6:09 PM 77% a bbhosted.cuny.edu Opinian 1 of 2 Resolving the Tension Between Pop
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6:09 PM 77% a bbhosted.cuny.edu Opinian 1 of 2 Resolving the Tension Between Population Health and Individual Health Care VEWPOINT Health care in the United States is far costlier than in vascular disease, heart faiure and its comorbideies. Dannouth attute for any other country yet its outcomes, wihile improving and end of-lfe care. The substantial dedine in US a are worsening relative to other countries in the dovascular disease mortality is due to both treatment n for Economic Co-operation and Develop f risk factors and better treatments for heart disesse artnoum Labanon(CD) Perhaps the de facto organaing prin shows that preventsion and better treatment can ciple for US health care-approaching each patient asuccessfull strategy that should eventually lead to strictly as an individual-is obsolete. The population fewer costly diagnostic procedures and treatments for health approach is an alternative. It aims to improve eart disease. It suggests that the population health and maintain health across a defined population A approach could improve US health outcomes "defined population can mean a clinicians patients or a health plan's ervollees, but the defined population for the population health approach includes everyone n the community Social factors, especially poverty, education, and sociall networks, are stronger determinants of the health of a population than health care. Health care systems typically do not address these social determ This Viewpoint addresses 3 relatedquestions First nants, but health care is part of a larger system that is can the population health approach improve the out trying to address them. The US Veterans Administra comes of US health care? Second, for the population tion is a good example, it provides veterans with health approach to succeed, must it reconcle the needs health care and underwnites costs of their education of the individual and the community? Third, how might For low-income families, the Medicaid program and federally qualified health centers provide health care The population health approach includes both the while the US education system can be a pathway to health care system and the public health system It improved economic status. These complementary ntervenes on the determinants of the health of the public programs developed in parallel, but they do population and on the needs of individual sick people. suggest what could be achieved by collaboration between the public health system, the medical care system and community these needs become reconolable? resources Perhaps the de facto organizing principle for US health What will be required to stimulate the health care system, thepublic health care-approaching each patient strictly system, and community lesaders to plan as an individual-is obsolete. The population health approach is an alternative together? The Affordable Care Act con- ains many provisions to stimulate the health care systemtocooperatewith the public health system. Global spending mits for health care would be an ever stronger motivator because imited re It targets everyone, not just those enrolled in a health sources would force a community to cooperate in de care system The research infoming the population ciding how to maximize the health of the public. health approach examines the interactions among determinants of health, the pathways linking these Difficult Questions Raised by Allocating determinants to population health outcomes, and Resources to Improve Population Health their influence at different points in a lifetime Under the population health approach, resources must Planning to optimize population health will mean be allocated across programs to prevent, detect, and determining the frequency, causes, and conse- treat dhease and its risk factors. For example, the opti quences of the common medical conditions in a mal distribution of resources between early and mid population. and devsing strateges for dealing with life prevent onand nelife treatment wil vary depend- Authon Haro them over the life span. Heart dsease is a prototype ing on the relative frequency of common diseases, the strategy beginning with community and school-bsed effectiveness of different interventions, the character programs to prevent obesity and cigarette addiction istics of deterent popdatons. and the age tution Practice Gsl School and promote exercise, In mid-ifethe strategy might of the population. One consequence of planning for a consist of screenng for hypertenson and hyperdo· populations that the optinal distributor,cfeesources Pocy and Clinical Datmour nFarsway lesterolemia, counseling about weight loss and smok to address the needs of a population is not necessani ing cessation, and a daily aspirin. The later years would require cost-effective approaches to managing the best allocation of resources for many individuals in thatpopulation Programs to reduce the incidence of 037840mon@comcast Cepyright 2013 American Medical Association. All rights reserved Dowaleaded Frem:bip:jamjamanetwork.cem/by Albert Eintris Cellege of Medicine User e 1/27/2016Explanation / Answer
In this article; Resolving tension between population health and individual health by Harold. C. Sox; the main things that have been discussed in this article are the importance of population health approach as an alternative to the obsolete of approaching each patient as an individual. Thus promoting population health through preventive measures and programs; followed by the treatment of diseases can improve the health outcomes.
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