Monday, May 21, 2012

[EQ] Primary Care and Public Health: Exploring Integration to Improve Population Health

Primary Care and Public Health:
Exploring Integration to Improve Population Health

US Committee on Integrating Primary Care and Public Health;
Board on Population Health and Public Health Practice; Institute of Medicine

2012 by the National Academy of Sciences

Available online at:

“…….Health is influenced by an array of factors, including social, genetic, environmental, and other factors that cut across a number of different sectors. Improving the health of populations therefore will require a collaborative, intersectoral effort that involves public and private organizations and individuals. At the same time, both health problems and community needs, resources, and circumstances vary among localities, so no single approach to combating health problems can be applied.

Primary care and public health are uniquely positioned to play critical roles in tackling the complex health problems that exist both nationally and locally. They share a similar goal of health improvement and can build on this shared platform to catalyze intersectoral partnerships designed to bring about sustained improvements in population health. In addition, they have strong ties at the community level and can leverage their positions to link community organizations and resources. Thus, the integration of primary care and public health holds great promise as a way to improve the health of society. The purpose of this report is to explore how this promise can be realized….”

“……………While integration can be an imprecise term, integration of primary care and public health was defined for this report as the linkage of programs and activities to promote overall efficiency and effectiveness and achieve gains in population health. The committee conceived of integration in terms of multiple variables—levels, partners, actions, and degree.

…………….the committee conceived of integration as degrees on a continuum ranging from isolation to merger
and focused on mutual awareness, cooperation, collaboration, and partnership, with a preference for activities moving toward greater integration………….”




Current Opportunities

The Path to Improving Population Health

Benefits and Challenges of Integration


Previous Reviews of Integration

The Committee’s Literature Review

Principles for Successful Integration

Case Studies

How the Examples and Case Studies Illustrate Effective Primary Care and Public Health Integration

Lessons Learned

Role of HRSA and CDC



Maternal and Child Health

Cardiovascular Disease Prevention

Colorectal Cancer Screening

Opportunities for Interagency Collaboration


The Patient Protection and Affordable Care Act

Key Policy Components

Funding Streams



Broader Opportunities for Integration



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