Healthy People 2000 Citizens Chart the Course (1990) / Chapter Skim
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8 Health Promotion and Disease Prevention in the Health Care System
8 Health Promotion and Disease Prevention in the Health Care System
Pages 68-81
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From page 68... ...
From my perspective as a state legislator, our success in achieving the national health objectives for the year 2000 will depend to a large extent on improving access to programs and services we already have in place and on increasing the availability of information regarding disease prevention. For example, perhaps the greatest success in a preventive health effort with significant effect on the nation's health status was the discovery and uniform administration of vaccines.
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From page 69... ...
Testimony on potential contributions of the various health professionals and the settings in which they work is next, along with suggestions on strengthening their roles as providers of health education and preventive services. The next section discusses problems and solutions in the financing of health promotion and disease prevention programs, including changes in existing federal funding programs and in the insurance system.
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From page 70... ...
Eliminating barriers to care seeking and behavior change will require new, culturally sensitive approaches to information dissemination, health planning and resources management, and may even require the institutionalization of new health policies." (~269) As an example of what should be done to improve access to preventive services, Ahmed cites Meharry Medical College's "Community Coalition on Minority Health.
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From page 71... ...
(#209) HEALTH PROMOTION AND DISEASE PREVENTION IN THE HEALTH CARE SYSTEM Implementation of the national objectives for health promotion and disease prevention in medical and health care settings depends on the participation of physicians, other health professionals, and the organizations in which they work.
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From page 72... ...
The professional groups include pharmacists, nurses, midwives, public health professionals, and allied health professionals. In many cases, these groups are oriented to disease prevention and health promotion and are reportedly effective at it, so that minimum changes in training and funding patterns can have important effects.
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From page 73... ...
Health Care Settings and Organizations Health professionals, especially nonphysic~ans, generally work in organizations, and the policies and structure of these organizations have an important effect on access to preventive services. Along these lines, witnesses discussed health promotion and disease prevention activities in hospitals, community health centers, health maintenance organizations, group practices, and long-term care facilities.
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From page 74... ...
But, Sobel cautions that even the physicians who work in HMOs may not be skilled or comfortable in providing health education and counseling. Thus, to be successful, HMOs must · define and specie a basic benefit package of prenatal, immunization, and age-related periodic health evaluation services to assure consistency; · use nonphysician health professionals, such as nurses, nurse practitioners, dietitians, and pharmacists, to provide health education and prevention services; and · include self-care education to help people understand when to seek medical and preventive care, and when or how to use self-treatment safely.
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From page 75... ...
(~694J Federal Funding Programs Many witnesses suggested that already existing federal funding programs could do more to finance health promotion and disease prevention, and to improve the access to health care generally. In particular, testifiers addressed the possibilities of changing Medicare reimbursement policies for preventive services; increasing the coverage of Medicaid to include more poor people and more services, especially maternal health services; and better coordinating block and categorical grant programs with the national objectives.
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From page 76... ...
(#044) Health Insurance Many witnesses called for some form of national health insurance system that would pay for preventive services, saying that without major changes in the current system, from which many are disenfranchised and which provides little preventive care for those who are covered, it will be difficult to make progress in the Year 2000 Health Objectives.
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From page 77... ...
Other witnesses called for better integration of the knowledge and skills needed for health promotion and disease prevention in the basic education of all health professionals. William Scheckler of the University of Wisconsin, Health Promotion and Disease Prevention in the Health Care System 77
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From page 78... ...
suggests that students of medicine, nursing, dentistry, and the allied health professions be adequately prepared to intervene effectively with those patients at risk and to organize health promotion/disease prevention services. Therefore, those responsible for the education, training, and certification of health professionals must develop goals and objectives to assure that health promotion and disease prevention becomes an integral part of the repertoire of skills of those charged with the responsibility of providing health care.
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From page 79... ...
(#717J James Young, Dean of the School of Allied Health Sciences at the University of Texas Health Science Center at San Antonio, says that allied health professionals have an important potential role in promoting and achieving the nation's health goals, specifically as they concern minorities. Young's recommendations include (1)
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From page 80... ...
Ibid. TESTIFIERS CITED IN CHAPTER 8 024 Bonta, Diana; Los Angeles Regional Family Planning Council 044 Corry, Maureen; March of Dimes Birth Defects Foundation 071 Givens, Austin; American Occupational Medical Association 072 Graham, Robert; American Academy of Family Physicians 074 Grigsby, Sharon; The Visiting Nurse Foundation 118 Kligman, Evan; Society of Teachers of Family Medicine 129 Halpin, Thomas and Evans, Karen; Ohio Department of Health 136 Lurie, Sue; Texas College of Osteopathic Medicine 143 Martin, Robert; Society of Teachers of Family Medicine 169 Osterbusch, Suzanne; National Council for the Education of Health Professionals in Health Promotion 193 Delgado, Jane; The National Coalition of Hispanic Health and Human Services Organizations (COSSMHO)
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From page 81... ...
583 McCarthy, Diane; Health Poligy Agenda for the American People (Chicago) 589 Mundinger, Mary, Columbia University 599 Adams, Predenck; Connecticut Department of Health Services 612 Hunter, Paul; American Medical Student Association/Foundation 625 Goldstein, Bernard; University of Medicine and Dentistry of New Jersey, Robert Wood Johnson Medical School 628 Low, Lisa Kane; American College of Nurse-Midwives 633 Rosenfield, Allan; Columbia University 635 White, Francine; National Association of Community Health Centers 678 Arnold, Milton; American Academy of Pediatrics 690 Carr, Katherine; American College of Nurse-Midwives 694 Hagens, William; Washington State House of Representatives 717 Denno, Donna; University of Michigan 755 Blumenthal, Daniel; American Public Health Association, Medical Care Section 780 Sobel, David; The Permanente Medical Group 796 Black, Robert; Monterey, California Health Promotion and Disease Prevention in the Health Care System 81
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