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The Future of the Public's Health in the 21st Century (2003)

Chapter: Appendix A: Models of Health Determinants

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Suggested Citation:"Appendix A: Models of Health Determinants." Institute of Medicine. 2003. The Future of the Public's Health in the 21st Century. Washington, DC: The National Academies Press. doi: 10.17226/10548.
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APPENDIXES

Suggested Citation:"Appendix A: Models of Health Determinants." Institute of Medicine. 2003. The Future of the Public's Health in the 21st Century. Washington, DC: The National Academies Press. doi: 10.17226/10548.
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Suggested Citation:"Appendix A: Models of Health Determinants." Institute of Medicine. 2003. The Future of the Public's Health in the 21st Century. Washington, DC: The National Academies Press. doi: 10.17226/10548.
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A Models of Health Determinants

As noted in Chapter 2, several models have been developed to describe the social or ecological determinants of health—the ways in which elements of the social, economic, and physical environments interact with individual biological factors and behaviors and shape health status. Some representative examples are provided below. An additional model, not pictured below, was developed by Keating and Hertzman (1999).

FIGURE A–1 A comprehensive model of the determinants of health.

SOURCE: Evans and Stoddart (1990). Used with permission from Elsevier Science.

Suggested Citation:"Appendix A: Models of Health Determinants." Institute of Medicine. 2003. The Future of the Public's Health in the 21st Century. Washington, DC: The National Academies Press. doi: 10.17226/10548.
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FIGURE A–2 Multilevel approach to epidemiology.

SOURCE: Institute of Medicine (2000).

FIGURE A–3 The Dahlgren-Whitehead model.

SOURCE: Dahlgren and Whitehead (1991). Used with permission of the Institute for Futures Studies, Stockholm, Sweden.

Suggested Citation:"Appendix A: Models of Health Determinants." Institute of Medicine. 2003. The Future of the Public's Health in the 21st Century. Washington, DC: The National Academies Press. doi: 10.17226/10548.
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REFERENCES

Dahlgren G, Whitehead M. 1991. Policies and Strategies to Promote Social Equity in Health. Stockholm, Sweden: Institute for Futures Studies.


Evans RG, Stoddart GL. 1990. Producing health, consuming healthcare. Social Science and Medicine 31:1347–1363.


IOM (Institute of Medicine). 2000. Promoting Health: Intervention Strategies from Social and Behavioral Research, p. 43. Washington, DC: National Academy Press.


Keating DP, Hertzman C. 1999. Developmental Health and the Wealth of Nations: Social, Biological, and Educational Dynamics, p. 30. New York: Guilford Press.

Suggested Citation:"Appendix A: Models of Health Determinants." Institute of Medicine. 2003. The Future of the Public's Health in the 21st Century. Washington, DC: The National Academies Press. doi: 10.17226/10548.
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Suggested Citation:"Appendix A: Models of Health Determinants." Institute of Medicine. 2003. The Future of the Public's Health in the 21st Century. Washington, DC: The National Academies Press. doi: 10.17226/10548.
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Page 402
Suggested Citation:"Appendix A: Models of Health Determinants." Institute of Medicine. 2003. The Future of the Public's Health in the 21st Century. Washington, DC: The National Academies Press. doi: 10.17226/10548.
×
Page 403
Suggested Citation:"Appendix A: Models of Health Determinants." Institute of Medicine. 2003. The Future of the Public's Health in the 21st Century. Washington, DC: The National Academies Press. doi: 10.17226/10548.
×
Page 404
Suggested Citation:"Appendix A: Models of Health Determinants." Institute of Medicine. 2003. The Future of the Public's Health in the 21st Century. Washington, DC: The National Academies Press. doi: 10.17226/10548.
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Page 405
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The anthrax incidents following the 9/11 terrorist attacks put the spotlight on the nation’s public health agencies, placing it under an unprecedented scrutiny that added new dimensions to the complex issues considered in this report.

The Future of the Public’s Health in the 21st Century reaffirms the vision of Healthy People 2010, and outlines a systems approach to assuring the nation’s health in practice, research, and policy. This approach focuses on joining the unique resources and perspectives of diverse sectors and entities and challenges these groups to work in a concerted, strategic way to promote and protect the public’s health.

Focusing on diverse partnerships as the framework for public health, the book discusses:

  • The need for a shift from an individual to a population-based approach in practice, research, policy, and community engagement.
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    Providing an accessible analysis, this book will be important to public health policy-makers and practitioners, business and community leaders, health advocates, educators and journalists.

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