight and obese individuals. Food scientists have been using this evidence base to improve existing technologies and create new technologies that can enhance the healthfulness of the food supply. For example, scientists have created fat- and sugar-reducing technologies, multiple baking technologies, and fat replacement technologies through the incorporation of fiber to reduce the energy density of foods. Other technologies, such as portion-controlled frozen meals or snacks and  technologies that increase fruit and vegetable intake, also have been developed in an effort to reduce and prevent obesity.

The IOM’s Food Forum held a public workshop November 2 -3, 2010, in Washington, DC, to examine the complexity of human eating behavior and explore ways in which the food industry can continue to leverage modern and innovative food processing technologies to influence energy intake as one method to reduce and prevent obesity. Speakers discussed the associations between certain eating behaviors and weight gain as well as the opportunities and challenges of altering the food in homes and restaurants in order to reduce overeating. This document summarizes the workshop.”

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Clinical Preventive Services for Women: Closing the Gaps – Institute of Medicine – 19 July 2011

Posted on July 20, 2011. Filed under: Preventive Healthcare, Public Hlth & Hlth Promotion | Tags: |

Clinical Preventive Services for Women: Closing the Gaps – Institute of Medicine – 19 July 2011
Full text

“As a centerpiece of the Patient Protection and Affordable Care Act (ACA) of 2010, the focus on preventive services is a profound shift from a reactive system that primarily responds to acute problems and urgent needs to one that helps foster optimal health and well-being. The ACA addresses preventive services for both men and women of all ages, and women in particular stand to benefit from additional preventive health services. The inclusion of evidence-based screenings, counseling and procedures that address women’s greater need for services over the course of a lifetime may have a profound impact for individuals and the nation as a whole.

Given the magnitude of change, the U.S. Department of Health and Human Services charged the IOM with reviewing what preventive services are important to women’s health and well-being and then recommending which of these should be considered in the development of comprehensive guidelines. The IOM defined preventive health services as measures—including medications, procedures, devices, tests, education and counseling—shown to improve well-being, and/or decrease the likelihood or delay the onset of a targeted disease or condition. The IOM recommends that women’s preventive services include:”   … continues on the site

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Obesity in Canada – CIHI – 20 June 2011

Posted on June 24, 2011. Filed under: Preventive Healthcare, Public Hlth & Hlth Promotion | Tags: , |

Obesity in Canada – CIHI – 20 June 2011

“Increased activity and healthier eating can improve obesity rates, but aren’t the only factors at play

Comprehensive new report examines how obesity varies across Canada, who’s most at risk and possible actions to address it

Eliminating all physical inactivity among Canadian adults (defined as less than 15 minutes of low-impact activity a day) could avert the equivalent of 646,000 cases of obesity in women and 405,000 cases in men, according to an analysis included in a comprehensive joint report released today by the Canadian Institute for Health Information (CIHI) and the Public Health Agency of Canada (PHAC). Similarly, improving poor-quality diets—as measured by the frequency of fruit and vegetable consumption—could result in the equivalent of 265,000 fewer cases of obesity among men and 97,000 fewer cases of obesity among women. However, people’s ability to achieve higher physical activity levels and healthier eating habits is influenced by many interconnected factors.

“Not surprisingly, this report shows that improving lifestyle behaviours, such as healthy eating and physical activity, can have a significant impact on reducing the waistlines and improving the health of Canadians. However, obesity is complex, and there are many other factors that contribute beyond lifestyle habits,” says Jeremy Veillard, Vice President of Research and Analysis at CIHI. “By shedding light on the factors most closely associated with obesity and how they play out across Canada, policy-makers and health providers can better target prevention and treatment options to meet the needs of the population.”

“Reducing obesity levels and promoting healthy weights is critical to the prevention of ill health,” says Dr. Judith Bossé, Assistant Deputy Minister, Public Health Agency of Canada. “Obesity increases the risk of a number of chronic conditions, including type 2 diabetes, hypertension and some forms of cancers. That’s why we’re examining options to address the factors that lead to obesity, and we are working with various levels of government, non-governmental organizations and other stakeholders on this issue.”

Obesity in Canada provides an overview of the prevalence of obesity among adults, children and youth, and Aboriginal Peoples (First Nations, Métis and Inuit peoples); the determinants and impact of obesity across the country; as well as Canadian and international lessons learned in obesity prevention and reduction. Based on measured height and weight, more than 1 in 4 adults in Canada and just less than 1 in 11 children are considered obese. Between 1981 and 2009, obesity based on measured height and weight data roughly doubled across all age groups and tripled for youth (age 12 to 17).”

… continues on the site

 

 

 

 

 

 

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Early Childhood Obesity Prevention Policies – Institute of Medicine – 23 June 2011

Posted on June 24, 2011. Filed under: Child Health / Paediatrics, Preventive Healthcare | Tags: , |

Early Childhood Obesity Prevention Policies – Institute of Medicine – 23 June 2011
Full text  
 
“Even the youngest children in the United States are at risk of becoming obese. Today, almost 10 percent of infants and toddlers carry excess weight for their length, and slightly more than 20 percent of children between the ages of two and five are already overweight or obese. Because early obesity can track into adulthood, efforts to prevent obesity should begin long before a child enters school.

The IOM reviewed factors related to overweight and obesity from birth to age five, with a focus on nutrition, physical activity, and sedentary behavior. In this report, the IOM recommends actions that healthcare professionals, caregivers, and policymakers can take to prevent obesity in children five and younger. Pediatricians and other healthcare professionals have an important opportunity to make parents aware of their child’s excess weight early on, and the IOM recommends that healthcare professionals measure weight and height or length in a standardized way, as well as pay attention to obesity risk factors, such as rate of weight gain and parental weight, at routine pediatric visits. In addition, the IOM recommends that parents and child care providers keep children active throughout the day and provide them with diets rich in fruits, vegetables, and whole grains, and low in energy-dense, nutrient-poor foods. Caregivers also should limit young children’s screen time and ensure that children sleep an adequate amount each day. What happens to children during the first years of life is important to their current and future health and well-being.”

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Key indicators of progress for chronic disease and associated determinants: data report – AIHW – 20 June 2011

Posted on June 23, 2011. Filed under: Chronic Disease Mgmt, Preventive Healthcare | Tags: |

Key indicators of progress for chronic disease and associated determinants: data report – AIHW – 20 June 2011

“With preventive health now a major focus of health reform in Australia, this report provides information about the prevalence of those chronic diseases for which behavioural changes, or increased screening practices, can reduce onset, assist in management, or prevent death. The report contains current prevalence rates, and where possible, shows trends in chronic conditions over time. Statistics about the determinants of chronic disease assist in planning of prevention programs and strategies. When monitored over time, they may also help explain and predict any changes in chronic disease trends.”

ISBN 978-1-74249-176-9; Cat. no. PHE 142; 132pp

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National Prevention Strategy [US] – 16 June 2011

Posted on June 23, 2011. Filed under: Preventive Healthcare |

 

National Prevention Strategy [US] – 16 June 2011

 

National Prevention Council, National Prevention Strategy, Washington, DC:
U.S. Department of Health and Human Services, Office of the Surgeon General, 2011.

 

“As U.S. Surgeon General and Chair of the National Prevention, Health Promotion, and Public Health Council (National Prevention Council), I am honored to present the nation’s first ever National Prevention and Health Promotion Strategy (National Prevention Strategy). This strategy is a critical component of the Affordable Care Act, and it provides an opportunity for us to become a more healthy and fit nation.

 

The National Prevention Council comprises 17 heads of departments, agencies, and offices across the Federal government who are committed to promoting prevention and wellness. The Council provides the leadership necessary to engage not only the federal government but a diverse array of stakeholders, from state and local policy makers, to business leaders, to individuals, their families and communities, to champion the policies and programs needed to ensure the health of Americans prospers. With guidance from the public and the Advisory Group on Prevention, Health Promotion, and Integrative and Public Health, the National Prevention Council developed this Strategy.”

 

… continues on the site

 

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Canada’s Health Care System – Time for an Intervention – Morneau Shepell – 2011

Posted on May 27, 2011. Filed under: Preventive Healthcare |

Canada’s Health Care System – Time for an Intervention – Morneau Shepell – 2011

“Canada’s health care system is in trouble. Existing resources have to be rationed even though our system is one of the
costliest in the world. Moreover, an exponential increase in cost is expected over the next 20 years, to levels we may not be able to afford. Using international comparisons, this Vision concludes that Canadians are not getting full value for their health care dollars and that much of the problem stems from an over-emphasis on acute care rather than on prevention. A change in priorities could do much to improve the system.”

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Impact of Quality and Outcomes Framework on health inequalities – King’s Fund – 21 April 2011

Posted on April 21, 2011. Filed under: Clin Governance / Risk Mgmt / Quality, General Practice, Preventive Healthcare, Public Hlth & Hlth Promotion | Tags: |

Impact of Quality and Outcomes Framework on health inequalities – King’s Fund – 21 April 2011

by Anna Dixon, Artak Khachatryan, Andrew Wallace, Stephen Peckham, Tammy Boyce, Stephen Gillam

Press release on the research:
No evidence that financial incentives for GPs have improved health or reduced inequalities

“The pay-for-performance scheme for GPs introduced in April 2004, known as the Quality and Outcomes Framework (QOF), has not resulted in improved ill-health prevention or health promotion by general practitioners, reveals new research published today.

Researchers looked at the impact of the QOF on public health and inequalities and revealed that where local practices were undertaking preventive activities, they usually pre-dated the QOF and were not a result of the incentives.

The research, based on analysis of routine data and interviews with practice and primary care trust staff, assessed the extent to which QOF has contributed to improving health in deprived areas of England.

The analysis found that:”

…continues

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Staying Healthy Through Education and Prevention (STEP) – [US] Agency for Healthcare Research and Quality – February 2011

Posted on April 18, 2011. Filed under: Aged Care / Geriatrics, Preventive Healthcare, Public Hlth & Hlth Promotion | Tags: |

Staying Healthy Through Education and Prevention (STEP) – [US] Agency for Healthcare Research and Quality – February 2011

“This implementation guide is a tool for continuing care retirement community (CCRC) staff to implement the Staying Healthy Through Education and Prevention (STEP) program. The STEP program is an evidence-based exercise program focusing on walking and strength training for seniors. This guide provides the information, tools, curricular material, and other resources needed to successfully implement the STEP program in CCRCs. “

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How to reduce excess mortality from cancer: Guide for Health and Well-being Boards and GP Commissioning Consortia – NHS National Cancer Action Team – 18 March 2011

Posted on March 29, 2011. Filed under: Oncology, Preventive Healthcare | Tags: |

How to reduce excess mortality from cancer: Guide for Health and Well-being Boards and GP Commissioning Consortia – NHS National Cancer Action Team – 18 March 2011

“This concise guide describes how to improve outcomes for cancer by raising public awareness of the symptoms and promoting early diagnosis.

The report explains what data are available to help identify whether an area has more preventable deaths than other areas, what is causing the problem, and how to design interventions to address it.

The report draws on work by the Health Inequalities National Support Team (HINST) and NCAT in the 60 areas with the worst health and highest levels of deprivation in England.”

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Enhancing Use of Clinical Preventive Services Among Older Adults: Closing the Gap – Centers for Disease Control and Prevention – 2011

Posted on March 25, 2011. Filed under: Aged Care / Geriatrics, Preventive Healthcare | Tags: , |

Enhancing Use of Clinical Preventive Services Among Older Adults: Closing the Gap – Centers for Disease Control and Prevention – 2011

Centers for Disease Control and Prevention, Administration on Aging, Agency for Healthcare Research and Quality, and Centers for Medicare and Medicaid Services. Enhancing Use of Clinical Preventive Services Among Older Adults. Washington, DC: AARP, 2011.

“This new report, Enhancing Use of Clinical Preventive Services Among Older Adults – Closing the Gap, calls attention to the use of potentially lifesaving preventive services by our nation’s growing population of adults aged 65 years and older. By presenting and interpreting available state and national self-reported survey data, the Report aims to raise awareness among public health and aging services professionals, policy makers, the media, and researchers of critical gaps and opportunities for increasing the use of clinical preventive services, particularly among those who are currently underserved.”

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Our Health Our Future – Canada’s health ministers have started a national dialogue on healthy weights in response to the high rate of overweight and obese children

Posted on March 11, 2011. Filed under: Preventive Healthcare, Public Hlth & Hlth Promotion | Tags: |

Our Health Our Future – Canada’s health ministers have started a national dialogue on healthy weights in response to the high rate of overweight and obese children

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Implementing the Clinical Guidelines for Weight Management in New Zealand: 2010/11 – September 2010

Posted on October 5, 2010. Filed under: Preventive Healthcare | Tags: |

Implementing the Clinical Guidelines for Weight Management in New Zealand: 2010/11 – September 2010

“Summary of publication

Outlines the activities that will be delivered on behalf of the Ministry of Health during the 2010/11 financial year to implement the:
Clinical Guidelines for Weight Management in New Zealand Adults and the
Clinical Guidelines for Weight Management in New Zealand Children and Young People.

All activities included in this document are being developed to support frontline health care workers in the primary care and community health sector who provide healthy weight management advice and treatment to patients/consumers. This includes general practitioners, practice nurses, dietitians, community health workers, Māori community health workers, Pacific community health workers, and other allied health care workers.”

ISBN: 978-0-478-36679-2 (online)
HP number: 5235

Citation: Ministry of Health. 2010. Implementing the Clinical Guidelines for Weight Management in New Zealand: 2010/11. Wellington: Ministry of Health.

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Obesity and the Economics of Prevention: Fit not Fat – Organisation for Economic Co-operation and Development – 23 September 2010

Posted on September 24, 2010. Filed under: Health Economics, Preventive Healthcare, Public Hlth & Hlth Promotion | Tags: , |

Obesity and the Economics of Prevention: Fit not Fat – Organisation for Economic Co-operation and Development – 23 September 2010

“23/09/2010 – This new OECD report examines the current obesity epidemic, giving new comparative data, trends and projections across OECD countries and outlining causes and costs. It also notes ways in which the private sector and governments encouraged obesity and makes recommendations for ways they can contribute to combating it.”

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A Heavy Burden: The Individual Costs of Being Overweight and Obese in the United States – George Washington University School of Public Health – 21 September 2010

Posted on September 23, 2010. Filed under: Health Economics, Preventive Healthcare, Public Hlth & Hlth Promotion | Tags: , |

First-Ever Report on the Individual Cost of Obesity Unveiled – extract from this press release:

About

A Heavy Burden: The Individual Costs of Being Overweight and Obese in the United States – George Washington University School of Public Health – 21 September 2010  full text (pdf) of the report

“WASHINGTON – The George Washington University School of Public Health and Health Services’ Department of Health Policy today released a report that, for the first time, calculated the startlingly high individual costs of obesity to Americans.  The report, “A Heavy Burden: The Individual Costs of Being Overweight and Obese in the United States,” authored by Avi Dor, Professor and Director of Health Economics Program at The George Washington University, and colleagues used a series of measures including indirect costs, lost productivity, and direct costs, such as obesity-related medical expenditures, to estimate the price tag of obesity at the individual level.

The authors concluded that the individual cost of being obese is $4,879 and $2,646 for women and men respectively, and adding the value of lost life to these annual costs produces even more dramatic results: $8,365 and $6,518 annually for women and men, respectively. The analysis demonstrates costs are nine times higher for women and six times higher for men who are obese, which is defined as an individual with a Body Mass Index (BMI) more than 30, than for an overweight person, which is defined as someone with a BMI between 25-29.  The findings also reveal a significant difference between the impact of obesity on men and women when it comes to job-related costs, including lost wages, absenteeism and disability.”

…continues on the press release site

The report was made possible by a donation provided by Allergan, Inc., as part of its C.H.O.I.C.E. (Choosing Health over Obesity Inspiring Change through Empowerment) Campaign.

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The Assessing Cost-Effectiveness in Prevention (ACE) report was launched 8 September 2010

Posted on September 8, 2010. Filed under: Preventive Healthcare, Public Hlth & Hlth Promotion | Tags: |

The Assessing Cost-Effectiveness in Prevention (ACE) report was launched at 10.30am, 8 September 2010

VicHealth, 15-31 Pelham Street, Carlton, Melbourne

Professor Theo Vos and Professor Rob Carter presented key findings of the report. Public Health Association of Australia President Professor Mike Daube, VicHealth CEO Todd Harper and former Commissioner with the National Health and Hospitals Reform Commission Dr Mukesh Haikerwal commented.

Download the ACE Prevention final report [3MB]

“ACE Prevention is a large, 5-year study that was funded by the National Health and Medical Research Council (NHMRC) and jointly led by professor Theo Vos of the Centre for Burden of Disease and Cost-Effectiveness at the University of Queensland and professor Rob Carter of the Deakin Health Economics Unit at Deakin University.

The overall aim of this project was to provide a comprehensive analysis of the comparative cost-effectiveness of preventive intervention options addressing the non-communicable disease burden in Australia, with a specific focus on Indigenous Australians.
 
ACE Prevention is the most comprehensive evaluation of health prevention measures ever conducted world-wide, involving input from 130 top health experts. The research team assessed 123 illness prevention measures to identify those which will prevent the most illness and premature deaths and those that are best value for money. For comparison purposes 27 treatment interventions were included.

The final report [3MB] provides a comprehensive overview of the findings of ACE Prevention. Many results can also already be accessed in the form of Pamphlets and on a range of topics Briefing Papers and publications are available.”

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Managing serious incidents in National Screening Programmes – UK – June 2010

Posted on August 28, 2010. Filed under: Preventive Healthcare | Tags: , |

Managing serious incidents in National Screening Programmes – UK – June 2010

This guidance is endorsed by the National Patient Safety Agency and its purpose is to make explicit the requirements for national screening programme related serious incidents and to provide clarity and understanding for all staff providing NHS funded care.

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Policy Implications of the Use of Retail Clinics – RAND – 2010

Posted on August 20, 2010. Filed under: Preventive Healthcare, Primary Hlth Care | Tags: |

Policy Implications of the Use of Retail Clinics – RAND – 2010
 
By: Robin M. Weinick, Craig Evan Pollack, Michael P. Fisher, Emily M. Gillen, Ateev Mehrotra
Pages: 92
Document Number: TR-810-DHHS

“Retail clinics, located within larger retail stores, treat a limited number of acute conditions and offer a small set of preventive services. Although there are nearly 1,200 such clinics in the United States, a great deal about their utilization, relationships with other parts of the health care system, and quality of care remains unknown. The federal government has taken only limited action regarding retail clinics, and little evidence exists about the potential costs and benefits of integrating retail clinics into federal programs and initiatives.

Through a literature review, semistructured interviews, and a panel of experts, the authors show that retail clinics have established a niche in the health care system based on their convenience and customer service. Levels of patient satisfaction and of the quality and appropriateness of care appear comparable to those of other provider types. However, we know little about the effects of retail clinic use on preventive services, care coordination, and care continuity. As clinics begin to expand into other areas of care, including chronic disease management, and as the number of patients with insurance increases and the shortage of primary care physicians continues, answering outstanding questions about retail clinics’ role in the health care system will become even more important. These changes will create new opportunities for health policy to influence both how retail clinics function and the ways in which their care is integrated with that of other providers.”

Full Document (File size 0.4 MB, 2 minutes modem, < 1 minute broadband)

Summary Only  (File size 0.1 MB, < 1 minute modem, < 1 minute broadband)

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Healthy men – new AHRQ website – 2010

Posted on August 16, 2010. Filed under: Preventive Healthcare | Tags: |

Healthy men – new AHRQ website – 2010

AHRQ = US Agency for Healthcare Research and Quality

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‘The billion dollar question’: embedding prevention in older people’s services – 10 ‘high impact’ changes – University of Birmingham Health Services Management Centre – 5 August 2010

Posted on August 12, 2010. Filed under: Aged Care / Geriatrics, Preventive Healthcare |

‘The billion dollar question’: embedding prevention in older people’s services – 10 ‘high impact’ changes – University of Birmingham Health Services Management Centre – 5 August 2010

“The policy discussion paper, written by HSMC’s Professor Jon Glasby and Dr Kerry Allen, reviews emerging evidence around prevention in older people’s services.  The paper builds on HSMC’s ongoing contributions around prevention and rehabilitation within long-term care as part of an EU research project (INTERLINKS).   The paper identifies and reviews ten high impact changes, addressing the acknowledged need to embed prevention into older people’s services.  The interventions and approaches covered in the report are:

Promoting healthy lifestyles
Vaccination
Screening
Falls prevention
Housing adaptations and practical support
Telecare and technology
Intermediate care
Re-ablement
Partnership working
Personalisation”

Health Services Management Centre – news

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Food and Nutrition Guidelines for Healthy Older People: A background paper – NZ Ministry of Health – August 2010

Posted on August 12, 2010. Filed under: Aged Care / Geriatrics, Dietetics, Preventive Healthcare, Public Hlth & Hlth Promotion |

Food and Nutrition Guidelines for Healthy Older People: A background paper – NZ Ministry of Health – August 2010

ISBN number: 978-0-478-35998-5 (Online)   HP number: 5137

Summary of publication

“Food and Nutrition Guidelines for Healthy Older People: A background paper aims to improve nutrition, increase physical activity, reduce obesity, and supports The Health of Older People Strategy (Ministry of Health 2002).

The background paper highlights how the Food and Nutrition Guidelines can be specifically applied to healthy older people. It also informs the health education resources for the general public including Eating well for healthy older people / Te kai totika e ora ai te hunga kaumatua.

It is envisaged that the Food and Nutrition Guidelines for Healthy Older People: A background paper will provide sound and practical advice for health practitioners including dietitians, nutritionists, doctors, nurses, primary health care providers, health promoters, and others working with older people in the practice of healthy nutrition.”

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Towards a National Dementia Preventative Health Strategy – August 2010

Posted on August 11, 2010. Filed under: Aged Care / Geriatrics, Mental Health Psychi Psychol, Preventive Healthcare |

Towards a National Dementia Preventative Health Strategy – August 2010

Full Report  PDF file, 339 KB

“Preventative health is a key element of national strategic health planning.  The importance of preventing chronic physical conditions, such as heart disease, is well recognised, yet the role of prevention in one of our greatest emerging health challenges—increasing rates of dementia—remains poorly explored. 

There is increasing acknowledgement of the need to place prevention and early intervention clearly on the Australian health agenda, as demonstrated by the government’s response to the National Preventative Health Taskforce and the National Health and Hospitals Reform Commission’s reports. As part of this agenda, there is a need to recognise dementia as a chronic disease whose impact can be lessened by a preventative health approach.  The government’s commitment to refocusing the health system towards the prevention of chronic illnesses, including the establishment of a National Health Promotion and Prevention Agency, is seen as an opportunity to address this.

This paper sets out the case for the establishment of a National Dementia Preventative Health Strategy.  With the prevalence of dementia projected to reach around one million by 2050 and the cost of dementia care set to outstrip any other health condition, it is timely that dementia takes its place in national preventative health planning.”

…continues on the site

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NHS 2010 – 2015: from good to great. Preventative, people-centred, productive – 10 December 2009

Posted on December 15, 2009. Filed under: Health Mgmt Policy Planning, Health Policy, Health Systems Improvement, Preventive Healthcare | Tags: |

NHS 2010 – 2015: from good to great. Preventative, people-centred, productive.

Download NHS 2010 – 2015: from good to great (PDF, 919K)

 Document type: Command paper
 Author: Department of Health
 Published date: 10 December 2009
 Product number: CM 7775
 Gateway reference: 13179
 Pages: 64

“Secretary of State Andy Burnham introduces a five-year plan to reshape the NHS to meet the challenge of delivering high quality health care in a tough financial environment. The report describes practical measures to meet the demands of an aging population and the increased prevalence of lifestyle diseases. The vision is for an NHS that is organised around patients whether at home, in a community setting or in hospital. There will be a renewed focus on prevention with the ambition of delivering cost-effective high quality care across the service.”

King’s Fund analysis of the document.

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National Preventative Health Strategy – Australia – 1 September 2009

Posted on September 25, 2009. Filed under: National Health Strategies, Preventive Healthcare, Public Hlth & Hlth Promotion |

National Preventative Health Strategy

“The Strategy provides a blueprint for tackling the burden of chronic disease currently caused by obesity, tobacco, and excessive consumption of alcohol. It is directed at primary prevention and addresses all relevant arms of policy and all available points of leverage, in both the health and non-health sectors.

The Strategy comprises three parts: an overview; a roadmap for action; and technical papers focused on the three key areas – obesity, tobacco and alcohol.”

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