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American Public Health Association
133rd Annual Meeting & Exposition
December 10-14, 2005
Philadelphia, PA
APHA 2005
 
5047.0: Wednesday, December 14, 2005 - 9:30 AM

Abstract #111757

Achieving longitudinal objectives for a healthy America: Using a systems approach to monitor and implement effective public health interventions

Dawn Marie Jacobson, MD, MPH, Office of Disease Prevention and Health Promotion, US Department of Health and Human Services, 1101 Wootton Parkway, Lower Level, Suite 100, Rockville, MD 20852, 240-453-8251, djacobso@osophs.dhhs.gov

The Office of Disease Prevention and Health Promotion, Office of Public Health and Science, U.S. Department of Health and Human Services provides leadership for the development, monitoring, and achievement of Healthy People goals and objectives. In order to achieve these longitudinal objectives, the contribution and interaction of multiple determinants of health need to be identified, related to one another, and addressed through effective individual, community or population-level interventions. The health care system, the physical environment, behavioral choices, social support systems, genetics, and governmental policies can all act independently, or in concert, to influence the health and well-being of an individual.

A systems approach can integrate, map, and model these complex relationships and, using computer simulation, formally compare intermediate and long-term health outcomes when changing various leverage points within the system. Such models can provide a crucial link between scientific research, systems thinking, and the achievement of disease prevention and health promotion goals and objectives at the national, state, or local level.

This session will provide an overview of systems modeling approaches, including econometric, epidemiologic, and systems dynamic modeling. The strengths and limitations of each approach will be briefly addressed. Examples of how a systems approach can be used to establish disease prevention and health promotion objectives (such as those found within Healthy People), forecast the attainment of such objectives, prioritize effective interventions and investments, and direct policy development will be discussed. The ongoing development of an obesity prevention and treatment model within the Office of Disease Prevention and Health Promotion, and its future policy and planning applications, will also be presented.

Learning Objectives: Learning Objectives