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2 Objectives Process and Structure
Pages 7-14

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From page 7...
... Need to Address Social CondItlons Those who addressed the issue of social conditions agreed that national objectives focusing exclusively on health matters are In danger of missing the underlying causes of illness. "As broad as these objectives are and will be," writes Jule Sugarman, Secretary of the Washington State Department of Social and Health Services, "they are not broad enough to assure the preservation of health.
From page 8...
... According to Michael Jarrett, Commissioner of the South Carolina Department of Health and Environmental Control, "Many objectives appear to be veIy weak regarding the influence of psychosocial issues on the health status of the nation. Greater attention needs to be paid to these issues with objectives that include intervention strategies." (#108)
From page 9...
... Those who testified on this issue suggested that data availability and quality be addressed directly in formulating the objectives and that attempts be made to identify potential sources for filling gaps in the information base. According to Richards, for instance, a major implementation problem with the 1990 Objectives was unavailability of related or prosy data to measure the status of some objectives.
From page 10...
... (~3 74) Edward Wagner of the Group Health Cooperative of Puget Sound, for instance, found the 1990 Objectives useful for establishing health status goals for older Americans, but complained that specific 1990 Objectives provided little guidance in identifying specific interventions to reduce unnecessary disability among the elderly.
From page 11...
... Others offered alternative approaches to health promotion and disease prevention, and mentioned particular areas that should be included in the objectives. Joel Nitzkin, Director of the Monroe County Health Department in New York and representing the National Association of County Health Officials, points out that certain process and infrastructure issues must be addressed within a state or locality before that state or locality can effectively pursue implementation of the Year 2000 Health Objectives.
From page 12...
... This could be accomplished by utilizing the objectives as criteria in requests for funding proposals released at both the state and federal levels, as well as more closely tying block grant funds to the Year 2000 Health Objectives.
From page 13...
... HA comprehensive process of selecting priorities, working with and through community organizations and local agencies, and setting incremental objectives specific to communities is necessary to realize objectives and establish a realistic and useful implementation process." (#215) Objectives Process and Structure 13
From page 14...
... Drew Postgraduate Medical School 303 Grimord, Mary; Texas Woman's University 314 Waller, John; Wayne State University 321 Skeets, Michael; Oregon Department of Human Resources 337 Sugarman, Jule; Washington State Department of Social and Health SeIvices 352 Stevens, Nancy; Kaiser Permanente, Northwest Region 3S4 Pulrang, Peter; Washington State Bureau of Parent and Child Health 374 Society for Prospective Medicine 387 Richards, N Mark; Pennsylvania Department of Health 440 Arnold, Charles; Metropolitan Life Insurance Company 465 Entmacher, Paul; Metropolitan Life Insurance Company 470 Bright, Frank; Ohio Department of Health 523 Nitzkin, Joel; Monroe County Health Department (New York)


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