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| Non-Clinical Prevention Programs Committee on Valuing Community-Based, Board on Population Health and Public Health Practice, Institute of Medicine | ||||
| National Academies Press | ||||
| 2012 | ||||
| English | ||||
| 166 pages | ||||
| 5.20 MB | ||||
[tab] [content title="Summary"] Over the past century, the primary causes of morbidity and mortality in the United States have shifted from communicable diseases to chronic conditions. As these health challenges have evolved, so has our understanding of what influences health and illness. Research has highlighted the significant role of social determinants of health—such as socioeconomic status and education—which directly affect health outcomes and influence other key factors like behavioral risk factors. Addressing the current causes of morbidity and mortality requires a shift toward interventions that target these social determinants of health. Many community-based prevention initiatives focus on improving these conditions. These interventions offer three key advantages: First, they are inclusive, reaching the entire population, regardless of access to the healthcare system. Second, by targeting the whole population, these programs can address individuals at all levels of risk. Lastly, certain lifestyle and behavioral risk factors are shaped by conditions beyond an individual’s control. For example, encouraging healthy eating when nutritious food is unavailable in a community undermines the potential for successful behavioral change. Community-based interventions have the ability to influence environmental and social conditions that are typically outside the scope of clinical care. In response to these challenges, four foundations—the California Endowment, the de Beaumont Foundation, the W.K. Kellogg Foundation, and the Robert Wood Johnson Foundation—sought the expertise of the Institute of Medicine to convene a committee. This committee was tasked with developing a framework for assessing the value of community-based, non-clinical prevention policies and wellness strategies, particularly those aimed at preventing chronic diseases. The committee’s charge was to: 1. Define what constitutes community-based, non-clinical prevention policies and wellness strategies. 2. Assess the value of these policies and strategies. 3. Analyze existing frameworks for evaluating community-based prevention, including the methodologies, measures, and both the short- and long-term impacts of such strategies on healthcare spending and public health outcomes. The findings and recommendations of the committee are summarized in *An Integrated Framework for Assessing the Value of Community-Based Prevention*. [/content] [content title="Content"] [/content] [content title="Author(s)"] [/content] [/tab]
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