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Leading Health Indicators for Healthy People 2010: Final Report (1999)

Chapter: 6 Conclusions and Recommendations

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Suggested Citation:"6 Conclusions and Recommendations." Institute of Medicine. 1999. Leading Health Indicators for Healthy People 2010: Final Report. Washington, DC: The National Academies Press. doi: 10.17226/9436.
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Suggested Citation:"6 Conclusions and Recommendations." Institute of Medicine. 1999. Leading Health Indicators for Healthy People 2010: Final Report. Washington, DC: The National Academies Press. doi: 10.17226/9436.
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    1.  

    development and maintenance of collaborations with partner agencies and organizations,

    2.  

    commitment of adequate resources and effort to disseminate and monitor the selected set of indicators for the entire course of Healthy People 2010,

    3.  

    health disparities,

    4.  

    inclusion of poverty as an indicator or stratification variable, and

    5.  

    general data issues, including data analysis at multiple jurisdictional levels.

    Interagency Collaborations

    Leading health indicators will be strengthened by continued and expanded collaborations between the U.S. Department of Health and Human Services with other federal agencies (e.g., the Environmental Protection Agency, U.S. Department of Labor, U.S. Department of Education, U.S. Department of Housing and Urban Development), the business and labor communities, private-sector agencies, voluntary organizations (e.g., the American Diabetes Association, the American Heart Association, and the American Lung Association), state and local health departments, and community-based groups with a shared goal of improving the health of their communities and thereby improving the health of this nation's population. In the absence of such a commitment by the department, it is highly likely that the leading health indicator effort will be unsuccessful as it has been in the two previous decades of Healthy People.

    Commitment of Adequate Resources and Effort for Dissemination of Indicator Set

    The committee strongly urges the U.S. Department of Health and Human Services to carry forward this concept of leading health indicators for the duration of Healthy People 2010. Achievement of the full potential for the selected set of indicators will rest squarely on the shoulders of the department and will require allocation of sufficient resources to (1) disseminate knowledge about the leading health indicator set to the general population and its diverse population groups; (2) support efforts at the national, state, local, community, and individual levels to intervene upon the suggested indicators; and (3) ensure ongoing data collection efforts at the national, state, local, and community levels that will permit the monitoring of changes in the indicators through the course of the decade. The committee urges the department to develop a comprehensive plan for the communication and dissemination of information related to the leading health indicators. Such a plan should be responsive to the needs of diverse population groups and should include both traditional and innovative communications strategies to bring about changes in health behaviors. The committee reiterates the imperative for the Department to select an indicator set and fully commit to design and implementation of communications and dissemination plans, implementation of interventions, and monitoring progress toward each indicator target within the chosen set.

    Suggested Citation:"6 Conclusions and Recommendations." Institute of Medicine. 1999. Leading Health Indicators for Healthy People 2010: Final Report. Washington, DC: The National Academies Press. doi: 10.17226/9436.
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    Suggested Citation:"6 Conclusions and Recommendations." Institute of Medicine. 1999. Leading Health Indicators for Healthy People 2010: Final Report. Washington, DC: The National Academies Press. doi: 10.17226/9436.
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    Suggested Citation:"6 Conclusions and Recommendations." Institute of Medicine. 1999. Leading Health Indicators for Healthy People 2010: Final Report. Washington, DC: The National Academies Press. doi: 10.17226/9436.
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    Suggested Citation:"6 Conclusions and Recommendations." Institute of Medicine. 1999. Leading Health Indicators for Healthy People 2010: Final Report. Washington, DC: The National Academies Press. doi: 10.17226/9436.
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    Suggested Citation:"6 Conclusions and Recommendations." Institute of Medicine. 1999. Leading Health Indicators for Healthy People 2010: Final Report. Washington, DC: The National Academies Press. doi: 10.17226/9436.
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      1.  

      Data sets should be evaluated for the following characteristics: quality of data, limitations of self-reported data, periodicity and timeliness of data availability, representativeness of data, and ability to provide small-area analyses and analyses for multiple jurisdictional levels.

      2.  

      Technical assistance should be provided to ensure appropriate use of small-area analysis data sets representative of multiple jurisdictional levels in the design, implementation, and evaluation of local interventions to improve the status of specific indicators.

      3.  

      Appropriate intervals for data collection, methods of data analysis, and frequency of reporting on results for each of the indicators will also need to be determined.

      Suggested Citation:"6 Conclusions and Recommendations." Institute of Medicine. 1999. Leading Health Indicators for Healthy People 2010: Final Report. Washington, DC: The National Academies Press. doi: 10.17226/9436.
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      There was a problem loading page 76.

      Suggested Citation:"6 Conclusions and Recommendations." Institute of Medicine. 1999. Leading Health Indicators for Healthy People 2010: Final Report. Washington, DC: The National Academies Press. doi: 10.17226/9436.
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      Page 69
      Suggested Citation:"6 Conclusions and Recommendations." Institute of Medicine. 1999. Leading Health Indicators for Healthy People 2010: Final Report. Washington, DC: The National Academies Press. doi: 10.17226/9436.
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      Page 70
      Suggested Citation:"6 Conclusions and Recommendations." Institute of Medicine. 1999. Leading Health Indicators for Healthy People 2010: Final Report. Washington, DC: The National Academies Press. doi: 10.17226/9436.
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      Page 71
      Suggested Citation:"6 Conclusions and Recommendations." Institute of Medicine. 1999. Leading Health Indicators for Healthy People 2010: Final Report. Washington, DC: The National Academies Press. doi: 10.17226/9436.
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      Page 72
      Suggested Citation:"6 Conclusions and Recommendations." Institute of Medicine. 1999. Leading Health Indicators for Healthy People 2010: Final Report. Washington, DC: The National Academies Press. doi: 10.17226/9436.
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      Suggested Citation:"6 Conclusions and Recommendations." Institute of Medicine. 1999. Leading Health Indicators for Healthy People 2010: Final Report. Washington, DC: The National Academies Press. doi: 10.17226/9436.
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      Page 74
      Suggested Citation:"6 Conclusions and Recommendations." Institute of Medicine. 1999. Leading Health Indicators for Healthy People 2010: Final Report. Washington, DC: The National Academies Press. doi: 10.17226/9436.
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      Page 75
      Suggested Citation:"6 Conclusions and Recommendations." Institute of Medicine. 1999. Leading Health Indicators for Healthy People 2010: Final Report. Washington, DC: The National Academies Press. doi: 10.17226/9436.
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      Healthy People is the nation's agenda for health promotion and disease prevention. The concept, first established in 1979 in a report prepared by the Office of the Surgeon General, has since been revised on a regular basis, and the fourth iteration, known as Healthy People 2010, will take the nation into the 21st century. Leading Health Indicators for Healthy People 2010: Final Report contains a number of recommendations and suggestions for the Department of Health and Human Services that address issues relevant to the composition of leading health indicator sets, data collection, data analysis, effective dissemination strategies, health disparities, and application of the indicators across multiple jurisdictional levels.

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