Health Policy, Public Health, and Arthritis Among Older Adults
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This chapter is designed to review the basics of public health, to highlight its relevance to health-care professionals, and to outline opportunities for the use of health policy in improving and protecting the health of older adults with arthritis. Many public health interventions intersect with the medical system at the level of the individual patient and complement clinical care efforts. Health policies are often designed to have broad effects at the community and population level and to help achieve national public health goals. The unprecedented pace of aging in the US population at the start of the twenty-first century offers a unique challenge and exceptional opportunity to combine the efforts of public health, the health-care system, and health policy to combat the toll arthritis takes on our communities, patients, and country. Health policies, in concert with public health and medical interventions, can be powerful tools to reduce the burden and impact of arthritis.
KeywordsHealth policy Public health Aging Interventions Legislation Advocacy Population
We gratefully acknowledge Dr. Lynda A. Anderson for her comments on an earlier draft, for providing resources, and for sharing her expertise on older Americans, aging, and public health as relevant to this endeavor. Also, we sincerely thank Mr. William F. Benson for the comments, insights, and encouragement he provided.
This research was performed under an appointment to the Research Participation Program at the CDC, administered by the Oak Ridge Institute for Science and Education under the contract number DE-AC05–06OR23100 between the US Department of Energy and Oak Ridge Associated Universities.
The findings and conclusions in this report are those of the authors and do not necessarily represent the official position of the CDC.
- 1.Federal Interagency Forum on Aging-Related Statistics. Older Americans 2008: key indicators of well-being. U.S. Government Printing Office, Washington, DC. 2008. http://www.agingstats.gov/agingstatsdotnet/Main_Site/Data/2008_Documents/Introduction.pdf. Accessed 20 Apr 2010.
- 3.CDC. Healthy aging for older adults. CDC, Atlanta, GA. 2007. http://www.cdc.gov/aging/. Accessed 24 Apr 2010.
- 5.CDC. Prevalence of doctor-diagnosed arthritis and arthritis-attributable activity limitation – United States, 2003–2005. MMWR Morb Mortal Wkly Rep. 2006;55:1089–92.Google Scholar
- 7.Arthritis Foundation, Association of State and Territorial Health Officers, Centers for Disease Control and Prevention. National arthritis action plan: a public health strategy. Atlanta, GA: Arthritis Foundation; 1999.Google Scholar
- 10.Administration on Aging, Department of Health and Human Services. http://www.aoa.gov/AoARoot/About/Organization/index.aspx (2010). Accessed 3 May 2010.
- 11.Committee for the Study of the Future of Public Health, Division of Health Care Services, Institute of Medicine. The future of public health. Washington, DC: National Academy Press; 1988.Google Scholar
- 12.CDC. Ten great public health achievements – United States, 1900–1999. MMWR Morb Mortal Wkly Rep. 1999;48:241–3.Google Scholar
- 13.Liburd LC, Sniezek J. Changing times: new possibilities for community health and well-being. Prev Chronic Dis. 2007;4:1–5. http://www.cdc.gov/pcd/issues/2007/jul/07_0048.htm. Accessed 25 Apr 2010.
- 14.Institute of Medicine. The future of the public’s health in the 21st century. Washington, DC: The National Academies Press; 2003.Google Scholar
- 16.World Health Organization. Preventing chronic disease: a vital investment. Geneva: World Health Organization; 2005.Google Scholar
- 18.Centers for Disease Control and Prevention. Best practices for comprehensive tobacco control programs – 2007. Atlanta, GA: U.S. Department of Health and Human Services; 2007.Google Scholar
- 19.The U.S. Equal Employment Opportunity Commission. Facts about age discrimination. The U.S. Equal Employment Opportunity Commission, Washington, DC. 1997. http://www.eeoc.gov/facts/age.html. Accessed 25 Apr 2010.
- 20.ADA homepage. U.S. Department of Justice, Washington, DC. 2008. http://www.ada.gov/. Accessed 2 May 2008.
- 21.The NIH almanac. National Institutes of Health, Department of Health and Human Services, Bethesda, MD. 2008. http://www.nih.gov/about/almanac/organization/NIAMS.htm. Accessed 25 Apr 2010.
- 22.U.S. Department of Health and Human Services. Understanding and improving health and objectives for improving health. Healthy people 2010. 2nd ed. Washington, DC: U.S. Government Printing Office; 2000.Google Scholar
- 23.U.S. Department of Health and Human Services. Midcourse review healthy people 2010. U.S. Department of Health and Human Services, Washington, DC. 2007. http://www.healthypeople.gov/data/midcourse/pdf/FA02.pdf. Accessed 25 Apr 2010.
- 25.ARAMIS. Stanford University, 2003. http://aramis.stanford.edu/. Accessed 30 May 2008.
- 30.Murphy L, Theis KA, Brady T, Hootman JM, Helmick CG, Bolen J, et al. A health care provider’s recommendation is the most influential factor in taking an arthritis self-management course (SMC): a national perspective from the Arthritis Conditions Health Effects Survey (ACHES). Arthritis Rheum. 2007;56(9S):S307–8.Google Scholar
- 33.Bone and Joint Decade’s Musculoskeletal Portal. http://www.boneandjointdecade.org/default.aspx?contId=216. Accessed 5 Apr 2010.