@article{720902,
      recid = {720902},
      title = {An integrated framework for assessing the value of  community-based prevention [electronic resource] /},
      pages = {1 online resource (179 pages) :},
      abstract = {"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"--},
      url = {http://library.usi.edu/record/720902},
}