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