• Attain high-quality, longer lives free of preventable disease.

  • Achieve health equity; eliminate disparities.

  • Create social and physical environments that promote good health.

  • Promote quality of life, healthy development, and healthy behaviors across life stages.

Additionally, Healthy People 2020 has developed four “foundation health measures.” According to the Healthy People 2020 website1:

Over the course of the decade, the four foundation health measures will be used to monitor progress toward promoting health, preventing disease and disability, eliminating disparities, and improving quality of life.

The four classes of foundation health measures are general health status, health-related quality of life and well-being, determinants of health, and disparities. The foundation health measures were published by HHS after the charge to the committee was developed and the work of the committee begun. The committee was not required in the charge to take this set of measures into account in developing its recommendations.


As instructed in the statement of task, the committee has developed and recommends 12 indicators and 12 topics, and selected 24 objectives from the Healthy People 2020 objectives that relate to the identified indicators and topics. A list of the objectives with accompanying subobjectives, quantitative goals, and data sources can be found in Appendix B.

Recommendation 1:

The committee recommends that the following indicators be used by HHS as the Healthy People 2020 Leading Health Indicators. These indicators are:

  1. Proportion of the population with access to health care services

  2. Proportion of the population engaged in healthy behaviors

  3. Prevalence and mortality of chronic disease

  4. Proportion of the population experiencing a healthy physical environment

  5. Proportion of the population experiencing a healthy social environment


See http://www.healthypeople.gov/2020/about/tracking.aspx (accessed November 18, 2010).

The National Academies | 500 Fifth St. N.W. | Washington, D.C. 20001
Copyright © National Academy of Sciences. All rights reserved.
Terms of Use and Privacy Statement