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6 Health Care
Pages 37-42

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From page 37...
... , spoke about the role of the insurance industry. Loel Solomon, vice president for community health at Kaiser Permanente, explored the role of health care providers.
From page 38...
... The second area of progress encompasses health programs. Hospitals, clinics, primary care physicians, and other health care providers have used a variety of models to work with severely obese patients, although these efforts are still sporadic and expensive.
From page 39...
... "People are much more heavily influenced by the places that they live, where they go to school, where they go to work, and so on, than they are by their health care providers," said Solomon. Nevertheless, the health sector has important responsibilities, which Solomon described as the "five As": • asking patients about their readiness to change, • assessing their risks, • advising them on therapeutic alternatives, • agreeing on treatment plans, and • assisting with or arranging for the resources necessary for people to take action.
From page 40...
... With health care accounting for 18 percent of the nation's gross domestic product, health care systems have an obligation, as well as the power, to influence community environments. The Patient Protection and Affordable Care Act requires all nonprofit hospitals to conduct community health needs assessments, and these assessments routinely identify problems with physical activity and the food environment.
From page 41...
... Such reform could help support systems change, although resources would be needed to implement such change. But the initiatives of Kaiser Permanente and others, such as the YMCA's Diabetes Prevention Program,1 demonstrate the potential for evidence-based, community-integrated, family-centered interventions to achieve even ambitious goals.


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