Population health : an introduction / Richard K. Thomas.

Intro
Preface
Contents
About the Author
1 Defining Population Health
Introduction
Defining Population Health
Micro and Macro Dimensions of Population Health
Attributes of Population Health
What Population Health is Not
Key Points
References
2 The Road to Population Health: A Changing Society
Introduction
Changing Population Characteristics
The Changing Age Structure
The Changing Sex Ratio
Growing Racial and Ethnic Diversity
Changing Household and Family Structure
Changing Lifestyles
Changing Patient Characteristics
Changing Disease Etiology
Historic Contributors to Ill-Health
The Role of the Environment
The Role of Lifestyles
Key Points
References
3 The Road to Population Health: A Changing Healthcare System
Introduction
The Emergence of Modern Medicine
A Constantly Changing System
A Victim of Its Own Success
Emerging System Deficiencies
Late-Century Paradigm Shift
The Impact of Medical Science on Population Health
Americans are Getting Sicker
The Failing Healthcare Paradigm
Key Points
References
4 Health Status and How to Measure It
Introduction
Defining "Health"
Defining "Health Status"
What Are We Measuring When We Measure Health Status?
Health Status Indicators
Global Measures
Outcome Measures: Morbidity
Outcome Measures: Mortality/Life Expectancy
Other Outcome Measures
Additional Contributors to Health Status
Healthy/Unhealthy Behavior
Environmental Factors: Physical
Environmental Factors: Social
Social/Economic Factors
Cultural/Subcultural Influences
Life Circumstances Indicators
Access/Utilization Measures
Examples of Health Status Indicators
A New Approach to Health Status
Key Points
References
5 The Social Determinants of Health and Illness
Introduction.

Social Factors Affecting Health
Intermediate Causes of Ill-Health
Life Circumstances
Lifestyle Influences
Financial Hardship
The Impact of Stress
Root Causes: Social Determinants
Economic Instability
Neighborhood and Physical Environment
Housing Access and Quality
Transportation
Education
Food Security
Community and Social Context
Residential Segregation
Criminal Justice
Key Points
References
6 Health Disparities
Introduction
Types of Health Disparities
Disparities in Health Status
Disparities in Health Behavior
Disparities in Access to Healthcare Resources
Disparities in Treatment by the Healthcare System
Discrimination and Health Disparities
The Stratification of Health Conditions
The Causes of Health Disparities
Poverty and Health Disparities
Race, Ethnicity and Health Disparities
Environmental Conditions and Health Disparities
Education and Health Disparities
Food Insecurity and Health Disparities
Community and Social Context and Health Disparities
Residential Segregation and Health Disparities
Crime and Criminal Justice and Health Disparities
The Healthcare System and Health Disparities
Groups that Exhibit Disparities
African Americans
Hispanics
American Indians/Native Americans
Immigrants
Migrant Workers
Prisoners
Trends in Health Disparities
Key Points
References
7 Population Health and Public Policy
Introduction
Spheres for Policy Development
Macro-level Policies
Public Policies
State-Level Policies
Local-Level Policies
Organizational Policies
Professional Policies
Health in All Policies
The HiAP Process
Health Impact Assessment
Social Domains and Public Policy
Education
Housing and Community Development
Transportation
Economic Well-Being.

Food Access and Security
Criminal Justice
Key Points
References
8 From CHNA to PHA
Introduction
The Changing Context for Community Assessments
The Role of Population Health
Similarities Between CHNAs and PHAs
Differences Between CHNAs and PHAs
Sick Status vs. Health Status
Relative Importance of Healthcare Resources
Time Horizon
Geographic Granularity
Types of Data
Types of Recommendations
Emphasis on Policy Solutions
Reaction vs. Proaction
Issues with Traditional Health Data
Epidemiologic Data
Demographic Data
Health Behavior Data
Health Resources Data
Health Services Utilization Data
Health Insurance
Key Points
References
9 Data Needs for Population Health
Introduction
Population Health Data Attributes
Perspective
Individual vs. Community
Time Horizon
Level of Data Collection
Quantitative vs. Quantitative
Non-Traditional Health Data
Dental Health
Disability
Mental Illness
Substance Abuse
Quality of Life Data
Violence Data
Non-Health-Related Data Categories
Economic Instability Data
Neighborhood and Physical Environment Data
Housing Access and Quality Data
Education Data
Transportation Data
Food Insecurity Data
Community and Social Context Data
Residential Segregation Data
Crime and Criminal Justice Data
Data Challenges for Population Health
Key Points
References
10 The Role of the Community in Population Health Improvement
Introduction
Why Not Healthcare?
Why Not the Community?
Why the Community?
Community Preparation
Steps in Community Involvement
Community Health Business Model
Policy-Setting and Population Health
Barriers to Community Leadership
Key Points
References
Index.