The National Prevention Strategy.
Healthy People program
Healthy people It is a national program health promotion and illness– prevention goals established by the United States Department of Health and Human Services. The targets were first established in 1979 “in response to an emerging consensus among scientists and health officials that national health priorities should emphasize disease prevention.” The Healthy People program was originally issued by the Department of Health, Education and Welfare. That first issue contained “a report announcing goals for a ten-year plan to reduce controllable health risks. In its section on nutrition, the report recommended lower-calorie diets; less saturated fat, cholesterol, salt and sugar; relatively more complex carbohydrates, fish and poultry; and less red meat”. Healthy People 2000, Healthy People 2010, Healthy People 2020 and Healthy People 2030.
Science-based goals and objectives are reviewed, used, and updated by the federal government, states, communities, and other private institutions to combat and prevent health problems. From the collected data, broad objectives are outlined to manage the health of the population. These goals have been used at the national level in sectors such as housing and transportation, as well as at the state level, as seen in Iowa. The Iowa Department of Public Health used Healthy People 2020 to develop the Healthy Iowans state health plan. Progress towards the targets is updated regularly and can be viewed on their website, where data shows that between 2010 and 2014, 14 out of 26 indicators met their targets as part of the Healthy People 2020 flat.
Healthy People 2010started in January 2000 by the United States Department of Health and Human Serviceswas a set of national goals for health promotion and disease prevention to be achieved by the year 2010. Programs such as HealthCorps came out of that plan.
Healthy People 2010
Healthy People 2010 “was developed through a broad consultation process, built on the best scientific knowledge, and designed to measure programs over time.” It comprises 467 specific objectives organized into 28 focus areas, as well as two overarching goals. The two goals are:
- “increase quality and years of healthy life”
- “to eliminate health disparities“
To track the Healthy People 2010 goals, national data is being collected from 190 sources. Ten “Leading Health Indicators” reflect key health concerns:
- physical activity
- overweight and obesity
- tobacco use
- substance abuse
- responsible sexual behavior
- mental health
- wound and violence
- Environmental Quality
- access to health care
The campaign identifies 6 main factors (social identities) that contribute to disparities in the health of Americans:
- sexual gender
- race or ethnicity
- education or income
- geographic location
- sexual orientation
Healthy People 2010 and Healthy People 2020
Healthy People 2010 expanded and updated the 1979 “Healthy People” and 1990 “Healthy People 2000” efforts; for example, the Healthy People 2000 goal of “reducing health disparities” was strengthened in Healthy People 2010 to “eliminate health disparities”.
Healthy People 2020 expanded on Healthy People 2010 and was introduced on December 2, 2010.
The Healthy People 2020 program has 4 overarching goals,
- Higher quality and longer life without preventable disease, disability, injury and premature death
- Health equity, closing disparities and improving health across all demographic groups
- Create social and physical environments that promote good health for all
- Promoting greater quality of life, development and healthy behaviors at all stages of life
As part of the new Healthy People 2020 approach, 12 thematic areas have been selected as key health indicators (LHI’s), which address health determinants that affect quality of life, behaviors and healthy development in age.
- Access to health services
- Clinical Preventive Services
- Environmental Quality
- Injuries and Violence
- Maternal, Infant and Child Health
- Mental health
- Nutrition, Physical Activity and Obesity
- oral health
- Reproductive and Sexual Health
- Social Determinants
- substance abuse
Healthy People 2030
Developed by HHS Office of Disease Prevention and Health Promotion, Healthy People 2030 is the fifth iteration of the Surgeon General’s 1979 initiative. The program launched in April 2020 and increases the focus on health equity, social determinants of health and health literacy, and adds a new focus on wellness.
The plan consists of three types of objectives; core, development and research. Key objectives are defined as high priority objectives with an identified data source. Development goals are defined as high priority issues but lack credible or reliable baseline data to provide support. Research objectives are defined as areas that present health or economic problems, however, research is needed to identify evidence-based interventions to improve health. The total number of goals has been reduced from over 1,000 goals in Healthy People 2020 to just around 360 goals in Healthy People 2030 so that healthcare professionals and public health professionals can effectively address social determinants health within the community.
Differences in goals between Healthy People 2030 and Healthy People 2020 include a reduction in the number of measurable goals from the previous decade, increases in datasets, inclusion of e-cigarettes, and provision of resources to adapt to health crises. emerging health issues such as COVID-19. 19. In addition, Healthy People 2030 includes 8 general measures of health and well-being (OHMs):
- general well-being
Healthy life expectancy:
- Life expectancy at birth without activity limitation
- Life expectancy at birth without disability
- Life expectancy at birth in good or better health
Mortality and Health:
- life expectancy at birth
- Free from activity limitation
- free from disability
- Health status assessed by the interviewee
The focus of the Healthy People 2030 program is on bottom-up factors, or similar behaviors across populations that affect the health of people and their environments. For the first time in the history of the Healthy People program, Healthy People 2030 includes four goals related to adverse childhood experiences, or ACEs, such as poverty and Abuse. These four goals aim to reduce the number of young adults reporting 3 or more ACEs, increase the proportion of children with trauma symptoms who receive treatment, increase the proportion of children who show resilience to challenge and stress, and increase the number of educational care settings. children who are informed about childhood traumas.
- Increase the proportion of older people with dementia, or their caregivers, who know they have it
- Reduce the proportion of preventable hospitalizations in elderly people with dementia
- Increasing proportion of adults with subjective cognitive decline (SCD) who have consulted a healthcare professional regarding memory loss or confusion.
Source: Healthy People program
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