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Health Policy, Public Health, and Arthritis Among Older Adults

  • Kristina A. TheisEmail author
  • Debra R. Lubar
  • Teresa J. Brady
Chapter
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Abstract

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.

Keywords

Health policy Public health Aging Interventions Legislation Advocacy Population 

Notes

Acknowledgments

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.

References

  1. 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.
  2. 2.
    Bunker JP, Frazier HS, Mosteller F. Improving health: measuring effects of medical care. Milbank Q. 1994;72:225–58.PubMedCrossRefGoogle Scholar
  3. 3.
    CDC. Healthy aging for older adults. CDC, Atlanta, GA. 2007. http://www.cdc.gov/aging/. Accessed 24 Apr 2010.
  4. 4.
    Hootman JM, Helmick CG. Projections of US prevalence of arthritis and associated activity limitations. Arthritis Rheum. 2006;54:226–9.PubMedCrossRefGoogle Scholar
  5. 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
  6. 6.
    Brady TJ, Sniezek JE. Implementing the National Arthritis Action Plan: new population-based approaches to increasing physical activity among people with arthritis. Arthritis Rheum. 2003;49:471–6.PubMedCrossRefGoogle Scholar
  7. 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
  8. 8.
    Schoen RT. Identification of Lyme disease. Rheum Dis Clin North Am. 1994;20:361–9.PubMedGoogle Scholar
  9. 9.
    Lang JE, Benson WF, Anderson LA. Aging and public health: partnerships that can affect cardiovascular health programs. Am J Prev Med. 2005;29(5S1):158–63.PubMedCrossRefGoogle Scholar
  10. 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. 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. 12.
    CDC. Ten great public health achievements – United States, 1900–1999. MMWR Morb Mortal Wkly Rep. 1999;48:241–3.Google Scholar
  13. 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. 14.
    Institute of Medicine. The future of the public’s health in the 21st century. Washington, DC: The National Academies Press; 2003.Google Scholar
  15. 15.
    Frieden TR. A framework for public health action: the health impact pyramid. Am J Public Health. 2010;100:590–5. doi: 10.2105/AJPH.2009.185652.PubMedCrossRefGoogle Scholar
  16. 16.
    World Health Organization. Preventing chronic disease: a vital investment. Geneva: World Health Organization; 2005.Google Scholar
  17. 17.
    Shih M, Hootman JM, Kruger J, Helmick CG. Physical activity in men and women with arthritis, National Health Interview Survey, 2002. Am J Prev Med. 2006;30:385–93.PubMedCrossRefGoogle Scholar
  18. 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. 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. 20.
    ADA homepage. U.S. Department of Justice, Washington, DC. 2008. http://www.ada.gov/. Accessed 2 May 2008.
  21. 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. 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. 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.
  24. 24.
    Engleman EP. The national arthritis plan. Arthritis Rheum. 1977;20:1–6.CrossRefGoogle Scholar
  25. 25.
    ARAMIS. Stanford University, 2003. http://aramis.stanford.edu/. Accessed 30 May 2008.
  26. 26.
    American College of Rheumatology Subcommittee on Osteoarthritis Guidelines. Recommendations for the medical management of osteoarthritis of the hip and knee: 2000 update. Arthritis Rheum. 2000;43:1905–15.CrossRefGoogle Scholar
  27. 27.
    American College of Rheumatology Subcommittee on Rheumatoid Arthritis Guidelines. Guidelines for the management of rheumatoid arthritis: 2002 update. Arthritis Rheum. 2002;46:328–46.CrossRefGoogle Scholar
  28. 28.
    Berg AO. Behavioral counseling in primary care to promote physical activity: recommendation and rationale. Am J Nurs. 2003;103:101–7.PubMedGoogle Scholar
  29. 29.
    Mehrotra C, Naimi TS, Serdula M, et al. Arthritis, body mass index, and professional advice to lose weight. Implications for clinical medicine and public health. Am J Prev Med. 2004;27:16–21.PubMedCrossRefGoogle Scholar
  30. 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
  31. 31.
    Glasgow RE, Orleans CT, Wagner EH, et al. Does the Chronic Care Model serve also as a template for improving prevention? Milbank Q. 2001;79:579–612.PubMedCrossRefGoogle Scholar
  32. 32.
    Bodenheimger T, Wagner EH, Grumbach K. Improving primary care for patients with chronic illness. JAMA. 2002;288:1775–9.CrossRefGoogle Scholar
  33. 33.
    Bone and Joint Decade’s Musculoskeletal Portal. http://www.boneandjointdecade.org/default.aspx?contId=216. Accessed 5 Apr 2010.
  34. 34.
    Arthritis Foundation, Centers for Disease Control and Prevention. national public health agenda for osteoarthritis. Arthritis Foundation, Atlanta, GA. 2010. http://www.cdc.gov/arthritis/docs/OAagenda.pdf and http://www.arthritis.org/osteoarthritis-agenda. Accessed 7 Apr 2010.

Copyright information

© Springer Science+Business Media, LLC 2011

Authors and Affiliations

  • Kristina A. Theis
    • 1
    Email author
  • Debra R. Lubar
  • Teresa J. Brady
  1. 1.U.S. Centers for Disease Control and PreventionAtlantaUSA

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