National Academy of Medicine

Case Study: Improving Population and Individual Health Through Health System Transformation in Washington State

Empowered by federal, state, and community funding, Washington State has been working for years to enact delivery system transformation to improve the health and well-being of its 7 million residents. In fact, in the 1990s Washington State passed legislation offering universal coverag
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Getting to Equity in Obesity Prevention: A New Framework

High obesity prevalence persists as a major issue for societies globally. Chronic overweight and obesity have high health, social, and economic costs, and the benefits of achieving and maintaining healthy weight for overall health and well-being are well established. Obesity in childr
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A Model Framework That Integrates Community and Clinical Systems for the Prevention and Management of Obesity and Other Chronic Diseases

Obesity now affects 35 percent of men, 40 percent of women, and 17 percent of 2- to 19-year-old children and adolescents in the United States. Neither clinical nor environmental changes alone are sufficient to address a problem of this magnitude. We propose here a framework that integ
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Lessons for Health Equity: Military Medicine as a Window to Universal Health Insurance

Health disparities result from multifaceted variables including access to health care and discrimination associated with socioeconomic status, education, social support, insurance, race, ethnicity, and gender. The purpose of this paper is to identify lessons learned and future researc
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Expulsion and Suspension in Early Education as Matters of Social Justice and Health Equity

Scientists have a central role in addressing the challenges that face society. The primary purpose of research should be to inform policies and practices that address serious problems in our nation and world. Today in America, we have an alarming issue that is lacking in both basic an
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Challenges and Promise of Health Equity for Native Hawaiians

Health equity, the attainment of the highest level of health for all people, is yet to be realized for many populations in the United States. Health equity focuses on diseases and health care services, but is also broadly linked to social determinants, such as socioeconomic status, th
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Life Span and Legal/Policy Research as Dual Focuses for Identifying and Implementing Opportunities to Realize Health Equity

Our perspective is grounded in the proposition that health equity should be central or more significant than any other concern, principle, criterion, or value when prioritizing a national scientific agenda, setting care goals, organizing research and evaluation, and formulating practi
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Local Bidirectional Data-Sharing Collaboration to End Veteran Homelessness: The Erie Model

Homelessness is a major issue in the United States. Among adults, military veterans are at increased risk. Studies continue to highlight the greater demand that homeless veterans place on emergency rooms and their increased risk for all-cause mortality, psychological disorders, substa
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Referral System Collaboration Between Public Health and Medical Systems: A Population Health Case Report

Social determinants of health, a short phrase that captures a broad array of issues, are some of the key reasons why health care reform alone will not eliminate health disparities in the United States. Social problems, such as food security, housing, and employment, account for 15 per
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Building a Culture of Health Equity at the Federal Level

The United States spends significantly more resources on health care than any other nation. Despite this fact and the remarkable improvements in the quality of health care over the past century, the nation’s relative standing in health outcomes and life expectancy continues to erode.
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