Healthy People 2010: Managing Information to Help Achieve our Nation’s Health Objectives Ron Bialek Public Health Foundation April 4, 2001

Overview l Healthy People 2010 l Information Access Project Description and Features Examples Lessons Regional Medical and Network Libraries and Outreach Projects

National Healthy People Initiative l The nation’s prevention agenda l Set of measurable objectives to improve health of Americans l A health improvement framework that states may adopt or adapt

Healthy People Offers a Framework to Bring Together... Policy ScienceData

States & Communities Put Plans into Action National Menu States: l Narrow focus l Assign priority l Organize to suit Local Flavor l Strategies are science-based and community-specific --what works --what “sells”

Information Needs l Data  Health Needs  Community Assets  Baselines  Benchmarks l Science  Community Interventions  Strategies  Action Plans

Planners are looking for…... l Summaries and easily understandable materials l Good, targeted and timely information l Population-based solutions, not further articulation of problems

Healthy People 2010 Information Access Project ….an easy way to search PubMed to find effective strategies. l Partners in Information Access for Public Health Professionals l National Library of Medicine, National Network of Libraries of Medicine, and Public Health Foundation PIAPHP Home

One Year Pilot Project l Providing current, targeted, and useful information l Links science to nation’s prevention agenda l Expertise from NLM, NN/LM, PHF, and public health practitioners

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Search String m=%28%28%28%28%28%28%28%22united%20states%22%5BMeSH%20Terms%5D%20AND %20%28%28%28%28%28%28%28%22education%2C%20medical%22%5BMeSH%20Major%2 0Topic%5D%20OR%20%22education%2C%20dental%22%5BMeSH%20Major%20Topic%5D% 29%20OR%20%22education%2C%20nursing%22%5BMeSH%20Major%20Topic%5D%29%20 OR%20%22education%2C%20pharmacy%22%5BMeSH%20Major%20Topic%5D%29%20OR% 20%22students%2C%20health%20occupations%22%5BMeSH%20Major%20Topic%5D%29% 20OR%20%22schools%2C%20public%20health%22%5BMeSH%20Major%20Topic%5D%29% 20OR%20allied%20health%20personnel/education%5BMeSH%20Major%20Topic%5D%29%2 0OR%20physician%20assistants/education%5BMeSH%20Major%20Topic%5D%29%29%20A ND%20%28%28%28%22minority%20groups%22%5BMeSH%20Major%20Topic%5D%20OR% 20%22hispanic%20americans%22%5BMeSH%20Major%20Topic%5D%29%20OR%20%22blac ks%22%5BMeSH%20Major%20Topic%5D%29%20OR%20%22indians%2C%20north%20ameri can%22%5BMeSH%20Major%20Topic%5D%29%29%20AND%20%28%28%28%28%28%28%2 8%28%28%28%28%28%22education%22%5BMeSH%20Terms%5D%20OR%20%22curriculum %22%5BMeSH%20Terms%5D%29%20OR%20%22student%20dropouts%22%5BMeSH%20Ter ms%5D%29%20OR%20%22educational%20measurement%22%5BMeSH%20Terms%5D%29 %20OR%20%22career%20choice%22%5BMeSH%20Terms%5D%29%20OR%20%22training% 20support%22%5BMeSH%20Terms%5D%29%20OR%20%22school%20admission%20criteria %22%5BMeSH%20Terms%5D%29%20OR%20%22cultural%20diversity%22%5BMeSH%20Ter ms%5D%29%20OR%20%22mentors%22%5BMeSH%20Terms%5D%29%20OR%20%28affirma tive%5BAll%20Fields%5D%20AND%20action%5BAll%20Fields%5D%29%29%20OR%20%22p rejudice%22%5BMeSH%20Terms%5D%29%20OR%20recruitment%5BAll%20Fields%5D%29 %20OR%20%22staff%20development%22%5BMeSH%20Terms%5D%29%29%20NOT%20%22 patient%20education%22%5BMeSH%20Terms%5D%29%20NOT%20%22transcultural%20nur sing%22%5BMeSH%20Terms%5D%29%20AND%20English%5BLang%5D%29%20AND%20% 28%221996/03/24% %22%5BEDat%5D%20%3A%20%222001/03/23% %22%5BE Dat%5D%29%29

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Six Focus Areas/Chapters l Access to Health Services Mary E. Ryan l Food Safety Marcia Zorn Mary E. Ryan l PH Infrastructure Mary E. Ryan l Disability/Secondary Conditions Ron Gordner l Respiratory Diseases Anne Maria Baxter l Environmental Health Stacey Arnesen Lucie Chen Deena Pers

Self Serve l Preformulated PubMed search strategies - one click access l Link to most relevant MEDLINE Plus topics l Link to most relevant Preventive Services Guidelines (community or clinical)

Full Service - Environmental Health l All of the above l Preformulated Toxline search strategies l Links to hand-picked resources l Guide to choosing the “right” resources and NLM databases l Brief analyses of what is and is not found in preformulated searches

Public Health Infrastructure l Data for leading health indicators l Public health expenditures l Performance standards l Continuing education and training for public health agency employees

Public Health Infrastructure l Data for leading health indicators united states, health status indicators, information systems, data collection, rural populations, asian americans, blacks, hispanic americans, indians, north american, minority groups, urban, local, federal

Public Health Infrastructure l Articles for Leading Health Indicators Hesser - Health status and health risk behaviors among minority Rhode Islanders, Friedman - Progress towards the year 2000: assessing the health status of minorities in Texas, Zyzanski - Selection of key community descriptors for community-oriented primary care, 1996.

Public Health Infrastructure l Articles for Continuing Education Potter - Needs assessment and a model agenda for training the public health workforce, Sommer - Toward a better educated public health workforce, Greene - Creating training opportunities for public health practitioners

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What Are We Learning? l Between 40 and 75 citations per health objective (virtually all <100) l Interventions tied to providers, not necessarily types of outcomes l Terminology has not caught up with greater public health and medicine link l There’s a language barrier

Mass Communication Campaign for STD Prevention Key Words - “sexually transmitted diseases” and “media”

Ties to Public Health Outreach Projects l Helping PH professionals use the Internet l Helping PH professionals access useful information l Integrating outreach efforts into existing health improvement planning l Leading PH professionals to environmental health resources

Regional Medical and Network Libraries: Critical Voids to Fill l Fine Tuning l Accessing Articles l Translation l Looking under rocks Contacting references Identifying the gray literature State and local web sites CDC Prevention Centers

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