LEADER 05077nam 2200601 450 001 9910789369103321 005 20230801232952.0 010 $a0-309-26357-3 010 $a0-309-26355-7 035 $a(CKB)3710000000103284 035 $a(EBL)3379142 035 $a(SSID)ssj0000789110 035 $a(PQKBManifestationID)12407069 035 $a(PQKBTitleCode)TC0000789110 035 $a(PQKBWorkID)10726044 035 $a(PQKB)10769903 035 $a(MiAaPQ)EBC3379142 035 $a(Au-PeEL)EBL3379142 035 $a(CaPaEBR)ebr10863794 035 $a(OCoLC)923289965 035 $a(EXLCZ)993710000000103284 100 $a20140402h20122012 uy| 0 101 0 $aeng 135 $aurcnu|||||||| 181 $ctxt 182 $cc 183 $acr 200 03$aAn integrated framework for assessing the value of community-based prevention /$fCommittee on Valuing Community-Based, Non-Clinical Prevention Policies and Wellness Strategies, Board on Population Health and Public Health Practice, Institute of Medicine of the National Academies 210 1$aWashington, District of Columbia :$cNational Academies Press,$d[2012] 210 4$dİ2012 215 $a1 online resource (181 p.) 300 $aDescription based upon print version of record. 311 $a0-309-26354-9 320 $aIncludes bibliographical references. 327 $aIntroduction -- Community-based prevention -- Community-based prevention : more than the sum of its parts -- Existing frameworks -- A framework for assessing the value of community-based prevention. 330 $a"During the past century the major causes of morbidity and mortality in the United States have shifted from those related to communicable diseases to those due to chronic diseases. Just as the major causes of morbidity and mortality have changed, so too has the understanding of health and what makes people healthy or ill. Research has documented the importance of the social determinants of health (for example, socioeconomic status and education) that affect health directly as well as through their impact on other health determinants such as risk factors. Targeting interventions toward the conditions associated with today's challenges to living a healthy life requires an increased emphasis on the factors that affect the current cause of morbidity and mortality, factors such as the social determinants of health. Many community-based prevention interventions target such conditions. Community-based prevention interventions offer three distinct strengths. First, because the intervention is implemented population-wide it is inclusive and not dependent on access to a health care system. Second, by directing strategies at an entire population an intervention can reach individuals at all levels of risk. And finally, some lifestyle and behavioral risk factors are shaped by conditions not under an individual's control. For example, encouraging an individual to eat healthy food when none is accessible undermines the potential for successful behavioral change. Community-based prevention interventions can be designed to affect environmental and social conditions that are out of the reach of clinical services. Four foundations - the California Endowment, the de Beaumont Foundation, the W.K. Kellogg Foundation, and the Robert Wood Johnson Foundation - asked the Institute of Medicine to convene an expert committee to develop a framework for assessing the value of community-based, non-clinical prevention policies and wellness strategies, especially those targeting the prevention of long-term, chronic diseases. The charge to the committee was to define community-based, non-clinical prevention policy and wellness strategies; define the value for community-based, non-clinical prevention policies and wellness strategies; and analyze current frameworks used to assess the value of community-based, non-clinical prevention policies and wellness strategies, including the methodologies and measures used and the short- and long-term impacts of such prevention policy and wellness strategies on health care spending and public health. An Integrated Framework for Assessing the Value of Community-Based Prevention summarizes the committee's findings"--$cPublisher's description. 606 $aCommunity health services$zUnited States 606 $aHealth promotion$zUnited States 606 $aPreventive health services$zUnited States 607 $aUnited States$2fast 615 0$aCommunity health services 615 0$aHealth promotion 615 0$aPreventive health services 676 $a613.0973 712 02$aInstitute of Medicine (U.S.).$bCommittee on Valuing Community-Based, Non-Clinical Prevention Programs, 712 02$aInstitute of Medicine (U.S.).$bBoard on Population Health and Public Health Practice, 801 0$bMiAaPQ 801 1$bMiAaPQ 801 2$bMiAaPQ 906 $aBOOK 912 $a9910789369103321 996 $aAn integrated framework for assessing the value of community-based prevention$93821526 997 $aUNINA