Hypertension

Week 4: Population Health, Part 1
An ounce of prevention is worth a pound of cure.

Benjamin Franklin

The purpose of health policy is to improve the health of individuals and populations. As discussed in Week 2, health care reform efforts seek to improve access to quality health care for all individuals. Yet, as noted in Week 3, continued rising health care costs are not resulting in improved health outcomes. How can the United States improve its health status in a cost-efficient manner, and what is the role of the nurse in moving this agenda forward? Many believe the answer lies in focusing on preventive care and population health.
While nursing care has traditionally been centered on individuals, the emerging focus of population health allows nurses to take a broader view for improving health outcomes. This wider perspective means that nurses may now examine a range of factors that influence populations as a whole, rather than focus solely on individual patients.
This week, you will evaluate factors that impact population health, and thus, the health care system. These factors include access to health care, individual behavior, the social and physical environment, and genetics. You will also consider the role of epidemiologic data in the process of evaluating the health of a population.
Reference:
U.S. History.org. (2010). The electric Ben Franklin. Retrieved from https://www.ushistory.org/franklin/info/
Learning Objectives
Students will:
Analyze factors that influence a population health issue
Apply the use of epidemiologic data to the design of population health measures and policy initiatives
Photo Credit: [Plume Creative]/[DigitalVision]/Getty Images
Learning Resources
Note: To access this weeks required library resources, please click on the link to the Course Readings List, found in the Course Materials section of your Syllabus.
Required Readings
Knickman, J. R., & Kovner, A. R. (Eds.). (2015). Health care delivery in the united states (11th ed.). New York, NY: Springer Publishing.
Chapter 5, Population Health (pp. 7997)

This chapter introduces the concept of population health, which views health issues at the population level rather than at an individual level.
Kindig, D. (2007). Understanding population health terminology. The Milbank Quarterly, 85(1), 139161.
Retrieved from the Walden Library databases.

This article provides a valuable foundation in understanding the terminology of population health. Although written in 2007, the information in this article is very pertinent to the topics discussed this week.
Kindig, D., Asada, Y., & Booske, B. (2008). A population health framework for setting national and state health goals. JAMA, 299(17), 20812083.
Retrieved from the Walden Library databases.

Using a framework to craft policy and programs can help ensure that outcomes are measurable. The authors of this article note how some of the overarching goals of Healthy People 2010 were not measurable. They suggest a framework for developing more measurable goals for Healthy People 2020.
Centers for Disease Control and Prevention. (2010). Morbidity and mortality weekly report (MMWR). State health statistics. Retrieved from https://www.cdc.gov/mmwr/StateHealth/index.html

The CDC website provides health statistics gathered using epidemiologic methods. Explore the health statistics for your state or for a health problem of interest to you.
HealthyPeople.gov. (2010). Foundation health measures. Retrieved from https://healthypeople.gov/2020/about/tracking.aspx

Healthy People 2020 uses the four foundational measures presented at this website to monitor the health of the American population.
State of New South Wales, Department of Education and Communities and Charles Sturt University. (2012). Core 1: Health priorities in Australia: How are priority issues for Australias health identified? Retrieved from https://www.slideshare.net/MsRatusau/hsc-pdhpe-core-1-health-priorities-in-australia

Australia uses epidemiologic data to establish its health priorities. Review the information presented at this website, and consider how the United States sets its health priorities.
U.S. Department of Health and Human Services. (2010). Healthy People 2020. Retrieved from https://www.healthypeople.gov/sites/default/files/HP2020_brochure_with_LHI_508_FNL.pdf

This overview of Healthy People 2020 provides a description of goals of this program, along with indicators used to assess the health of the United States.
U.S. Department of Health and Human Services. (2012). Healthy People 2020 Improving the health of Americans. Retrieved from https://www.healthypeople.gov/2020/default.aspx

This site contains a wide variety of information and resources dealing with the Healthy People 2020 goals, as well as information on how to implement the objectives.
University of Wisconsin Department of Population Health Sciences. (n.d.). What is population health? Retrieved from https://www.improvingpopulationhealth.org/blog/what-is-population-health.html

This website provides a definition of population health and health determinants. It also examines how health policy can influence determinants of health.
Required Media
Laureate Education (Producer). (2012h). Population health. Baltimore, MD: Author.

Note: The approximate length of this media piece is 13 minutes.

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