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Healthy People: Three Decades Of National Health Goals National Center for Health Statistics Edward J. Sondik Director Richard J. Klein Office of Analysis.

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Presentation on theme: "Healthy People: Three Decades Of National Health Goals National Center for Health Statistics Edward J. Sondik Director Richard J. Klein Office of Analysis."— Presentation transcript:

1 Healthy People: Three Decades Of National Health Goals National Center for Health Statistics Edward J. Sondik Director Richard J. Klein Office of Analysis and Epidemiology

2 Healthy People: Three Decades Of National Health Goals

3 What is Healthy People?

4 National disease prevention and health promotion initiative Quantified health indicators Targets for each indicator  Objectives Two broad overarching national goals

5 Healthy People 2010 Overarching Goals Increase quality and years of healthy life Eliminate health disparities

6 Examples of Objectives Reduce the proportion of nonsmokers exposed to environmental tobacco smoke. (Baseline 65%, 2010 target 45%) Increase the proportion of persons with a usual primary care provider. (Baseline 77%, 2010 target 85%)

7 Overweight and Obesity Baseline data> 1988–94

8 Tobacco Use Baseline data> 1990–99

9 Mental Health Adults with depression who received treatment Baseline data 1994–97

10 Access to Health Care Baseline data 1997 and 1998

11 Implications of Healthy People for National Indicators Topics Role of government Involvement of the public and health professionals Healthy People infrastucture Twin overall focus on goals and disparities Role of data Impact – effects of the program

12 History: Who Initiated Healthy People? Initiated by the Surgeon General’s Report on Health Promotion and Disease Prevention (1979) Contributions from Federal, State, and local agencies Academic centers Providers Voluntary health associations The public

13 Philosophy: Goals, Indicators, and Targets Science-based Indicators with targets = Objectives Includes two over-arching goals Measurement! Public reviews (reports and papers) Aggressive use of the web Consensus process for development

14 Conceptual Framework: Linkage Between Objectives and Goals Health: measured by Presence or absence of disease Quality of life Length of life Influenced by risk factors, interventions, non-health factors

15 Determinants of Health

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18 History Healthy People Editions Three Healthy People initiatives Objectives for: 1990 2000 2010 Each iteration increased in scope and complexity

19 History Healthy People Editions Three Healthy People initiatives Objectives for: 1990 (226 objectives) 2000 (312 objectives) 2010 (467 objectives) Each iteration increased in scope and complexity

20 Minimum Dataset per Objective Race (5 categories) Ethnicity (2 categories) Gender Socioeconomic status Education (3 levels) Family income (3 levels)

21 Implications of Healthy People for National Indicators Topics Role of government Involvement of the public and health professionals Healthy People infrastucture Twin overall focus on goals and disparities Role of data Impact – effects of the program

22 Implications of Healthy People for National Indicators Role of government Involvement of the public and health professionals Science-based objectives are critical Government is essential to initiating and managing the program The public, health professionals and all levels of government are partners and customers

23 Implications of Healthy People for National Indicators Healthy People infrastucture Extensive, high level support by government Deputy Assistant Secretary for Health manages the program 28 Federal teams manage objectives National Consortium

24 Healthy People Consortium Over 400 private and national membership organizations, State and Territorial, environmental, substance abuse and mental health departments all using the Healthy People 2010 objectives Listserv/website Annual Meetings Newsletter Independent contributions from members: Tools Intervention experience

25 Implications of Healthy People for National Indicators Healthy People infrastucture (more) 190 data sources Data warehouse under the National Center for Health Statistics (Federal Statistical Agency) New data sources for Developmental Objectives State and local data

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27 Technical guidebook on the statistics used for HP2010 Provides details on how the objectives are measured Discusses major statistical issues that affect interpretation of data

28 Implications of Healthy People for National Indicators Healthy People infrastucture (more) Research and development Analytic methods –Measuring progress –Evaluating disparities –Small area estimates from National data and multiple data sources

29 Implications of Healthy People for National Indicators Assessing impact Use by Federal agencies State and local agencies Private and voluntary agencies The public

30 Federal Uses Represents the Nation’s disease prevention, health promotion goals Used to build partnerships Has spawned derivative programs: A framework and an indicator set for other health initiatives Identified topics in need of intervention research and action

31 State and Local Uses Nearly all States had specific goals and objectives modeled after Healthy People 2000 23 States have specific goals and objectives modeled after Healthy People 2010 Some select all indicators Other adopt select areas and objectives Framework for local health initiatives Data improvements

32 Use By the Public Health coalition building Introduces a common vocabulary Increasing focus on prevention Data and information for health decisions Use by the media

33 Healthy People Lessons Learned Science-based framework Credible data High level support Consensus-based measures Customer-driven and supported ongoing process Accessible information

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35 Impact – Progress to Date 2010 Objectives Progress Quotient = Most recent value - Baseline Target value - Baseline


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