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The Iowa Department of Public Health utilized Healthy People 2020 to develop the Healthy Iowans state health plan. [3] Progress towards objectives is updated regularly and can be seen on their website, where data has shown that between 2010 and 2014, 14 of the 26 indicators have met their targets as part of the Healthy People 2020 plan.
The United States Centers for Disease Control and Prevention (CDC) defines social determinants of health as "life-enhancing resources. In the realm of public health, the concept of social determinants of health (SDOH) has emerged as a crucial framework for comprehending the myriad factors that influence an individual’s well-being.
Along with these social conditions, "Gender, education, occupation, income, ethnicity, and place of residence are all closely linked to people's access to, experiences of, and benefits from health care." [1] Social determinants of disease can be attributed to broad social forces such as racism, gender inequality, poverty, violence, and war. [4]
Changes to health determinants then leads to changes in health outcomes or the health status of individuals and communities. The determinants of health are largely environmental and social, so that there are many overlaps with environmental impact assessment and social impact assessment.
Health care quality is the degree to which health care services for individuals and populations increase the likelihood of desired health outcomes. [2] Quality of care plays an important role in describing the iron triangle of health care relationships between quality, cost, and accessibility of health care within a community. [3] Researchers ...
The World Health Organization first recognized the need to educate physicians about the link between health and the systems in which people live, work, and play in 1978. [5] The quality and patient safety movement of the 1980s and 1990s further reinforced the need for physicians to understand systems thinking.
Poor health outcomes appear to be an effect of economic inequality across a population. Nations and regions with greater economic inequality show poorer outcomes in life expectancy, [31]: Figure 1.1 mental health, [31]: Figure 5.1 drug abuse, [31]: Figure 5.3 obesity, [31]: Figure 7.1 educational performance, teenage birthrates, and ill health due to violence.
Health promotion is a multifaceted approach that goes beyond individual behavior change. It encompasses a wide range of social and environmental interventions aimed at addressing health determinants such as income, housing, food security, employment, and quality working conditions. [3] [4]