Public Hlth & Hlth Promotion

A Guide to Measuring the Triple Aim: Population Health, Experience of Care, and Per Capita Cost – IHI – 13 December 2012

Posted on January 8, 2013. Filed under: Health Economics, Public Hlth & Hlth Promotion | Tags: , , |

A Guide to Measuring the Triple Aim: Population Health, Experience of Care, and Per Capita Cost – IHI – 13 December 2012

Stiefel M, Nolan K. A Guide to Measuring the Triple Aim: Population Health, Experience of Care, and Per Capita Cost. IHI Innovation Series white paper. Cambridge, Massachusetts: Institute for Healthcare Improvement; 2012.

“This white paper provides a menu of suggested measures for the three dimensions of the Triple Aim. The menu is based on a combination of the analytic frameworks presented in the paper and the practical experience of the organizations participating in the IHI Triple Aim prototyping initiative. The suggested measures are accompanied by data sources and examples. The paper also describes how the measures might be used along with increasingly specific, cascading process and outcome measures for particular projects to create a learning system to achieve the Triple Aim.”

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Public Health England: code of conduct for staff – December 2012

Posted on January 3, 2013. Filed under: Public Hlth & Hlth Promotion, Workforce |

Public Health England: code of conduct for staff – December 2012

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Health Authorities and the Built Environment: Actions to Influence Public Policies – National Collaborating Centre for Healthy Public Policy [Canada] – November 2012

Posted on November 21, 2012. Filed under: Health Policy, Public Hlth & Hlth Promotion | Tags: |

Health Authorities and the Built Environment: Actions to Influence Public Policies – National Collaborating Centre for Healthy Public Policy [Canada] – November 2012

“This document, structured around interviews, presents the experiences of six Canadian health authorities (Vancouver Coastal Health, Vancouver Island Health, Fraser Health, Peel Public Health, Toronto Public Health, and Direction de santé publique de Montréal), regarding political actions to foster healthy built environments.

Actions undertaken by the health authorities include:

•Active involvement in developing Official Community Plans;
•Inclusion of healthy built environment principles in the planning and construction of a new health facility;
•Inclusion and integration of a health perspective into a regional growth strategy, a regional sustainable development plan and a long-term regional transportation plan;
•Development of tools to foster the integration of a health perspective in planning and engineering processes;
•Establishment of partnerships with the municipal sector;
•Assessment of community action programs to influence the built environment.

These interviews were conducted as part of a project by the Healthy Canada by Design Coalition. This coalition is financed by the Canadian Partnership Against Cancer through the Coalitions Linking Action and Science for Prevention (CLASP) program. The efforts of the Healthy Canada by Design coalition are focused on promoting certain public policies that can lead to the creation of healthier built environments – such as transportation and urban planning policies.”

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Tools and Approaches for Assessing and Supporting Public Health Action on the Social Determinants of Health and Health Equity – National Collaborating Centre for Healthy Public Policy [Canada] – November 2012

Posted on November 21, 2012. Filed under: Public Hlth & Hlth Promotion | Tags: , , , |

Tools and Approaches for Assessing and Supporting Public Health Action on the Social Determinants of Health and Health Equity – National Collaborating Centre for Healthy Public Policy [Canada] – November 2012

“This guide, co-produced by NCCDH and NCCHPP, presents tools and approaches used specifically to reduce (or at least to not increase) health inequalities.

A collaborative project between the National Collaborating Centres for Determinants of Health (NCCDH) and for Healthy Public Policy (NCCHPP), this document provides examples of the tools and approaches to health equity that have been adopted or applied by the public health sector.

All of the identified resources are summarized using a quick reference table format to help facilitate comparison and have been grouped into three broad areas: checklists and lenses, processes and support structures.

This document is intended for those working in the public health sector who are considering how to strengthen their approaches to addressing social determinants of health and advancing health equity.”

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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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Strengthening Primary Health Care through Primary Care and Public Health Collaboration – McMaster University – October 2012

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

Strengthening Primary Health Care through Primary Care and Public Health Collaboration – McMaster University – October 2012

final report for CHSRF – Canadian Health Services Research Foundation

ISBN 978-1-927565-02-5 (print)
ISBN 978-927565-03-2 (pdf)

Extract from the Key Messages for Decision-Makers

“Interest in collaboration between primary care (PC) and public health (PH) and how it can improve the health of populations and quality and eff ectiveness of health care systems has grown substantially over the past four years.
• Evidence supports the benefi ts of collaboration between PC and PH in the following areas: maternalchild programs, communicable disease prevention and control, health promotion and health protection, chronic disease prevention and management, youth health, women’s health, and working with vulnerable populations.
• Collaboration between PC and PH increases accessibility to health promotion and illness prevention programs and services and decreases the cost of immunization programs through reduced wastage.”

… continues on the site

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Shifting the Dial: From wellbeing measures to policy practice – Carnegie UK Trust – 2012

Posted on November 15, 2012. Filed under: Health Policy, Public Hlth & Hlth Promotion | Tags: |

Shifting the Dial: From wellbeing measures to policy practice – Carnegie UK Trust – 2012

by Jennifer Wallace and Katie Schmuecker

“This report shares the findings of a project undertaken by Carnegie UK Trust and IPPR North to ask what needs to happen to ensure that measuring wellbeing is made to matter in policy-making practice.”

 

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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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The Hygiene Hypothesis and its implications for home hygiene, lifestyle and public health – International Scientific Forum on Home Hygiene – September 2012

Posted on October 23, 2012. Filed under: Immunology and Allergy, Infection Control, Infectious Diseases, Public Hlth & Hlth Promotion | Tags: |

The Hygiene Hypothesis and its implications for home hygiene, lifestyle and public health – International Scientific Forum on Home Hygiene – September 2012

Rosalind Stanwell Smith, Sally F. Bloomfield, Graham A. Rook

Extract from the summary

“During the late 20th century, increasing levels of allergic disorders [atopy] prompted much research and debate about possible causes. The predominant explanation, postulated as the ‘hygiene hypothesis’ by Strachan in 1989, implicated smaller family sizes, higher standards of cleanliness, and presumed less contact with childhood infections. The idea was widely taken up by the media as the engaging notion that developed societies have become ‘too clean’. The concept of modern life being cleaner than is good for us was always an over-simplification and misinterpretation of informed medical or scientific opinion, but as a simple idea to grasp in a very complicated story, it has remained very persistent. Possibly its continued popular repetition relates to a general disquiet about many of the changes that have occurred in human society. It has taken only a century or so to transform our societies from mainly rural communities to urban concrete and plastic environments, with cleaner water and safer sanitation. Our home and working environments, diet and other aspects of lifestyle have changed beyond recognition in a very short time. The concept of the hygiene hypothesis has now been extended to the increase in other chronic inflammatory diseases (CIDs), including autoimmune diseases such as type1 diabetes (T1D) and multiple sclerosis, inflammatory bowel disease (IBD), and some cancers.

We previously reviewed the research associated with the hygiene hypothesis in 2004, concluding that ‘microbial hypothesis’ would be a better name, since the reference to hygiene in the term gave inappropriate emphasis to the ‘too clean’ notion, which was not supported by evidence of continuing infection threats in the home and elsewhere, or by evidence that modern domestic and personal cleaning habits had reduced microbial exposure. This updated review is necessary because of new research and analysis, such as the extension of variants of the hygiene hypothesis to the larger group of CIDs and also to a wider range of postulated causes. While contemporary microbial exposure is no longer the sole focus of such research, an update is also needed regarding the implications for preventing invasive infectious disease by hygiene practices. The continued reference to ‘hygiene’ as a possible cause of allergy or other disease is confusing and potentially dangerous, if it makes people ignore the consequences of poor food hygiene, lack of hand washing and cleaning to remove possible pathogens from our homes and other environments.

This updated review further examines the evidence for changed microbial exposure, or the lack of it, as a cause for allergy and the chronic inflammatory diseases that have increased in recent decades.”
… continues on the site

ABC Health Report on this

“A new report released in the UK from the International Scientific Forum on Home Hygiene dismantles the myth of the hygiene hypothesis, that the rise in allergies and asthma in recent years has happened because we’re living in sterile homes and are overdoing hygiene.”

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Health Equity Resource Toolkit for State Practitioners Addressing Obesity Disparities – CDC Div of Nutrition, Physical Activity, and Obesity (DNPAO) – 2012

Posted on October 22, 2012. Filed under: Health Status, Public Hlth & Hlth Promotion | Tags: , , |

Health Equity Resource Toolkit for State Practitioners Addressing Obesity Disparities – Centers for Disease Control and Prevention (CDC) Division of Nutrition, Physical Activity, and Obesity (DNPAO) – 2012

“The purpose of the Centers for Disease Control and Prevention (CDC) Division of Nutrition, Physical Activity, and Obesity (DNPAO) Health Equity Resource Toolkit for State Practitioners Addressing Obesity Disparities is to increase the capacity of state health departments and their partners to work with and through communities to implement effective responses to obesity in populations that are facing health disparities. The Toolkit’s primary focus is on how to create policy, systems, and environmental changes that will reduce obesity disparities and achieve health equity. For the purpose of this Toolkit, “policy” refers to procedures or practices that apply to large sectors which can influence complex  systems in ways that can improve the health and safety of a population. States are already conducting activities to address obesity across populations. This Toolkit provides guidance on how to supplement and compliment existing efforts. It provides evidence-informed and real-world examples of addressing disparities by illustrating how the concepts presented can be promoted in programs to achieve health equity using three evidence-informed strategies as examples:
1. Increasing access to fruits and vegetables via healthy food retail with a focus on underserved communities.
2. Engaging in physical activity that can be achieved by increased opportunities for walking with a focus on the disabled community, and other subpopulations that face disparities.
3. Decreasing consumption of sugar drinks with an emphasis on access to fresh, potable (clean) water with a particular focus on adolescents and other high consumers.

Though the Toolkit utilizes these three strategies as examples, the planning and evaluation process described in the Toolkit can be applied to other evidence-informed strategies to control and prevent obesity.”

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All-in-one policy search tool to help counties improve health – Public Health Newswire – 27 September 2012

Posted on October 16, 2012. Filed under: Public Hlth & Hlth Promotion |

All-in-one policy search tool to help counties improve health – Public Health Newswire – 27 September 2012

“Looking for ways to enhance access to physical activity, reduce rates of high school dropout or reduce tobacco use in your community?

From the developers behind the County Health Rankings comes a new tool that provides a list of policies and programs that can be used to improve health, with a particular focus on policies and strategies that address social determinants of health, including income, employment and education, among others. For each policy and program, the tool, What Works for Health, provides a summary of literature on a particular public health challenge and ratings based on whether or not the policy or program is likely to improve disparities. Additionally, the tool provides links to evidence summaries and and implementation examples.”

… continues on the site

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Health 2020: a European policy framework supporting action across government and society for health and well-being – WHO – September 2012

Posted on October 5, 2012. Filed under: Health Policy, Public Hlth & Hlth Promotion | Tags: |

Health 2020: a European policy framework supporting action across government and society for health and well-being – WHO – September 2012

“The 53 Member States in the WHO European Region have agreed on a new common policy framework – Health 2020. Their shared goals are to “significantly improve the health and wellbeing of populations, reduce health inequalities, strengthen public health and ensure people-centred health systems that are universal, equitable, sustainable and of high quality.” “

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A Framework for Analyzing Public Policies Practical Guide – National Collaborating Centre for Healthy Public Policy [Canada] – September 2012

Posted on October 5, 2012. Filed under: Health Policy, Public Hlth & Hlth Promotion | Tags: |

A Framework for Analyzing Public Policies Practical Guide – National Collaborating Centre for Healthy Public Policy [Canada] – September 2012

“Public health actors in public, community and academic networks may be called upon to work on public policies and, within the context of this work, to interact with policy makers at different levels (municipal, provincial, etc.). However, they often find that the content of their discourse does not meet all the information needs of these decision makers.

This document presents a structured process based on an analytical framework that reflects a public health perspective, while at the same time integrating other concerns of policy makers. The document addresses four questions:

• What public policies does this analytical framework apply to?
• In what types of situations is it useful?
• Which policy facets does it focus on?
• How is the analysis carried out?”

… continues on the site

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Tackling health inequalities in Sweden: An overview – Swedish National Institute of Public Health – 2012

Posted on October 4, 2012. Filed under: Public Hlth & Hlth Promotion | Tags: , , |

Tackling health inequalities in Sweden: An overview – Swedish National Institute of Public Health – 2012

“The Swedish government continues to embark on a number of measures and interventions to enhance the health of the population by strengthening the public health work at various levels. The Swedish National Institute of Public Health (SNIPH) has compiled a number of important on going public health events, activities and initiatives which have an impact on the government work of tackling health inequalities and social determinants of health in Sweden. The list is not exhaustive but captures significant efforts made at national, regional and local levels. Our compilation includes:”

… continues on the site

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Social distribution of health risks and health outcomes: preliminary analysis of the National Health Survey 2007-08 – AIHW – 28 August 2012

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

Social distribution of health risks and health outcomes: preliminary analysis of the National Health Survey 2007-08 – AIHW – 28 August 2012

“Where people are born, grow, live, work and age affects their health status. This paper explores the association between selected social and health risk factors on Australians’ health. It shows that people with higher household incomes and higher education qualifications are more likely to report better health and less likely to report smoking, and people living outside major cities are more likely to report being an unhealthy weight.”

ISBN 978-1-74249-333-6; Cat. no. PHE 165; 33pp

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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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Intersectoral Governance for Health in All Policies: Structures, actions and experiences – European Observatory on Health Systems and Policies – 2012

Posted on September 12, 2012. Filed under: Health Mgmt Policy Planning, Health Policy, Public Hlth & Hlth Promotion | Tags: , , |

Intersectoral Governance for Health in All Policies: Structures, actions and experiences – European Observatory on Health Systems and Policies – 2012

Edited by David V. McQueen, Matthias Wismar, Vivian Lin, Catherine M. Jones, Maggie Davies
ISBN 978 92 890 0281 3

Extract from the foreword

“Since the arrival of the new millennium, the field of health promotion has added many emerging areas related to health to its field of interest and action.

Many of these areas were, of course, anticipated in the Ottawa Charter on Health Promotion; nonetheless there has been an explosion of interest in three critical areas in recent years, namely on the social determinants of health, governance, and Health in All Policies, and more specifically “the translation of Health in All Policies from a policy principle into a policy practice”. Now we have a new and significant book that addresses these three areas in a most exciting way.

The International Union for Health Promotion and Education (IUHPE) acknowledges that many of the solutions to the most pressing health issues reside outside the health sector. It is therefore imperative to facilitate governance practices that enable improved work across sectors in government, the nongovernment sector, academic institutions and the private sector, at all territorial levels.”

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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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Delivering health improvement through the workplace: supporting local action in London – London Health Observatory – 14 August 2012

Posted on August 28, 2012. Filed under: Occupational Hlth Safety, Public Hlth & Hlth Promotion, Workforce | Tags: , |

Delivering health improvement through the workplace: supporting local action in London – London Health Observatory – 14 August 2012

“The toolkit aims to support public health practitioners and other partners focus on health and work, from employer partnerships to the voluntary sector. It signposts key reports and tools, taking into account local area needs.”

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Australia’s domestic response to the World Health Organization’s (WHO) Commission on Social Determinants of Health report “Closing the gap within a generation” – Senate Standing Committee on Community Affairs – 22 August 2012

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

Australia’s domestic response to the World Health Organization’s (WHO) Commission on Social Determinants of Health report “Closing the gap within a generation” – Senate Standing Committee on Community Affairs – 22 August 2012

“Information about the Inquiry

On 22 August 2012 the Senate referred the following matter to the Senate Community Affairs Committees for inquiry and report.

Submissions should be received by 04 October 2012. The reporting date is 27 March 2013.”

… continues on the site

Will the Senate inquiry lead to action on the social determinants of health? – Croakey – 22 August 2012

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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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Government’s Alcohol Strategy [England] – Commons Select Committee on Health, 3rd report – 19 July 2012

Posted on July 23, 2012. Filed under: Alcohol & Drug Dep., Public Hlth & Hlth Promotion |

Government’s Alcohol Strategy [England] – Commons Select Committee on Health, 3rd report – 19 July 2012

“The Government’s Alcohol Strategy is a welcome attempt to address the problems alcohol causes in a coherent way, but its focus on public order overshadows health issues, warn MPs on the Health Committee in a new report.

Report: Government’s Alcohol Strategy

Inquiry: Government’s Alcohol Strategy

Health Committee

Launching the Committee’s Government’s Alcohol Strategy report, the Chair, Rt Hon Stephen Dorrell MP, said:

“The main focus of the strategy is binge drinking and its consequences for anti-social behaviour and public disorder. Those are important issues, but the health impact of chronic alcohol misuse is in our view also significant and greater emphasis needs to be placed on addressing that impact.

The Strategy contains a series of outcomes the Government wishes to bring about but does not define success.We believe that in order to be effective the Strategy needs some clearer objectives to provide a framework for both policy judgements and accountability.

We recommend that Public Health England should have a central role in developing these objectives, and linking them to local strategies in every area across the country.”

On the question of a minimum unit price for alcohol, Stephen Dorrell said:”

… continues on the site

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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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Memorandum: An update on the [English] government’s approach to tackling obesity – July 2012

Posted on July 20, 2012. Filed under: Health Economics, Public Hlth & Hlth Promotion | Tags: , |

Memorandum: An update on the [English] government’s approach to tackling obesity – July 2012

National Audit Office

“This update was prepared for the Public Accounts Committee. It outlines the government’s approach to tackling obesity in England.

The total cost to the economy of being overweight or obese was estimated as some £16 billion in 2007, and is forecast to rise to £50 billion per year by 2050 if the problem is left unchecked. The government outlined its ambitions in October 2011, to tackle excess weight in adults by 2020. Current trends suggest that achieving these ambitions will be challenging.”

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Healthy Transport = Healthy Lives – BMA – 12 July 2012

Posted on July 19, 2012. Filed under: Environmental Health, Public Hlth & Hlth Promotion | Tags: , , |

Healthy Transport = Healthy Lives – BMA – 12 July 2012

“A major BMA report urges doctors to play a key role in reducing car use.

Healthy Transport = Healthy Lives calls on the government to take a long-term view of transport policy to create the conditions that reduce demand for car use, while enabling a shift to more active and sustainable forms of transport.

BMA board of science chair Averil Mansfield said: ‘To date, the approach to transport policy in the UK has in part been based on short-term objectives, even though the decisions taken can potentially last decades.

‘Economic considerations have been prioritised over health. This is despite a substantial evidence base demonstrating that making health a key objective in transport policy is cost-effective, and will have short, medium and long-term benefits.’

The BMA board of science report warns such a change requires strong government commitment and leadership as the benefits to health will not necessarily be instant.

The report says: ‘Health improvement should always be recognised as a pivotal component in transport strategies and programmes.’”

… continues

ISBN-10: 1-905545-63-0
ISBN-13: 978-1-905545-63-6

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What can be done about the social determinants of health? – Flagpost – 5 July 2012

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

What can be done about the social determinants of health? – Flagpost – 5 July 2012

“Three recent reports: the Australian Institute of Health and Welfare (AIHW) report on perinatal depression, Australia’s Health 2012 (produced by the AIHW) and the Council of Australian Government (COAG) Reform Council performance report on the National Healthcare Agreement (2008) have highlighted the impact of the social determinants of health. These reports demonstrate the relationship between income, health status and access to health care. They clearly show that Australians with low incomes usually have poorer health outcomes.”

… continues on the site

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Health impact assessment: a useful tool for health and wellbeing boards – NHS Confederation – June 2012

Posted on July 3, 2012. Filed under: Health Mgmt Policy Planning, Patient Participation, Public Hlth & Hlth Promotion | Tags: , |

Health impact assessment: a useful tool for health and wellbeing boards – NHS Confederation – June 2012

“This document provides an overview of the health impact assessment (HIA) process. It was developed by one of the health and wellbeing board learning sets, for improving the health of the population, part of the National Learning Network for health and wellbeing boards. Drawing on the work of NHS South of Tyne and Wear, it outlines the key stages of the process and provides a case study which demonstrates how this process might be used to influence decision-making and service delivery.”

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Better Health: An analysis of public policy and programming focusing on the determinants of health and health outcomes that are effective in achieving the healthiest populations – Canadian Health Services Research Foundation – 18 June 2012

Posted on June 27, 2012. Filed under: Health Status, Public Hlth & Hlth Promotion | Tags: , , , |

Better Health: An analysis of public policy and programming focusing on the determinants of health and health outcomes that are effective in achieving the healthiest populations – Canadian Health Services Research Foundation – 18 June 2012

Carles Muntaner, et al.

“Key Messages

Although major health inequalities exist in Canada, minimal action has been taken by municipal, provincial/territorial and federal levels of governments to narrow health inequalities through the social determinants of health (SDOH) and public policy.

Income, housing, food insecurity and social exclusion are four major social determinants in generating and reproducing health inequalities over the life course (childhood, adulthood and the elderly stage).

Low-income individuals and families have significantly higher rates of mortality, morbidity and healthcare use as compared with middle- and high-income groups. Health inequalities between the richest 20% and the poorest 20% have decreased from 1971 to 1996 in Canada; however, continued monitoring is needed given that income inequality has increased over the past decade.

Food insecurity and unstable housing are associated with poor health and, in turn, mediate the link between income and health (hunger and unstable housing affect health and result from low income). Mortality rates among homeless and marginally housed individuals were much higher than expected on the basis of low income alone.

Social exclusion is a powerful determinant of health inequalities; however, its effects are dependent upon which groups are compared. The health consequences of social exclusion are most unequal between Aboriginal and non-Aboriginal groups. Immigrant health favours recent arrivals over long-term residents. Compared with non-minority ethnic groups, minority racial/ethnic groups are more likely to experience social and health disadvantages. However, no clear association exists for health inequalities between minority racial/ethnic groups.

Taking action on SDOH to narrow health inequalities offers new opportunities for the nursing profession to expand its role to include:

… continues on the site

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Assessing the impact and effectiveness of intersectoral action on the social determinants of health – National Collaborating Centre for Determinants of Health [Canada] – 2012

Posted on June 19, 2012. Filed under: Public Hlth & Hlth Promotion | Tags: , |

Assessing the impact and effectiveness of intersectoral action on the social determinants of health – National Collaborating Centre for Determinants of Health [Canada] – 2012

“This expedited systematic review is part of the NCCDH’s effort to explores “what works” to improve health equity through action on the social determinants of health. The purpose of the review is to examine the question, “What is the impact and effectiveness of intersectoral action as a public health practice for health equity through action on the social determinants of health?”

Use this resource to:

Gain an understanding of how public health works with other sectors to intervene on the social determinants of health and advance health equity.
Become familiar with the current state of research evidence on the impact of intersectoral action on health equity
Identify research gaps and opportunities to strengthen the evidence base for intersectoral action on health equity and the social determinants of health”

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Capitalizing on Change: Building Leadership Competency in Public Health in Quebec – National Collaborating Centre for Determinants of Health – 2012

Posted on June 19, 2012. Filed under: Leadership, Public Hlth & Hlth Promotion | Tags: |

Capitalizing on Change: Building Leadership Competency in Public Health in Quebec – National Collaborating Centre for Determinants of Health – 2012

“The NCCDH produced a series of case studies that profile action on the social determinants of health in various setting. The cases are designed to help public health practitioners in a range of settings advance health equity within the scope of their practice.

Extensive changes to the health structure in Québec meant that public health risked being lost in the shuffle. Legislation in November 2005 merged public health services, traditionally provided through community service locations, into regional centres that included long-term care facilities and hospitals. Seizing the opportunity, Dr. Jocelyne Sauvé, Public Health Director for the region of La Montérégie, developed a detailed training program to embed a population health approach in the new managers, many of whom had little or no experience in public health. Her program was a resounding success, and is now being implemented province-wide, instilling a population-health perspective into all health service delivery.

Use this resource to:

Develop leadership in public health and health equity.
Make inroads into health care by capitalizing on public health successes.
Make ‘systems change’ by building health equity into planning and performance indicators.”

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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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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, United States, 2011 – CDC – May 2012

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

Health, United States, 2011 – CDC – May 2012

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World Health Statistics 2012 – WHO – May 2012

Posted on May 28, 2012. Filed under: Chronic Disease Mgmt, Health Status, Public Hlth & Hlth Promotion | Tags: |

World Health Statistics 2012 – WHO – May 2012

“World Health Statistics 2012 contains WHO’s annual compilation of health-related data for its 194 Member States, and includes a summary of the progress made towards achieving the health-related Millennium Development Goals (MDGs) and associated targets.

This year, it also includes highlight summaries on the topics of noncommunicable diseases, universal health coverage and civil registration coverage.”

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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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Producing Knowledge Syntheses that are Both Rigorous and Relevant to Policy-Makers – National Collaborating Centre for Healthy Public Policy [Canada] May 2012

Posted on May 25, 2012. Filed under: Health Mgmt Policy Planning, Health Policy, Public Hlth & Hlth Promotion |

Producing Knowledge Syntheses that are Both Rigorous and Relevant to Policy-Makers – National Collaborating Centre for Healthy Public Policy [Canada] May 2012

“The Centre was involved in presenting 3 different workshops on Tuesday April 3rd 2012 at The Ontario Public Health Conference (TOPHC). The Conference took place in Toronto from April 2nd to 4th, 2012.

In one workshop, Florence Morestin introduced the NCCHPP’s method for synthesizing knowledge about public policies. Producing Knowledge Syntheses that are Both Rigorous and Relevant to Policy-Makers is a workshop for public health practitioners who deal with public policies in the context of their work.”

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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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Social determinants of health and well-being among young people. Health behaviour in school-aged children (HBSC) study: International report from the 2009 / 2010 survey – WHO Regional Office for Europe – 2 May 2012

Posted on May 15, 2012. Filed under: Child Health / Paediatrics, Health Status, Public Hlth & Hlth Promotion | Tags: |

Social determinants of health and well-being among young people. Health behaviour in school-aged children (HBSC) study: International report from the 2009 / 2010 survey – WHO Regional Office for Europe – 2 May 2012

Currie C et al., eds. Social determinants of health and well-being among young people. Health Behaviour in School-aged Children (HBSC) study: international report from the 2009/2010 survey. Copenhagen, WHO Regional Office for Europe, 2012 (Health Policy for Children and Adolescents, No. 6).
ISBN 978 92 890 1423 6

Extract from the introduction

“HBSC, a WHO collaborative cross-national study, collects data on 11-, 13- and 15-year-old boys’ and girls’ health and well-being, social environments and health behaviours every four years. Full contact details can be found on the HBSC web site (1).
HBSC uses findings at national and international levels:
• to gain new insight into young people’s health and well-being
• to understand the social determinants of health
• inform policy and practice to improve young people’s lives.
The first HBSC survey was conducted in 1983/1984 in five countries. The study has grown to include 43 countries and regions across Europe and North America. The table shows the growth in the international network over the eight survey rounds.”

Key findings

WHO site

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Estimating the NIH Efficient Frontier – PLoS ONE 7(5): e34569 – 2 May 2012

Posted on May 15, 2012. Filed under: Health Economics, Public Hlth & Hlth Promotion, Research | Tags: , |

Estimating the NIH Efficient Frontier – PLoS ONE 7(5): e34569 – 2 May 2012

Bisias D, Lo AW, Watkins JF (2012) Estimating the NIH Efficient Frontier. PLoS ONE 7(5): e34569. doi:10.1371/journal.pone.0034569

“Abstract

Background
The National Institutes of Health (NIH) is among the world’s largest investors in biomedical research, with a mandate to: “…lengthen life, and reduce the burdens of illness and disability.” Its funding decisions have been criticized as insufficiently focused on disease burden. We hypothesize that modern portfolio theory can create a closer link between basic research and outcome, and offer insight into basic-science related improvements in public health. We propose portfolio theory as a systematic framework for making biomedical funding allocation decisions–one that is directly tied to the risk/reward trade-off of burden-of-disease outcomes.

Methods and Findings
Using data from 1965 to 2007, we provide estimates of the NIH “efficient frontier”, the set of funding allocations across 7 groups of disease-oriented NIH institutes that yield the greatest expected return on investment for a given level of risk, where return on investment is measured by subsequent impact on U.S. years of life lost (YLL). The results suggest that NIH may be actively managing its research risk, given that the volatility of its current allocation is 17% less than that of an equal-allocation portfolio with similar expected returns. The estimated efficient frontier suggests that further improvements in expected return (89% to 119% vs. current) or reduction in risk (22% to 35% vs. current) are available holding risk or expected return, respectively, constant, and that 28% to 89% greater decrease in average years-of-life-lost per unit risk may be achievable. However, these results also reflect the imprecision of YLL as a measure of disease burden, the noisy statistical link between basic research and YLL, and other known limitations of portfolio theory itself.

Conclusions
Our analysis is intended to serve as a proof-of-concept and starting point for applying quantitative methods to allocating biomedical research funding that are objective, systematic, transparent, repeatable, and expressly designed to reduce the burden of disease. By approaching funding decisions in a more analytical fashion, it may be possible to improve their ultimate outcomes while reducing unintended consequences.”

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HEIDI wiki – Health in Europe: Information and Data Interface [website] – EC

Posted on May 15, 2012. Filed under: Health Informatics, Health Status, Public Hlth & Hlth Promotion | Tags: |

HEIDI wiki – Health in Europe: Information and Data Interface [website] – EC

“Heidi – Health in Europe: Information and Data Interface – is a comprehensive search tool for European health information and data. It contains information about health status, determinants, diseases, health systems, trends, institutional and policy aspects – and much more.

Whether you want to know more about tobacco control or learn about the cancer burden in Europe, Heidi can help you!”

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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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Citizen Participation in Health Impact Assessment: Overview of Issues – National Collaborating Centre for Healthy Public Policy [Canada] – May 2012

Posted on May 8, 2012. Filed under: Patient Participation, Public Hlth & Hlth Promotion | Tags: , |

Citizen Participation in Health Impact Assessment: Overview of Issues – National Collaborating Centre for Healthy Public Policy [Canada] – May 2012

“This document examines the main arguments in favour of citizen participation as well as some of the obstacles and risks associated with citizen participation in HIA.

Health Impact Assessment (HIA) is a practice that aims to evaluate the potential impacts of a policy, program or project on population health so as to minimize the negative and maximize the positive effects.

The founding documents of HIA identify citizen participation as one of the cornerstones of HIA. In fact, some maintain that an HIA remains incomplete without the effective and concrete participation of the community (Dannenberg, Bhatia et al., 2006, p.266).

The aim of this report is to introduce public health actors to the issues surrounding citizen participation in HIA. We will first examine the principal arguments in favour of citizen participation. We will then put these arguments into perspective, by also addressing some of the obstacles and risks associated with citizen participation in HIA.”

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Improving Equity in Health by Addressing Social Determinants – WHO – 2011

Posted on April 27, 2012. Filed under: Public Hlth & Hlth Promotion | Tags: , , |

Improving Equity in Health by Addressing Social Determinants – WHO – 2011

Edited by: The Commission on Social Determinants of Health Knowledge Networks, Jennifer H. Lee and Ritu Sadana
ISBN 978 92 4 150303 7

Extracts from the Preface

“During its tenure, the Commission on Social Determinants of Health focused on nine broad areas that contain within them major determinants of health. To support this work, theWorld Health Organization (WHO) invited leading academics, practitioners and advocates from a variety of disciplines and sectors to participate in Knowledge Networks (KN): early child development, employment conditions, globalization, women and gender equity, urban settings, priority public health conditions, measurement and evidence, social exclusion, and health systems. More than 350 individuals from around the world contributed to a tremendous body of literature for the
Commission.”

“In September 2011, WHO organized theWorld Conference on Social Determinants of Health, hosted by the Government of Brazil. Participating Member States adopted the Rio Political Declaration on Social Determinants of Health pledging to work towards reducing health inequities by taking action on five core areas:
adopt better governance for health and development
promote participation in policy-making and implementation
reorient the health sector towards reducing health inequities
strengthen global governance and collaboration
monitor progress and increase accountability.

Actions to reduce health inequities using methods consistent with these principles are synthesized across this book. There is a renewed commitment to achieve health equity and now is the opportunity to act.”

Chapters

1. Strengthening efforts to improve health equity
2. Globalization: the global marketplace and social determinants of health
3. Gender inequity in health
4. Social exclusion and health inequalities: definitions, policies and actions
5. Early child development: a powerful equilizer
6. Urban settings: our cities, our health, our future
7. Employment and working conditions as health determinants
8. Challenging inequity through health systems
9. Reducing health inequities through public health programmes
10. Measuring the social determinants of health: theoretical and empirical challenges
11. The way forward: acting on the evidence and filling knowledge gaps”

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Population Health Management: A Roadmap for Provider-Based Automation in a New Era of Healthcare – 2012

Posted on April 26, 2012. Filed under: Health Informatics, Public Hlth & Hlth Promotion |

Population Health Management: A Roadmap for Provider-Based Automation in a New Era of Healthcare

“This guide represents the first comprehensive effort to define a roadmap for providers that are exploring population health management (PHM). The literature on patient-centered medical homes and accountable care organizations traverses some of the same fundamentals, but no other study or report has yet provided practical guidance on how to set up the infrastructure that uses the latest health IT applications to facilitate and automate PHM.

This report follows the arc of the principles and best practices of population management:

The definition of population health management
Planning for population health
Data collection, storage, and management
Population monitoring and stratification
Patient engagement
Team-based interventions
Outcomes measurement”

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Strengthening the Public Health Infrastructure – American College of Physicians Policy Paper – April 2012

Posted on April 24, 2012. Filed under: Health Informatics, Public Hlth & Hlth Promotion | Tags: |

Strengthening the Public Health Infrastructure – American College of Physicians Policy Paper – April 2012

“A call for an improved public health infrastructure that works collaboratively with physicians in order to ensure the public’s safety and health was made today by the American College of Physicians (ACP). The action was highlighted by the release of a new policy paper, Strengthening the Public Health Infrastructure[PDF], at Internal Medicine 2012, ACP’s annual scientific meeting in New Orleans.

“This paper points out that strengthening the public health infrastructure is imperative to ensure that the appropriate health care services are available to meet the population’s health care needs and to respond to public health emergencies,” said Virginia L. Hood, MBBS, MPH, MACP, president of ACP. “A strong public health infrastructure provides the capacity to prepare for and respond to both acute and chronic threats to the nation’s health, yet ill-advised budget cuts at the federal, state and local levels pose a grave threat to the health of U.S. residents.”

ACP’s paper makes the case for adequate investments in public health, which is the practice of preventing diseases and promoting good health within groups of people.”

… continues on the site

6 Position statements in the paper on:

Position 1: Infrastructure funding

Position 2: Funding according to need and effectiveness

Position 3: Educated and trained workforce

Position 4: Education of the public on new health care delivery models and importance of primary care

Position 5: Supply of pharmaceuticals and vaccines

Position 6: Development and implementation of a comprehensive, nation-wide public health informatics infrastructure

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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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Are We Doing Enough? A status report on Canadian public policy and child and youth health – Canadian Pediatric Society – 2012

Posted on April 18, 2012. Filed under: Child Health / Paediatrics, Public Hlth & Hlth Promotion |

Are We Doing Enough? A status report on Canadian public policy and child and youth health – Canadian Pediatric Society – 2012

ISSN 1913-5645

“In this fourth edition of Are We Doing Enough?, the Canadian Paediatric Society (CPS) continues to assess key indicators of child and youth health at the provincial/ territorial and federal levels. In addition to rating progress on these indicators, we outline specific actions to improve the legislative and public policy environments. These actions are based on clear need and on evidence that government intervention is effective. We hope this approach will provide direction to help policy-makers act in the best interests of children and youth.”

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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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For the Public’s Health: Investing in a Healthier Future – Institute of Medicine – 10 April 2012

Posted on April 12, 2012. Filed under: Health Economics, Public Hlth & Hlth Promotion | Tags: |

For the Public’s Health: Investing in a Healthier Future – Institute of Medicine – 10 April 2012

Full text

Briefing slides

Press release

Report brief

“The poor performance of the United States in life expectancy and other major health outcomes, as compared with its global peers reflects what the nation prioritizes in its health investments. It spends extravagantly on clinical care but meagerly on other types of population-based actions that influence health more profoundly than medical services. The health system’s failure to develop and deliver effective preventive strategies continues to take a growing toll on the economy and society.

In 2009, the IOM formed a committee to consider three topics related to population health: data and measurement, law and policy, and funding. In this final report, the IOM assesses both the sources and adequacy of current government public health funding and identifies approaches to building a sustainable and sufficient public health presence going forward, while recognizing the importance of the other actors in the health system, including clinical care, governmental public health, and others. In order for health outcomes to improve in the U.S., we will need to transform the way the nation invests in health to pay more attention to population-based prevention efforts; remedy the dysfunctional manner in which public health funding is allocated, structured and used; and ensure stable funding for public health departments.”

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Developmental Health Knowledge as a Catalyst for Healthy Family Policies in Canada – April 2012

Posted on April 4, 2012. Filed under: Child Health / Paediatrics, Public Hlth & Hlth Promotion | Tags: |

Developmental Health Knowledge as a Catalyst for Healthy Family Policies in Canada – April 2012

“This briefing note, prepared by the Saskatchewan Population Health and Evaluation Research Unit (SPHERU), defines developmental health, discusses its social determinants, shows some key figures for Canada and proposes a healthy family policy framework to support health for all Canadians.

Developmental science has shown the lifelong importance of early years on human learning, behaviour, and physical and mental health. Interventions that support developmental health from birth to age five contribute to establishing the foundations for a healthy life and a prosperous society.

This short document discusses how developmental health knowledge can act as a catalyst for family policies that support developmental health for all children in Canada and for the health of Canadian society more generally.”

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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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Primary Care and Public Health: Exploring Integration to Improve Population Health – Institute of Medicine – 28 March 2012

Posted on March 29, 2012. Filed under: Primary Hlth Care, Public Hlth & Hlth Promotion | Tags: , |

Primary Care and Public Health: Exploring Integration to Improve Population Health – Institute of Medicine – 28 March 2012

Full text

“Primary care and public health have critical roles in providing for the health and well-being of communities across the nation. Although they each share a common goal, historically they have operated independently of each other. However, new opportunities are emerging that could bring the two sectors together in ways that will yield substantial and lasting improvements in the health of individuals, communities, and populations. Because of this potential, the Centers for Disease Control and Prevention and the Health Resources and Services Administration asked the IOM to examine the integration of primary care and public health.

The interactions between the two sectors are so varied that it is not possible to prescribe a specific model or template for how integration should look. Instead, the IOM identifies a set of core principles derived from successful integration efforts – including a common goal of improving population health, as well as involving the community in defining and addressing its needs. The time is right for action, and the principles provided in this report can serve as a roadmap to move the nation toward a more efficient health system. The challenges in integrating primary care and public health are great – but so are the opportunities and rewards.”

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Identifying Trustworthy Experts: How Do Policymakers Find and Assess Public Health Researchers Worth Consulting or Collaborating With? – PLoS One – 5 March 2012

Posted on March 27, 2012. Filed under: Health Policy, Knowledge Translation, Public Hlth & Hlth Promotion |

Identifying Trustworthy Experts: How Do Policymakers Find and Assess Public Health Researchers Worth Consulting or Collaborating With? – PLoS One – 5 March 2012

“Abstract

This paper reports data from semi-structured interviews on how 26 Australian civil servants, ministers and ministerial advisors find and evaluate researchers with whom they wish to consult or collaborate. Policymakers valued researchers who had credibility across the three attributes seen as contributing to trustworthiness: competence (an exemplary academic reputation complemented by pragmatism, understanding of government processes, and effective collaboration and communication skills); integrity (independence, “authenticity”, and faithful reporting of research); and benevolence (commitment to the policy reform agenda). The emphases given to these assessment criteria appeared to be shaped in part by policymakers’ roles and the type and phase of policy development in which they were engaged. Policymakers are encouraged to reassess their methods for engaging researchers and to maximise information flow and support in these relationships. Researchers who wish to influence policy are advised to develop relationships across the policy community, but also to engage in other complementary strategies for promoting research-informed policy, including the strategic use of mass media.”

Croakey commentary on the research

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Taking action to prevent chronic disease: recommendations for a healthier Ontario – Cancer Care Ontario, Public Health Ontario – 2012

Posted on March 23, 2012. Filed under: Chronic Disease Mgmt, Public Hlth & Hlth Promotion |

Taking action to prevent chronic disease: recommendations for a healthier Ontario – Cancer Care Ontario, Public Health Ontario – 2012

Published by the Ontario Agency for Health Protection and Promotion, and Cancer Care Ontario (Public Health Ontario)

ISBN 978-1-4435-8969-7 Print
ISBN 978-1-4435-8970-3 PDF

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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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Paving the Way. A closer look at what the changing policy landscape means for public health improvement, education and learning – Royal Society for Public Health – January 2012 released 7 March 2012

Posted on March 13, 2012. Filed under: Educ for Hlth Professions, Public Hlth & Hlth Promotion, Workforce |

Paving the Way. A closer look at what the changing policy landscape means for public health improvement, education and learning  – Royal Society for Public Health – January 2012 released 7 March 2012

Extract from the media release

“The Royal Society for Public Health has commissioned an in-depth report into the future learning and development landscape for the wider public health workforce.

Although the broad context for health improvement is well established, its architecture is undergoing a radical shift, from a health led service towards a public health system that is local authority led.

The report is based on interviews with people in a wide range of public health roles; in both practice and learning settings, Local Authorities, the NHS, and the third and the independent sectors.

The findings highlight the complexity of developing effective education and learning to support health improvement and the changes that will be needed to ensure that the workforce can operate effectively in the new environment. In particular:”

… continues

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Health Impact Assessment: Inventory of Resources – National Collaborating Centre for Healthy Public Policy [Canada] – February 2012

Posted on February 29, 2012. Filed under: Public Hlth & Hlth Promotion | Tags: , |

Health Impact Assessment: Inventory of Resources – National Collaborating Centre for Healthy Public Policy [Canada] – February 2012

“Health impact assessment (HIA) is a process that makes it possible to shed light on decision-making related to proposed policies, programs or projects, and on their potential effects on the health of a population. There are many approaches to the practice of HIA, the oldest having been developed within the field of environmental health in relation to the environmental impact assessment of development projects. The main focus of this inventory is the practice of HIA as related to the development of healthy public policy. This is an evolving field of practice in which more and more public health actors are becoming interested and with which they wish to become familiar.

This inventory is intended as an introduction to the field of HIA practice as applied to policy development. It is based on a review of the literature on this subject carried out by the National Collaborating Centre for Healthy Public Policy (NCCHPP) between March and July of 2008. It does not claim to be completely exhaustive, but it reflects the information available at the time the review was carried out.

Those interested in HIA will find in this inventory a body of information aimed at:

facilitating access to existing resources
providing information about the most effective techniques for researching HIA
sharing knowledge about the main ideas that characterize this field.”

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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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Environmental health inequalities in Europe. Assessment report – WHO – 2012

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

Environmental health inequalities in Europe. Assessment report – WHO – 2012

xiv + 192 pages   ISBN 978 92 890 0260 8

“The unequal distribution of people’s exposure to – and potentially of disease resulting from – environmental conditions is strongly related to a range of sociodemographic determinants. Interventions to tackle such environmental health inequalities need to be based on an assessment of their magnitude and on the identification of population groups that are most exposed or most vulnerable to environmental risks. But data are scarce.

To address this gap, and follow up on the commitments made at the Fifth Ministerial Conference on Environment and Health in Parma, Italy in 2010, the WHO Regional Office for Europe has carried out a baseline assessment of the magnitude of environmental health inequality in the European Region based on a core set of 14 inequality indicators.

The main findings indicate that socioeconomic and demographic inequalities in risk exposure are present in all countries, though they vary from country to country. The report reviews inequalities related to housing, injuries, and the environment, identifies gaps in evidence that still need to be filled, and suggests priority action to be taken at both the subregional and the national level, bearing in mind those national variations.”

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‘Two Years On’ Data – UCL Institute of Health Equity – 15 February 2012

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

‘Two Years On’ Data – UCL Institute of Health Equity – 15 February 2012

“New figures out today (Wednesday 15th February) to mark the second anniversary of the release of the Marmot Review Fair Society, Healthy Lives show that while life expectancy improved for most of the 150 local authority areas in England that will take over responsibility for public health in April 2013, inequalities within these areas also increased.

The UCL Institute of Health Equity (previously known as the Marmot Review Team) commissioned the London Health Observatory to provide data showing key indicators for monitoring health inequalities and the social determinants of health for the 150 ‘upper tier’ local authorities in England.

The indicators at local authority level are: life expectancy at birth; children reaching a good level of development at age five; young people not in employment, education or training (NEET); and, percentage of people in households receiving means tested benefits. In addition there is an index showing the level of social inequalities within each local authority area for some of the indicators, including life expectancy at birth – the higher the value of the index the greater the inequality.

The full press release, including main results and figures, is available here.”

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The Use of Health Knowledge by Not-for-profit Organizations: Taking a Look at Their Policy-influencing Practices – [Canadian] National Collaborating Centre for Healthy Public Policy – January 2012

Posted on February 14, 2012. Filed under: Knowledge Translation, Public Hlth & Hlth Promotion | Tags: |

The Use of Health Knowledge by Not-for-profit Organizations: Taking a Look at Their Policy-influencing Practices – [Canadian] National Collaborating Centre for Healthy Public Policy – January 2012

“This document examines the way in which five not-for-profit (NFP) organizations use health knowledge in their efforts to influence public policy related to population health.

This document is part of a project exploring issues surrounding relationships between not-for-profit organizations (NFPs) and the public health sector. More specifically, it deals with the way in which NFPs use health knowledge in their practices and the issues that this raises for public health professionals conducting or planning to engage in knowledge exchange processes with these stakeholders..

The purpose of the analysis proposed here is to facilitate reflection by public health professionals on certain issues affecting current or future knowledge exchange activities with NFPs.”

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Healthy lives, healthy people: Improving outcomes and supporting transparency – Department of Health [England] – 23 January 2012

Posted on February 3, 2012. Filed under: Public Hlth & Hlth Promotion |

Healthy lives, healthy people: Improving outcomes and supporting transparency – Department of Health [England] – 23 January 2012

Part 1: A public health outcomes framework for England, 2013-2016
Part 2: Summary technical specifications of public
Public Health Outcomes Framework summary factsheet
Impact Assessment: Public Health Outcomes Framework
Equality analysis: Healthy Lives, Health People Transparency in Outcomes

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Living Well with Chronic Illness: A Call for Public Health Action – Institute of Medicine – 31 January 2012

Posted on February 3, 2012. Filed under: Chronic Disease Mgmt, Public Hlth & Hlth Promotion | Tags: |

Living Well with Chronic Illness: A Call for Public Health Action – Institute of Medicine – 31 January 2012

full text
media report 

“The epidemic of chronic illness – which represents 75 percent of the $2 trillion in annual U.S. health care spending – is steadily moving toward crisis proportions, yet maintaining or enhancing quality of life for individuals living with these illnesses has not been given the attention it deserves. Longevity is no longer the only goal as more focus is placed on living a long and healthy life.

The CDC and the nonprofit Arthritis Foundation asked the IOM to help identify ways to reduce disability and improve the function and quality of life for people living with chronic illness. The report lays out a comprehensive framework intended as a guide to develop and implement cross-cutting strategies that reduce the individual and societal burdens of chronic illness by helping people with chronic illnesses live well. The IOM makes recommendations to the CDC as well as HHS on the development and support of programs to meet the health and social needs of people living with chronic illnesses.”

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Making a difference. Stories from the field: how access to scientific literature is improving the livelihoods of communities around the world – research4life – January 2012

Posted on January 23, 2012. Filed under: Health Libnship, Knowledge Translation, Public Hlth & Hlth Promotion, Research | Tags: |

Making a difference. Stories from the field: how access to scientific literature is improving the livelihoods of communities around the world – research4life – January 2012

“To celebrate Research4Life’s 10th anniversary in 2011, we launched a user experience competition. We asked users to share with us how HINARI, AGORA or OARE has improved their work, life and community. In total we received some 60 entries from countries in all five continents. This impressive array of inspiring testimonies revealed a wealth of positive impacts brought about by Research4Life. This book celebrates the stories behind some of these competition entries.

This illuminating series of case studies provides insights into how access to the results of peer-reviewed research from Research4Life publisher partners is benefiting the health, well-being, and economic and social development of communities in the developing world, as well as contributing to greater environmental health and awareness.”

… continues on the site

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Mapping the Gaps. Ideas for Using GIS to Enhance Local Health Department Priority Setting and Program Planning – RAND – 2011

Posted on January 18, 2012. Filed under: Health Mgmt Policy Planning, Public Hlth & Hlth Promotion | Tags: |

Mapping the Gaps. Ideas for Using GIS to Enhance Local Health Department Priority Setting and Program Planning – RAND – 2011

by Malcolm Williams, Tamara Dubowitz, Dawn Jacobson, Kristin J. Leuschner, Lisa Miyashiro, Elizabeth D. Steiner, Margaret M. Weden

“To determine whether the services they provide are meeting population needs, local health departments (LHDs) use a variety of formal and informal assessments, including community health assessments and communitywide health-improvement plans. Despite these efforts, the services do not always meet the needs, for a variety of reasons, including competing funding priorities, political mandates, and natural shifts in population makeup and health concerns. Geographic information system (GIS) mapping software provides a promising tool to enhance priority-setting and resource allocation for LHDs by displaying complex geospatial information in an integrated and visual way, enabling staff to compare the geographic distribution of population health in a community (i.e., where services are needed) with the geographic distribution of LHD programs and expenditures (i.e., where services are provided). Using such an approach, LHDs can identify gaps between program services and community health needs. This report presents findings from interviews with 65 staff at four LHDs and three case studies to test potential solutions for how maps can be used to address the gaps between public health needs and LHD services. It describes options for accessing easy-to-use, no-cost GIS data and tools and suggests ways in which LHDs can integrate new GIS approaches into their activities.”

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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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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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Philip Morris and R.J. Reynolds Settle with Justice Department [US] Over Tobacco-Industry Document Databases – 14 December 2011

Posted on December 16, 2011. Filed under: Public Hlth & Hlth Promotion | Tags: |

Philip Morris and R.J. Reynolds Settle with Justice Department [US] Over Tobacco-Industry Document Databases – 14 December 2011

“Agree to Pay $6.25 Million to Support Public Access

WASHINGTON – The country’s two biggest tobacco companies have agreed to improve public access to internal tobacco-industry documents and to pay $6.25 million into a court fund that will go to support the country’s largest online collection of tobacco documents, the Justice Department announced today.   The agreement is part of the United States’ landmark case against the country’s largest cigarette companies, filed in federal court in Washington.   The settlement is with Philip Morris USA and its parent Altria Group, and with R.J. Reynolds Tobacco Company.

The agreement resolves a dispute between the tobacco companies and the United States about the online document databases that the court ordered in 2006.   The court ruled then that Philip Morris, R.J. Reynolds and other cigarette companies had suppressed internal documents, information and research, as part of a broad campaign to deliberately deceive the American people about smoking’s health effects, nicotine addiction, manipulating cigarette design to increase addiction, light- and low-tar cigarettes and marketing to youth.   As a result, the court ordered the companies to provide public access to all documents they turned over in all smoking-and-health lawsuits in the United States for the next 15 years, through online document websites and through a hard-copy archive known as the Minnesota Depository.

The agreement today resolves a longstanding dispute over certain obligations the tobacco companies have with respect to these online databases.”

… continues

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Scientific Standards for Studies on Modified Risk Tobacco Products – Institute of Medicine – 14 December 2011

Posted on December 15, 2011. Filed under: Public Hlth & Hlth Promotion | Tags: , |

Scientific Standards for Studies on Modified Risk Tobacco Products – Institute of Medicine – 14 December 2011

Full text of the report

“Tobacco use is the leading cause of preventable death and disease in the U.S. Smoking leads to approximately 443,000 premature deaths each year, and smoking-related diseases kill more Americans than alcohol, illegal drugs, murder, and suicide combined. The passage of the Family Smoking Prevention and Tobacco Control Act of 2009 (FSPTCA) granted the FDA broad authority to regulate the manufacturing, distribution, and marketing of tobacco products. It also gave the FDA authority to regulate “modified risk tobacco products” (MRTPs), tobacco products that are either designed or advertised to reduce harm or the risk of tobacco-related disease. In order to market an MRTP, manufacturers must submit to the FDA scientific evidence to demonstrate the product has the potential to reduce tobacco related harms as compared to conventional tobacco products.

At the request of the FDA, the IOM formed a committee to identify minimum standards for scientific studies that an applicant would need to complete to obtain an order to market the product from the FDA. It concludes that the public health standard in the FSPTCA will require a wide range of scientific evidence including the composition and performance of the MRTP, perceptions about the risks and benefits of the MRTP, the addictive potential of the MRTP, and its human health effects. The FDA will need to issue guidance and regulation on the types, design, conduct, analysis, reporting, and governance of studies about MRTPs. The IOM’s recommendations are designed to help the FDA ensure that its evaluation of MRTPs is systematic and founded on evidence, resulting in products that not only reduce risk compared with conventional tobacco products, but also reduce the rates of tobacco-related harm across the country.”

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Primary Care Partnerships Integrated Health Promotion 2011 Report – Victoria. Department of Health – 4 November 2011

Posted on December 13, 2011. Filed under: General Practice, Primary Hlth Care, Public Hlth & Hlth Promotion |

Primary Care Partnerships Integrated Health Promotion 2011 Report – Victoria. Department of Health – 4 November 2011

“This document sets out the achievements of Primary Care Partnerships (PCP) strategy to deliver Integrated Health Promotion (IHP) in Victoria. This document draws on findings from an evaluation conducted in 2008 on the impact of the PCP IHP strategy. Case studies have been included to demonstrate the range of health promotion programs and activities being led by PCPs, and the breadth of work that can be undertaken when organisations work in partnership.”

 

 

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Good health at low cost 25 years on – London School of Hygiene & Tropical Medicine – November 2011

Posted on November 28, 2011. Filed under: Health Mgmt Policy Planning, Health Status, Public Hlth & Hlth Promotion | Tags: |

Good health at low cost 25 years on – London School of Hygiene & Tropical Medicine – November 2011

“Why do some low and middle income countries manage to achieve good health outcomes while others fail? What factors drive improvements in the health system and in access to primary health care? How can we act on the social determinants of health in cash-strapped economies?

These questions are as relevant today as they were in 1985 when the Rockefeller Foundation published what was to become a seminal report – Good health at low cost. The report explored why some low and middle income countries achieved better health outcomes than others, making Good health at low cost essential reading for health systems decision- and policy-makers alike.

This new edition of Good health at low cost 25 years on draws on a series of new case studies from Bangladesh, Ethiopia, Kyrgyzstan, Tamil Nadu and Thailand providing fresh insights into the role of effective institutions, innovation and country ownership in catalysing improvements in health.

New challenges such as increasing urbanisation, a growing private sector and an upsurge in non-communicable diseases suggest that both learning from the past and new thinking are required to strengthen health systems. This edition provides both and is a vital resource for academics, policy-makers and practitioners grappling with how to improve health in low and middle income countries.”

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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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Structural Profile of Public Health in Canada: Methodology and Data Collection – National Collaborating Centre for Healthy Public Policy – November 2011

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

Structural Profile of Public Health in Canada: Methodology and Data Collection – National Collaborating Centre for Healthy Public Policy – November 2011

“This short document introduces the methodology underlying the Structural Profile and outlines the five essential public health functions around which it is organized.

The Structural Profile of Public Health in Canada is an extensive online table showing how different jurisdictions in Canada are organized to address the essential public health functions. The Structural Profile has been online since 2008, and given the frequent changes to structures and organizations since then, it has seen some updates.”

… 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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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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HIA Implementation in Canada: HIA Pilot Project in Montérégie, Québec – National Collaborating Centre for Healthy Public Policy – October 2011

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

HIA Implementation in Canada: HIA Pilot Project in Montérégie, Québec – National Collaborating Centre for Healthy Public Policy – October 2011

“This document provides a brief account of an HIA pilot project undertaken at the municipal level, in Québec’s Montérégie region, and reports on the key findings that emerged from the process.”

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Biosurveillance: Nonfederal Capabilities Should Be Considered in Creating a National Biosurveillance Strategy – GAO [US] – 31 October 2011

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

Biosurveillance: Nonfederal Capabilities Should Be Considered in Creating a National Biosurveillance Strategy – GAO [US] – 31 October 2011

Source: Government Accountability Office

“Recommendations for Executive Action

Recommendation: In order to help build and maintain a national biosurveillance capability in a manner that accounts for the particular challenges and opportunities of reliance on state and local partnerships, the Homeland Security Council should direct the National Security Staff to ensure that the national biosurveillance strategy (1) incorporates a means to leverage existing efforts that support nonfederal biosurveillance capabilities, (2) considers challenges that nonfederal jurisdictions face in building and maintaining biosurveillance capabilities, and (3) includes a framework to develop a baseline and gap assessment of nonfederal jurisdictions’ biosurveillance capabilities as part of its implementation of our previous recommendation for a national biosurveillance strategy.

Agency Affected: Executive Office of the President: Homeland Security Council

Status: In process”

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Public Health Responsibility Deal monitoring templates – NHS – 21 October 2011

Posted on October 26, 2011. Filed under: Public Hlth & Hlth Promotion |

Public Health Responsibility Deal monitoring templates – NHS – 21 October 2011

“The Public Health Responsibility Deal has been established to tap into the potential for businesses and other organisations to improve public health.
 
As part of the agreed monitoring process for the Responsibility Deal, partners will be asked to submit annual updates on their progress to the Department of Health.  The Responsibility Deal networks have developed the monitoring templates published here to guide partners in completing annual updates on their Responsibility Deal activity, for publication on the Responsibility Deal website.

All partners will shortly be asked to complete the first section of the template  “Summary of Pledge Delivery Plans” for each pledge they have signed up to.  The remaining sections of the template will be completed by the end of April each year.

Download Active Travel (PDF, 40K)
Download Advertising & Marketing Alcohol (PDF, 49K)
Download Alcohol labelling (PDF, 63K)
Download Artifical Trans Fat Removal (PDF, 35K)
Download Awareness of Alcohol Units etc in the Off-trade (PDF, 48K)
Download Awareness of Alcohol Units in the On-trade (PDF, 45K)
Download Community Action to Tackle Alcohol Harms (PDF, 55K)
Download Chronic Conditions Guides (PDF, 41K)
Download Health and Wellbeing Report (PDF, 36K)
Download Healthier Staff Restaurants (PDF, 58K)
Download Occupational Health Standards (PDF, 50K)
Download OOH Calorie Labelling (PDF, 50K)
Download Physical Activity – Community (PDF, 44K)
Download Physical Activity Guidelines (PDF, 41K)
Download Physical Activity – Inclusion (PDF, 40K)
Download Physical Activity in the Workplace (PDF, 40K)
Download Salt Reduction (PDF, 84K)
Download Smoking Cessation + Respiratory Health (PDF, 40K)
Download Staff Healthchecks (PDF, 38K)
Download Support for Drinkaware (PDF, 45K)
Download Tackling Under-Age Alcohol Sales (PDF, 47K)”

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Health Communicator’s Social Media Toolkit now available from the Centers for Disease Control and Prevention – Updated July 2011

Posted on October 26, 2011. Filed under: Health Informatics, Public Hlth & Hlth Promotion | Tags: , |

Health Communicator’s Social Media Toolkit  now available from the Centers for Disease Control and Prevention – Updated July 2011

“A guide to using social media to improve reach of health messages, increase access to your content, further participation with audiences and advance transparency to improve health communication efforts.”

“This toolkit was developed by the Electronic Media Branch, Division of News and Electronic Media, Office of the Associate Director of Communication at the Centers for Disease Control and Prevention (CDC). It was designed to provide guidance and to the share lessons learned in more than three years of integrating social media into CDC health communication campaigns, activities and emergency response efforts. In this guide, you will find information to help you get started using social media—from developing governance to determining which channels best meet your communication objectives to creating a social media strategy. You will also learn about popular channels you can incorporate into your plan, such as blogs, video-sharing sites, mobile applications and RSS feeds. This toolkit is intended for a beginner audience, although some viewers with an intermediate level may find parts of the toolkit useful.”

Centers for Disease Control and Prevention – Social Media at CDC

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Rio Political Declaration on Social Determinants of Health – WHO – 21 October 2011

Posted on October 24, 2011. Filed under: Public Hlth & Hlth Promotion | Tags: |

Rio Political Declaration on Social Determinants of Health – WHO – 21 October 2011

“The Rio Political Declaration on Social Determinants of Health expresses global political commitment for the implementation of a social determinants of health approach to reduce health inequities and to achieve other global priorities. It will help to build momentum within WHO Member States for the development of dedicated national action plans and strategies.

Download the Rio Political Declaration on Social Determinants of Health – 21 October 2011   pdf, 636kb

Process of development

On 15 August 2011, the text was circulated to Geneva-based Permanent Missions of Member States. The first meeting of Member States, convened by the Government of Brazil, was held at WHO headquarters on 7 September, 2011. This was followed by a series of informal consultations attended by representatives of Permanent Missions. The text of the declaration was finalized during the conference in Rio de Janeiro on 19-21 October, 2011.”

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Front-of-Package Nutrition Rating Systems and Symbols: Promoting Healthier Choices – Institute of Medicine – 20 October 2011

Posted on October 21, 2011. Filed under: Dietetics, Public Hlth & Hlth Promotion |

Front-of-Package Nutrition Rating Systems and Symbols: Promoting Healthier Choices – Institute of Medicine – 20 October 2011

“A variety of nutrition rating systems and symbols are now on the front of food packages—meant to make it easier for consumers to make healthful choices. However, the number and variety of nutrition rating systems in grocery stores today often lead to confusion in the grocery aisle, especially when consumers are pressed for time and may not understand a product rating system.

Congress directed the Centers for Disease Control and Prevention to undertake a study with the IOM with additional support provided by the Food and Drug Administration and the Center for Nutrition Policy and Promotion in the U.S. Department of Agriculture. The task was split into two phases. A first report analyzed the nutrition rating systems and the scientific research that underlies them and was released in 2010. This second report delves into consumer use and understanding of front of package systems.

The report concludes that it is time for a move away from front-of-package systems that mostly provide nutrition information on foods or beverages but don’t give clear guidance about their healthfulness, and toward one that encourages healthier choices through simplicity, visual clarity, and the ability to convey meaning without written information. The report recommends that the Food and Drug Administration develop, test, and implement a single, standard FOP symbol system to appear on all food and beverage products, in place of other systems already in use. The symbol system should show calories in household servings on all products. Foods and beverages should be evaluated using a point system for saturated and trans fats and sodium, and added sugars. The more points a food or beverage has, the healthier it is. This system would encourage food and beverage producers to develop healthier fare and consumers to quickly and easily find healthier products when they shop.”

Full text online

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Diabetes Integrated Care Research – London Councils – 12 October 2011

Posted on October 18, 2011. Filed under: Diabetes, Public Hlth & Hlth Promotion |

Diabetes Integrated Care Research – London Councils – 12 October 2011

“Diabetes is a serious condition which requires a complex web of care. If diagnosed late, left untreated, or poorly managed, it can lead to life-threatening complications. Ensuring people with diabetes are able to access the care they need to stay healthy is vital.

The prevalence of diabetes nationally continues to increase, in 2009-10 numbers grew by 150,648 to hit a new UK record high of 2,784,911 – 4.26% of the UK population. There is a body of evidence which suggests that an integrative care approach which brings together hospitals, community care services, social care and the local authority, can improve access for patients and encourages a stronger focus on their long term needs.

London Councils working with Diabetes UK commissioned Apteligen Limited and PHAST (Public Health Action Support Team) to undertake research to examine the barriers to integration between health and social care in London and to assess opportunities for closer working in the future.

This report sets out the evidence for greater integration between health and social care demonstrating how strong preventative work combined with effective patient-centred care can greatly reduce diabetes and improve lifestyles for patients and at the same time deliver significant cost benefits.”

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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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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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A Workshop on Inequalities Using the Escalators Metaphor – Presentation Kit – National Collaborating Centre for Healthy Public Policy [Canada] – September 2011

Posted on September 30, 2011. Filed under: Public Hlth & Hlth Promotion | Tags: , , |

A Workshop on Inequalities Using the Escalators Metaphor – Presentation Kit – National Collaborating Centre for Healthy Public Policy [Canada] – September 2011

“The resources in this Presentation Kit, created by Vivian Labrie, are based on a metaphor of up and down escalators. When used to animate a workshop, they provide an opportunity for different actors to share their thoughts about structural and social determinants of inequalities. The kit includes: a facilitator’s guide, a poster template and an introductory PowerPoint.”

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Auditing Behaviour Change – National Audit Office [UK] – September 2011

Posted on September 28, 2011. Filed under: Public Hlth & Hlth Promotion | Tags: , , |

Auditing Behaviour Change – National Audit Office – September 2011

“Behaviour change is important for value for money because it can often contribute to, or be a prerequisite for achieving a policy outcome cost-effectively. As behaviour change is rapidly becoming more prevalent, reporting on value for money is a necessity. However, due partly to its complexity, doing so can be difficult. The NAO has developed this guide to represent our emerging thinking on what auditors might look for when doing a value for money assessment.”

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Collection of Resources on Evaluation – CoRE – National Obesity Observatory NHS

Posted on September 27, 2011. Filed under: Public Hlth & Hlth Promotion | Tags: , |

Collection of Resources on Evaluation – CoRE – National Obesity Observatory NHS 

Access the new Evaluation data collection tool

“Evaluation is about judging the value of an activity and assessing whether or not it has achieved what it set out to do. In health promotion, an evaluation determines the extent to which a programme has achieved its objectives, and will assess how different processes contributed to achieving these objectives.

Evaluation is particularly important for interventions that aim to tackle overweight and obesity. We need to know as much as possible about which approaches are likely to yield results, and to do this we need to be able to compare results across settings, populations and types of intervention. We can then focus public health investment appropriately. This is even more important in a time of restricted public finances.

The aim of NOO’s Collection of Resources on Evaluation (CoRE) is to provide information and resources to support practitioners with an interest in the evaluation of interventions related to obesity, overweight, underweight and their determinants. The current version of CoRE covers: NOO’s Standard Evaluation Framework (SEF); evaluation data collection tool (including details of local interventions); other evaluation guidance; reports from evaluation of nationally-initiated schemes; and evaluation websites.

CoRE is divided into the following sections:

Standard Evaluation Framework
Evaluation data collection tool   
Evaluation guidance
Evaluation reports
Evaluation websites “

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HIV, viral hepatitis and sexually transmissible infections in Australia. Annual Surveillance Report 2011 – Kirby Institute – 2011

Posted on September 27, 2011. Filed under: Infectious Diseases, Public Hlth & Hlth Promotion | Tags: |

HIV, viral hepatitis and sexually transmissible infections in Australia. Annual Surveillance Report 2011 – Kirby Institute – 2011

The Kirby Institute. HIV, viral hepatitis and sexually transmissible infections in Australia Annual Surveillance Report 2011. The Kirby Institute, the University of New South Wales, Sydney, NSW
Surveillance and Evaluation Program for Public Health

“This report is the fifteenth annual review of available surveillance data pertaining to the occurrence of HIV, viral hepatitis and sexually transmissible infections in Australia. It is intended to be a reference document for organisations and individuals interested in the occurrence of these infectious diseases in Australia, drawing together relevant data from many sources into a single comprehensive report.”

ABC media reporting on this

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Does income inequality cause health and social problems? – Joseph Rowntree Foundation – 22 September 2011

Posted on September 22, 2011. Filed under: Health Status, Public Hlth & Hlth Promotion | Tags: , , |

Does income inequality cause health and social problems? – Joseph Rowntree Foundation – 22 September 2011

Karen Rowlingson

“Should income inequality worry us?

The UK witnessed a dramatic growth in income inequality in the 1980s, and since then the level of inequality has increased further, though at a slower rate. But should we be concerned about this? This report provides an independent review of the evidence about the impact of inequality, paying particular attention to the evidence and arguments put forward in The Spirit Level by Richard Wilkinson and Kate Pickett (2009). The research examines:

whether or not there is a link between income inequality and health and social problems;
who might be most affected by income inequality; and
other possible impacts of income inequality, for example, on the economy.”

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Behaviour change report – House of Lords Science and Technology Select Committee – 19 July 2011

Posted on September 21, 2011. Filed under: Public Hlth & Hlth Promotion |

Behaviour change report – House of Lords Science and Technology Select Committee – 19 July 2011
“Summary
The aim of much government policy is to bring about changes in people’s behaviour and so a government’s success will often depend on their ability to implement effective behaviour change interventions whilst, at the same time, avoiding significant harmful side effects.
Governments can use a variety of different types of policy interventions to change the behaviour of the population. These range from providing information or undertaking campaigns of persuasion that promote certain behaviour, to taxation and legislation. In Table 1 of this report we set out a schematic list of types of intervention.
The currently influential book Nudge by Richard Thaler and Cass Sunstein advocates a range of non-regulatory interventions that seek to influence behaviour by altering the context or environment in which people choose, and seek to influence behaviour in ways which people often do not notice. This approach differs from more traditional government attempts to change behaviour, which have either used regulatory interventions or relied on overt persuasion. The current Government have taken a considerable interest in the use of “nudge interventions”. Consequently, one aim of this inquiry was to assess the evidence-base for the effectiveness of “nudges”. However, we also examined evidence for the effectiveness of other types of policy intervention, regulatory and non-regulatory, and asked whether the Government make good use of the full range of available evidence when seeking to change behaviour.”  … continues

Government response to the Science and Technology Committee report on behaviour change – September 2011
This paper sets out the Government’s endorsement of the suggestions made by the House of Lords select committee. It describes the policy decisions and work being taken forward from the House of Lords report.

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Scaling up action against noncommunicable diseases: How much will it cost? WHO report 2011 – released September 2011

Posted on September 21, 2011. Filed under: Chronic Disease Mgmt, Health Economics, Public Hlth & Hlth Promotion | Tags: |

Scaling up action against noncommunicable diseases: How much will it cost? WHO report 2011 – released September 2011
“Overview
The report describes a financial planning tool for scaling up delivery of a set of cost-effective population-based and individual-level health care interventions in low- and middle-income countries. This tool can be used to forecast financial resource needs at national or sub-national level and also to generate a price tag at global level. It will enhance traditional budgeting mechanisms in countries and provide information to development agencies and international institutions on the resources needed to address the growing burden of NCDs.”

Media report – UN General Assembly announces historic commitment to fight noncommunicable diseases 

Media report – New WHO study details low-cost solutions to help curb the tide on noncommunicable diseases
Strategies to prevent and treat cancer, heart disease, diabetes and lung disease for just US$ 1.20 per person per year

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Physical Activity in Australia: A Snapshot, 2007-08 – ABS – released 9 September 2011

Posted on September 9, 2011. Filed under: Health Status, Public Hlth & Hlth Promotion | Tags: |

Physical Activity in Australia: A Snapshot, 2007-08 – ABS – released 9 September 2011

4835.0.55.001

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Victorian Public Health and Wellbeing Plan 2011-2015 – 1 September 2011

Posted on September 7, 2011. Filed under: Public Hlth & Hlth Promotion |

Victorian Public Health and Wellbeing Plan 2011-2015 – 1 September 2011

“The Victorian Public Health and Wellbeing Plan 2011–2015 has been prepared, as required by section 49 of the Public Health and Wellbeing Act 2008.

The plan aims to improve the health and wellbeing of all Victorians by engaging communities in prevention, and by strengthening systems for health protection, health promotion and preventive healthcare across all sectors and all levels of government.”

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Live Longer! Community Health Action Pack: A Practical Guide to Health Promotion Planning with Aboriginal and Torres Strait Islander Communities

Posted on September 6, 2011. Filed under: Aboriginal TI Health, Public Hlth & Hlth Promotion |

Live Longer! Community Health Action Pack: A Practical Guide to Health Promotion Planning with Aboriginal and Torres Strait Islander Communities

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The health impacts of housing: toward a policy-relevant research agenda – Australian Housing and Urban Research Centre – August 2011

Posted on September 1, 2011. Filed under: Public Hlth & Hlth Promotion | Tags: |

The health impacts of housing: toward a policy-relevant research agenda – Australian Housing and Urban Research Centre – August 2011
Susan Thompson, Peter Phibbs
ISSN: 1834-7223 ISBN: 978-1-921610-79-0

Extract from the executive summary:

“Housing is central to our lives. And while it may be seen on one level as principally about shelter, housing importantly provides other benefits. Affordable, appropriate, and adequate housing is argued to have a marked impact on people’s health, their access to labour markets, and an array of other benefits. The ways in which housing impacts upon human health is considered in this report which presents a scoping study of the health impacts of housing. Our study has been undertaken using the new AHURI Investigative Panel methodology. We set out to establish the current level of knowledge and major research gaps in the housing and health field. We used a focused literature review to initiate this process. The aim of the review was to provide a foundation for the construction of a viable Australian research agenda on the relationship between housing and health. The review conceptualised the non-shelter outcomes of housing using scholarly work from both the housing and health disciplines. The latter has a well-established and widely recognised conceptual framework for engaging with the housing–health interface.”

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