Asthma is a complex disease. Although not enough is known about its cause, we do know that risk factors include genetic predisposition, environmental exposures (including tobacco smoke, furry pets, dust mites, and cockroaches), poverty and inadequate health care services. Therefore, an effective strategy for reducing the disease must address multiple fronts. This is particularly important for low-income and minority children, who suffer a greater burden from asthma. They are less likely to have the resources to deal with the disease, and certain racial and/or ethnic groups may also have a greater genetic predisposition.

One-liner: A set of policy recommendations to promote the development and maintenance of communities in which children with asthma can be swiftly diagnosed, effectively treated, and protected from exposure to harmful environmental factors. An estimated 5 million U.S. children have asthma. Too many of these children are unnecessarily impaired. Much of the money spent on asthma is for high-cost health care services to treat acute periods of illness. Many asthma attacks could be avoided--and much suffering prevented and many medical costs saved--if more children received good-quality, ongoing asthma care and if the 11 policy recommendations presented in this report were implemented in a oordinated fashion. A national call to action, the policy recommendations span public and private interests and compel integration of public health activities across local, state, and federal levels. This report summarizes the findings of an effort funded by the Robert Wood Johnson Foundation as part of the Pediatric Asthma Initiative, whose purpose is to address current gaps in national childhood asthma care. It is the first national initiative that simultaneously addresses treatment, policy, and financing issues for children with asthma at the patient, provider, and institutional levels. The purpose of RAND's effort was to:--identify a range of policy actions in both the public and private sectors that could improve childhood asthma outcomes nationwide--select a subset of policies to create a blueprint for national policy in this area--outline alternatives to implement these policies that build on prior efforts.The effort developed a comprehensive policy framework that maps the identified strategies to one overall policy objective: to promote the development and maintenance of asthma-friendly communities--communities in which children with asthma are swiftly diagnosed, receive appropriate and ongoing treatment, and are not exposed to environmental factors that exacerbate their condition. This report is intended as a working guide for coordinating the activities of both public and private organizations at the federal, state, and local community levels.

This report describes the group process used to arrive at the policy recommendations proposed in Improving Childhood Asthma Outc

This report describes the group process used to arrive at the policy recommendations proposed in Improving Childhood Asthma Outc.

This book contains bibliographic references with abstracts and subject headings to public and social policy literature and to world politics published in print and electronic formats; international focus.

Assessment of Population Health Risks of Policies Gabriel Guliš, Odile Mekel, Balázs Ádám, and Liliana Cori, editors Public health continues to evolve as professionals work not only to prevent disease and promote well-being but also to reduce health disparities and protect the environment. To a greater extent, policy is intimately linked to this process, a reality that is gaining traction in the public health sector. With this understanding in mind, Assessment of Population Health Risks of Policies introduces an international set of guidelines, Risk Assessment from Policies to Impact Dimension (RAPID). In keeping with widely recognized models of public health operations, this innovative methodology factors in social, environmental, and economic health determinants to predict adverse outcomes to populations arising from large-scale policy decisions. Case studies from across the European Union illustrate both the intricacies of risk quantification and other components of assessment and possible relationships between policy and health outcomes. And contributors suggest how international health standards may be implemented despite significant cultural and political differences among nations. Included in the coverage: Public health, policy analysis, risk assessment and impact assessment Risk assessment, impact assessment and evaluation Top-down versus bottom-up policy risk assessment Quantification of health risks Application of RAPID guidance on an international policy Use of policy risk assessment results in political decision making Assessment of Population Health Risks of Policies is an essential and proactive read for researchers and practitioners in impact assessment, public policy, public health, and epidemiology.

In the United States, some populations suffer from far greater disparities in health than others. Those disparities are caused not only by fundamental differences in health status across segments of the population, but also because of inequities in factors that impact health status, so-called determinants of health. Only part of an individual's health status depends on his or her behavior and choice; community-wide problems like poverty, unemployment, poor education, inadequate housing, poor public transportation, interpersonal violence, and decaying neighborhoods also contribute to health inequities, as well as the historic and ongoing interplay of structures, policies, and norms that shape lives. When these factors are not optimal in a community, it does not mean they are intractable: such inequities can be mitigated by social policies that can shape health in powerful ways. Communities in Action: Pathways to Health Equity seeks to delineate the causes of and the solutions to health inequities in the United States. This report focuses on what communities can do to promote health equity, what actions are needed by the many and varied stakeholders that are part of communities or support them, as well as the root causes and structural barriers that need to be overcome.

On February 5, 2015, the Institute of Medicine Roundtable on Population Health Improvement hosted a workshop to explore the relationship between public health and health care, including opportunities, challenges, and practical lessons. The workshop was convened in partnership with the Association of State and Territorial Health Officials (ASTHO)-Supported Primary Care and Public Health Collaborative. Organized in response to the 2012 IOM report Primary Care and Public Health: Exploring Integration to Improve Population Health, this workshop focused on current issues at the interface of public health and health care, including opportunities presented by and lessons learned from the Centers for Medicaid and Medicare Services State Innovation Models program. The workshop featured presentations on several dimensions of the public health-health care relationship. Collaboration Between Health Care and Public Health summarizes the presentations and discussion of the event.