文章基本信息

标题：Health Reform and Healthy People Initiative
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作者：Jonathan E. Fielding ; Steven Teutsch ; Howard Koh 等
期刊名称：American journal of public health
印刷版ISSN：0090-0036
出版年度：2012
卷号：102
期号：1
页码：30-33
DOI：10.2105/AJPH.2011.300312
语种：English
出版社：American Public Health Association
摘要：The passage of the Affordable Care Act builds on and strengthens the foundation for prevention and wellness that Healthy People—the nation's health promotion and disease prevention aspirations for a healthier nation—established. The Affordable Care Act reaffirms the themes of Healthy People by promoting population-based prevention and sets the stage for Healthy People 2020. The heart of Healthy People 2010 lies in its leading health indicators, reflecting high-priority health issues for the nation. National progress requires broad application of the ecological health model. We reviewed the status of each Healthy People 2010 indicator and noted how the Affordable Care Act drives future positive health outcomes using the ecological model of health as a prism for viewing health improvement. THE PASSAGE OF THE Affordable Care Act (ACA), the historic health reform legislation signed into law in 2010, promotes access to care and strengthens consumer protections. But by supporting the integration of clinical medicine with population-based prevention, the ACA also builds on and strengthens the foundation for prevention and wellness established by Healthy People, the nation's health promotion and disease prevention aspirations for a healthier nation. 1–3 Healthy People sets goals for a robust and efficient health care system, facilitates healthy behaviors, and strives for healthy communities, families, homes, and worksites. 4 Moreover, it concretely applies the ecological model of health ( Figure 1 ), placing the individual biology of disease within the context of the entire life course as well as the social and physical environments where people live, work, learn, and play. In this way, Healthy People captures the critical and modifiable determinants of health that most affect length and quality of life. The heart of Healthy People 2010 (HP2010) lies in its leading health indicators—reflecting high-priority health issues for the nation. National progress on each indicator requires broad application of the ecological model of health. Open in a separate window FIGURE 1— Ecological model of determinants of health from Healthy People 2020, 2008. Source. Reproduced from the Secretary's Advisory Committee on National Health Promotion and Disease Prevention Objectives for 2020. Phase I report recommendations for the framework and format of Healthy People 2020 ; 2008 ( http://healthypeople.gov/hp2020/advisory/PhaseI/PhaseI.pdf ).