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Bridging the Divide Between Health and Health Care

Bridging the Divide Between Health and Health Care VIEWPOINT Bridging the Divide Between Health and Health Care and health promotion initiatives. However, the health care Stephen M. Shortell, PhD, MPH, MBA system and the public health, community development, and social service sectors hold different definitions of popula- HE US HEALTH CARE SYSTEM CAN DO A BETTER JOB OF tion health. For the delivery systems, the definition is typi- providing patient care while moderating the rate of cally limited to their own enrolled group of potential pa- increase in cost, but it can do little about improv- tients for whom they are financially accountable. For the Ting overall population health. This is because health public health and community development and social ser- care delivery accounts for only 10% of preventable deaths, vices sectors, it is the health of the total population that con- with the remainder attributable to personal behaviors, so- tributes to the quality of life and economic well-being of the cial and environmental determinants, and genetic predis- entire community. Paying for population health is not the position. As currently constituted, the health care deliv- same as providing risk-based payments to health care de- ery system has little direct control over these other factors. livery systems serving http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png JAMA American Medical Association

Bridging the Divide Between Health and Health Care

JAMA , Volume 309 (11) – Mar 20, 2013

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Publisher
American Medical Association
Copyright
Copyright 2013 American Medical Association. All Rights Reserved. Applicable FARS/DFARS Restrictions Apply to Government Use.
ISSN
0098-7484
eISSN
1538-3598
DOI
10.1001/jama.2013.887
pmid
23512058
Publisher site
See Article on Publisher Site

Abstract

VIEWPOINT Bridging the Divide Between Health and Health Care and health promotion initiatives. However, the health care Stephen M. Shortell, PhD, MPH, MBA system and the public health, community development, and social service sectors hold different definitions of popula- HE US HEALTH CARE SYSTEM CAN DO A BETTER JOB OF tion health. For the delivery systems, the definition is typi- providing patient care while moderating the rate of cally limited to their own enrolled group of potential pa- increase in cost, but it can do little about improv- tients for whom they are financially accountable. For the Ting overall population health. This is because health public health and community development and social ser- care delivery accounts for only 10% of preventable deaths, vices sectors, it is the health of the total population that con- with the remainder attributable to personal behaviors, so- tributes to the quality of life and economic well-being of the cial and environmental determinants, and genetic predis- entire community. Paying for population health is not the position. As currently constituted, the health care deliv- same as providing risk-based payments to health care de- ery system has little direct control over these other factors. livery systems serving

Journal

JAMAAmerican Medical Association

Published: Mar 20, 2013

References