healthy people 2010: managing information to help achieve our nation’s health objectives ron...

Healthy People 2010: Managing Information to Help Achieve our Nation’s Health Objectives

Ron Bialek

Public Health Foundation

April 4, 2001

Overview

Healthy People 2010 Information Access Project

• Description and Features• Examples• Lessons• Regional Medical and Network

Libraries and Outreach Projects

National Healthy People Initiative

The nation’s prevention agenda

Set of measurable objectives to improve health of Americans

A health improvement framework that states may adopt or adapt

Healthy People Offers a Framework to Bring Together...

Policy

Science Data

States & Communities Put Plans into Action

National Menu

States: Narrow focus Assign priority Organize to suit

Local Flavor

Strategies are science-based and community-specific

--what works

--what “sells”

Information Needs

Data Health Needs Community Assets Baselines Benchmarks

Science Community

Interventions Strategies Action Plans

Planners are looking for…...

Summaries and easily understandable materials

Good, targeted and timely information

Population-based solutions, not further articulation of problems

Healthy People 2010 Information Access Project

….an easy way to search PubMed to find effective strategies.

Partners in Information Access for Public Health Professionals

National Library of Medicine, National Network of Libraries of Medicine, and Public Health Foundation

PIAPHP Home

One Year Pilot Project

Providing current, targeted, and useful information

Links science to nation’s prevention agenda

Expertise from NLM, NN/LM, PHF, and public health practitioners

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Search String

http://www.ncbi.nlm.nih.gov:80/entrez/query.fcgi?cmd=PureSearch&db=PubMed&details_term=%28%28%28%28%28%28%28%22united%20states%22%5BMeSH%20Terms%5D%20AND%20%28%28%28%28%28%28%28%22education%2C%20medical%22%5BMeSH%20Major%20Topic%5D%20OR%20%22education%2C%20dental%22%5BMeSH%20Major%20Topic%5D%29%20OR%20%22education%2C%20nursing%22%5BMeSH%20Major%20Topic%5D%29%20OR%20%22education%2C%20pharmacy%22%5BMeSH%20Major%20Topic%5D%29%20OR%20%22students%2C%20health%20occupations%22%5BMeSH%20Major%20Topic%5D%29%20OR%20%22schools%2C%20public%20health%22%5BMeSH%20Major%20Topic%5D%29%20OR%20allied%20health%20personnel/education%5BMeSH%20Major%20Topic%5D%29%20OR%20physician%20assistants/education%5BMeSH%20Major%20Topic%5D%29%29%20AND%20%28%28%28%22minority%20groups%22%5BMeSH%20Major%20Topic%5D%20OR%20%22hispanic%20americans%22%5BMeSH%20Major%20Topic%5D%29%20OR%20%22blacks%22%5BMeSH%20Major%20Topic%5D%29%20OR%20%22indians%2C%20north%20american%22%5BMeSH%20Major%20Topic%5D%29%29%20AND%20%28%28%28%28%28%28%28%28%28%28%28%28%22education%22%5BMeSH%20Terms%5D%20OR%20%22curriculum%22%5BMeSH%20Terms%5D%29%20OR%20%22student%20dropouts%22%5BMeSH%20Terms%5D%29%20OR%20%22educational%20measurement%22%5BMeSH%20Terms%5D%29%20OR%20%22career%20choice%22%5BMeSH%20Terms%5D%29%20OR%20%22training%20support%22%5BMeSH%20Terms%5D%29%20OR%20%22school%20admission%20criteria%22%5BMeSH%20Terms%5D%29%20OR%20%22cultural%20diversity%22%5BMeSH%20Terms%5D%29%20OR%20%22mentors%22%5BMeSH%20Terms%5D%29%20OR%20%28affirmative%5BAll%20Fields%5D%20AND%20action%5BAll%20Fields%5D%29%29%20OR%20%22prejudice%22%5BMeSH%20Terms%5D%29%20OR%20recruitment%5BAll%20Fields%5D%29%20OR%20%22staff%20development%22%5BMeSH%20Terms%5D%29%29%20NOT%20%22patient%20education%22%5BMeSH%20Terms%5D%29%20NOT%20%22transcultural%20nursing%22%5BMeSH%20Terms%5D%29%20AND%20English%5BLang%5D%29%20AND%20%28%221996/03/24%2014.29%22%5BEDat%5D%20%3A%20%222001/03/23%2014.29%22%5BEDat%5D%29%29

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Search PubMed

Six Focus Areas/Chapters

Access to Health Services• Mary E. Ryan

Food Safety• Marcia Zorn• Mary E. Ryan

PH Infrastructure• Mary E. Ryan

Disability/Secondary Conditions• Ron Gordner

Respiratory Diseases• Anne Maria Baxter

Environmental Health• Stacey Arnesen• Lucie Chen• Deena Pers

Self Serve

Preformulated PubMed search strategies - one click access

Link to most relevant MEDLINE Plus topics

Link to most relevant Preventive Services Guidelines (community or clinical)

Full Service - Environmental Health

All of the above Preformulated Toxline search strategies Links to hand-picked resources Guide to choosing the “right” resources

and NLM databases Brief analyses of what is and is not

found in preformulated searches

Public Health Infrastructure

Data for leading health indicators

Public health expenditures

Performance standards

Continuing education and training for public health agency employees

Public Health Infrastructure

Data for leading health indicators• united states, health status indicators,

information systems, data collection, rural populations, asian americans, blacks, hispanic americans, indians, north american, minority groups, urban, local, federal

Public Health Infrastructure

Articles for Leading Health Indicators• Hesser - Health status and health risk

behaviors among minority Rhode Islanders, 1996.

• Friedman - Progress towards the year 2000: assessing the health status of minorities in Texas, 1996.

• Zyzanski - Selection of key community descriptors for community-oriented primary care, 1996.

Public Health Infrastructure

Articles for Continuing Education• Potter - Needs assessment and a model

agenda for training the public health workforce, 2000.

• Sommer - Toward a better educated public health workforce, 2000.

• Greene - Creating training opportunities for public health practitioners

Home page

Home page

Home page

What Are We Learning?

Between 40 and 75 citations per health objective (virtually all <100)

Interventions tied to providers, not necessarily types of outcomes

Terminology has not caught up with greater public health and medicine link

There’s a language barrier

Mass Communication Campaign for STD Prevention

Key Words - “sexually transmitted diseases” and “media”

Ties to Public Health Outreach Projects

Helping PH professionals use the Internet

Helping PH professionals access useful information

Integrating outreach efforts into existing health improvement planning

Leading PH professionals to environmental health resources

Regional Medical and Network Libraries:Critical Voids to Fill

Fine Tuning Accessing Articles Translation Looking under rocks

• Contacting references• Identifying the gray literature• State and local web sites• CDC Prevention Centers

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