Advancing the Science to Improve Population Health Proceedings of a Workshop (2017) / Chapter Skim
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Appendix D: Results from a University of Michigan Survey Regarding Priorities for Population Health Research
Appendix D: Results from a University of Michigan Survey Regarding Priorities for Population Health Research
Pages 67-78
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From page 67... ...
• Determinants of improvement in self-reported health • What percent of non–health care investments accrue to health outcomes, so that a true health budget can be established? • Research linking multiple social priorities and illustrating alignment • Identifying the key levers among the social determinants of health that would trigger ripple effects in eliminating inequalities in multiple systems that contribute to health inequalities Socioeconomic Determinants -- Income, Education, Housing • Deeper understanding between the intersection of health and wealth • The role of mass incarceration in health disparities in the United States 67
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From page 68... ...
• What is the effect of depression in mothers on the healthy social and emotional development of their children? Food and Obesity • Evidence of multilevel determinants of obesity and diabetes • Would reducing obesity reduce the number of older Americans with multiple chronic conditions and their health care costs?
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From page 69... ...
• How can employers effectively motivate employees in taking charge of their own health through exercise, better nutrition, and other habits? • Aspects of behavioral economics most relevant to burden of health disease in a population • How should public health and health care respond to e-cigarettes?
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From page 70... ...
• Understanding how to overcome public misunderstanding of vaccines and vaccine research Physiology and Genetics • Effects of social conditions on gene expression and health • Endocrine-disrupting chemicals and differential exposure Health Care and Health Care Reform • What are the potential negative consequences of reforming the health care delivery system? • Increased understanding of barriers to prevention of disease and management of health • How social determinants and clinical interventions interact to shape disparities in health • Understanding how small primary care practices can achieve high levels of performance in a value-based context • Increased understanding of what does and does not work in terms of wellness program lifestyle interventions • How can payment for health care and social services be best integrated to improve patient outcomes?
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From page 71... ...
• Modeling the health and economic benefits of clinical medicine and public health integration • Increased understanding of the use of similar metrics by health departments and health systems in measuring population health improvement Other • The role of climate change in producing or maintaining health disparities • Calculation of health-adjusted life expectancy • What technologies are more adoptable by young people? EXAMPLE SURVEY RESULTS RESEARCH AREA 2 INTERVENTIONS AND POLICY ACTION Effect of General Types of Interventions • High-value policies and/or interventions that have been proven to reduce inequities • What can employers do to reduce health inequities?
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From page 72... ...
• Effect of living wage laws • Enforcement of housing codes: effects on childhood asthma and lead poisoning • The effect of availability of affordable housing on public health • Elements of wellness programs that actually have sustained impact on health status • What is the effect of very low cost but high-quality, high-speed broadband on health in a very low income population? • Interventions to increase the use of long-acting reversible contraceptives • What are effective early interventions to address newly diagnosed mental illness?
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From page 73... ...
Cost-Effectiveness and Return on Investment Research • What are the most cost-effective community change strategies? • What is the cost-effectiveness of interventions involving efforts outside of the health care delivery system, and how generalizable are results from one initiative to another?
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From page 74... ...
• What is the effect on health outcomes from integrating behavioral health and general primary care? Public Health Systems • Meta-analysis of studies of other sectors (transportation, economic development, housing, etc.)
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From page 75... ...
• Most compelling language and messages to build buy-in for specific population health improvement approaches to audiences across a range of political viewpoints • Best practices for communicating with the full spectrum of policy makers about health equity issues • How do community-based organizations gain access to information systems and data that they can contribute and apply to demonstrate impact or to inform practice change? How to Raise Awareness and Motivate Action • How do all of us better distinguish between science and the values that may drive alternative responses to that science?
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From page 76... ...
• Alternatives to institutional review boards for public health investigations or evaluations that are not considered research • Identifying how best to use data to inform local and state health policy making • Best practices for displaying information Academic Challenges to Research Translation • How can academics engage in translational research when those activities are inconsistent with tenure and promotion? • How to incentivize universities to better encourage knowledge exchange
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From page 77... ...
Prepared by Paula Lantz, Ph.D., Professor and Associate Dean for Academic Affairs, Gerald R Ford School of Public Policy, University of Michigan.
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