ANSWER THE WEEK ONE DISCUSSION POST IN IT ENTIRETY.
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Chapter1ppt1.pptxChapter 1: Power of Policy to Improve Health:
Eyler, A.A., Chriqui, J.F., Moreland-Russell, S.M., & Brownson, R.C. (Eds.). (2016) Prevention, policy, and public health (1st ed.) New York, NY: Oxford University Press.
(Eyler, Chriqui, Moreland-Russell & Brownson, 2016)
Policy and policy
Capital “P”: Legislative judicial, regulatory
Population/ community wide impact
May be:
Infrastructural
“enabling” public health statutes, which typically specify the mission, function, structure, and authorities of state or local public health agencies (also known as health departments).
Interventional
Federal, state, or local law or policy designed to modify a health risk factor.
Intersectoral (HIAP)
Federal, state, or local law or policy implemented by a non-health agency for a primary purpose other than health, but which has intended or unintended health effects.
Typically follows prescribed steps to implementation (slow)
Lowercase “p”: voluntary, guidelines, social norms
Situational, may be applied unequally
Limited impact, temporary, often by whim of one decision maker
Typically implemented quickly
(Eyler, Chriqui, Moreland-Russell & Brownson, 2016)
Give me an example of POLICY and policy?
Infrastructural: So called
Interventional:
Intersectoral: Federal, state, or local law or policy implemented by a non-health agency for a primary purpose other than health, but which has intended or unintended health effects.
IOM, 2011
2
Why policy?
Policy linked to health promotion and disease prevention
Create opportunities for broad and sustainable improvements in population health
Because…
80% of U.S. deaths are caused by chronic disease
Heart disease
Cancer
Hypertension
Stroke
Diabetes
75% of annual spending on medical care
Chronic disease linked to modifiable factors
Lifestyle and
Risk factors
(Eyler, Chriqui, Moreland-Russell & Brownson, 2016)
(Eyler, Chriqui, Moreland-Russell & Brownson, 2016)
Policy Focused on Prevention
(Eyler, Chriqui, Moreland-Russell & Brownson, 2016)
Why policy?
Assemble into 4 groups
Review box 1.1 together
Federal prevention policy: Prevention and public health within the Affordable Care Act
Each group summarize the associated paragraph (write on flip chart)
(Eyler, Chriqui, Moreland-Russell & Brownson, 2016)
Public Policy and Public Health within a Socio-Ecological Framework
(CDC, 2015)
https://www.cdc.gov/cancer/nbccedp/sem.htm
(Eyler, Chriqui, Moreland-Russell & Brownson, 2016)
Integrating Policy with Public Health Research and Practice
Continue to increase body of research on development, implementation and policy outcome
Increase the number of research networks to study policy
Need stakeholders from a wide range of networks to implement policy
Policies are integrated with public health practice
(Eyler, Chriqui, Moreland-Russell & Brownson, 2016)
Table 1.2 p11
(Eyler, Chriqui, Moreland-Russell & Brownson, 2016)
Integrating Policy with Public Health Research and Practice
Policies are integrated with public health practice
National Public Health Performance Standards Program outlines ten essential public health services – two are policy-based
Develop policies and plans supporting individual and community health efforts
Enforce laws and regulations protecting and ensuring safety
(Eyler, Chriqui, Moreland-Russell & Brownson, 2016)
Why Use Policies to Prevent Disease and Improve Population Health?
Policy have the potential to affect both the environment and behavior to reduce health risks and create opportunities for healthy behaviors
Result in systemic improvements to environments
Economic
Physical
Social
Example:
Policies enforcing fines for the sale of alcoholic beverages to minors lead to decreased access for minors and have potential to reduce underage drinking
Policy has a broad scope = can benefit all people within the environment
(Eyler, Chriqui, Moreland-Russell & Brownson, 2016)
