Module Components

• Overview
• Assignments

Topics

• Priorities and Partnerships
• National Prevention Strategy
• Integrating Primary Care and Public Health
• Transnational Trends
• Global Strategies and Priorities

NRSG 780 - Health Promotion and Population Health

Module 13: Critical Issues in Population Health

Priorities and Partnerships

Reducing the leading causes of morbidity and mortality in the U.S. and globally requires a public health rather than a case by case approach.

Recall the 5 Ps: The Public Health Approach = P⁵

1. Populations
   
   Target for intervention: the country as a whole; a specific state, county, city, neighborhood or specific group such as people at risk or with a particular disease
   
   
2. Prevention
   
   Prevention Levels
   • Primary
   • Secondary
   • Tertiary
   Prevention Strategies
   
   High-risk: focuses on identifying the relatively small number of individuals who are at high risk in order to reduce their risk factor(s) and subsequent development of disease
   Population-based: focuses on changing behavior in large numbers of people, most of whom have low or no risk at present, in order to prevent the development of risk factors and disease
   
   
3. Partnerships
   
   Activities undertaken within the formal structure of government
   Associated efforts of private and voluntary organizations and individuals
   
   
4. Priorities
   
   Resources are limited; therefore priorities must be established
   
   
5. Public Health Workforce
   
   Assuring a competent public health and personal health care workforce

Given the risk factors and associated health issues highlighted throughout the semester, it is critical to establish priorities, as both financial and manpower resources are limited.  Using the Public Health Framework for Priority Setting it is essential to consider the following questions:

• What is the magnitude of the problem?
• Have modifiable risk factors for the problem been identified?
• Does a reduction in the underlying risk factors lessen the magnitude of the problem?
• Have effective strategies for reducing these risk factors been developed?
• How much does it cost to reduce the risk factors?
• Can the program set rigorous goals and objectives and can they be accomplished?