Achieving the Healthy People 2010 goal of elimination of health disparities: what will it take?

Kevin Fiscella
{"title":"Achieving the Healthy People 2010 goal of elimination of health disparities: what will it take?","authors":"Kevin Fiscella","doi":"10.1016/s0731-2199(08)19002-1","DOIUrl":null,"url":null,"abstract":"<p><p>The second national goal for Healthy People 2010 is the elimination of health disparities related to social disadvantage in the United States. Unfortunately, progress to date has been limited. Our national strategy to achieve this goal has been too narrowly focused on public health. Success will require a broader strategy including alignment of existing national policies in non-health areas that affect the health of the socially disadvantaged such as education, health care, labor, welfare, housing, criminal justice, the environment, and taxation if it is to succeed. Key criteria are needed to begin to prioritize areas for federal investment to achieve this goal. These include the impact of the targeted condition on disparities, evidence base for the intervention, potential impact of the policy on disparities, economic impact, and federal politics. Two \"big ideas\" offer promise including federal investment in early child education and enhanced primary care within federally qualified community health centers. The proposed criteria are applied to each proposed policy.</p>","PeriodicalId":79553,"journal":{"name":"Advances in health economics and health services research","volume":"19 ","pages":"25-41"},"PeriodicalIF":0.0000,"publicationDate":"2008-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/s0731-2199(08)19002-1","citationCount":"3","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Advances in health economics and health services research","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.1016/s0731-2199(08)19002-1","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"","JCRName":"","Score":null,"Total":0}
引用次数: 3

Abstract

The second national goal for Healthy People 2010 is the elimination of health disparities related to social disadvantage in the United States. Unfortunately, progress to date has been limited. Our national strategy to achieve this goal has been too narrowly focused on public health. Success will require a broader strategy including alignment of existing national policies in non-health areas that affect the health of the socially disadvantaged such as education, health care, labor, welfare, housing, criminal justice, the environment, and taxation if it is to succeed. Key criteria are needed to begin to prioritize areas for federal investment to achieve this goal. These include the impact of the targeted condition on disparities, evidence base for the intervention, potential impact of the policy on disparities, economic impact, and federal politics. Two "big ideas" offer promise including federal investment in early child education and enhanced primary care within federally qualified community health centers. The proposed criteria are applied to each proposed policy.

查看原文
分享 分享
微信好友 朋友圈 QQ好友 复制链接
本刊更多论文
实现健康人2010年消除健康差距的目标:需要做些什么?
“2010年健康人口”的第二个国家目标是消除美国与社会不利地位有关的健康差距。不幸的是,迄今为止的进展有限。我们实现这一目标的国家战略过于狭隘地侧重于公共卫生。要想取得成功,就需要一项更广泛的战略,包括协调影响社会弱势群体健康的非卫生领域的现有国家政策,如教育、保健、劳工、福利、住房、刑事司法、环境和税收。为实现这一目标,需要制定关键标准,以便开始确定联邦投资领域的优先次序。这些包括目标条件对差异的影响、干预的证据基础、政策对差异的潜在影响、经济影响和联邦政治。两个“大想法”提供了希望,包括联邦政府对早期儿童教育的投资,以及在联邦合格的社区卫生中心加强初级保健。建议的标准适用于每个建议的政策。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
求助全文
约1分钟内获得全文 去求助
来源期刊
自引率
0.00%
发文量
0
期刊最新文献
The Effect of Education on Health Behavior after Screening for Colorectal Cancer Educational Heterogeneity in the Association between Smoking Cessation and Health Information Birth Spacing and Educational Outcomes Unemployment Insurance and Physical Activity Causal Effects of Maternal Schooling on Child Immunization in India
×
引用
GB/T 7714-2015
复制
MLA
复制
APA
复制
导出至
BibTeX EndNote RefMan NoteFirst NoteExpress
×
×
提示
您的信息不完整,为了账户安全,请先补充。
现在去补充
×
提示
您因"违规操作"
具体请查看互助需知
我知道了
×
提示
现在去查看 取消
×
提示
确定
0
微信
客服QQ
Book学术公众号 扫码关注我们
反馈
×
意见反馈
请填写您的意见或建议
请填写您的手机或邮箱
已复制链接
已复制链接
快去分享给好友吧!
我知道了
×
扫码分享
扫码分享
Book学术官方微信
Book学术文献互助
Book学术文献互助群
群 号:481959085
Book学术
文献互助 智能选刊 最新文献 互助须知 联系我们:info@booksci.cn
Book学术提供免费学术资源搜索服务,方便国内外学者检索中英文文献。致力于提供最便捷和优质的服务体验。
Copyright © 2023 Book学术 All rights reserved.
ghs 京公网安备 11010802042870号 京ICP备2023020795号-1