2012 autumn -- 429 U0210 Topics in Community-based Practice of Occupational Therapy
1) “Healthy People” proposed by the Department of Health, Education and Welfare (Now the Dep. of Health and Human Services) in 1979. - to identify national health goals and discuss health promotion and disease prevention in the US, and efficiently and effective use of the health-care resource - morbidity and mortality can be attributed to four primary elements: 1) Inadequacies in the existing health-care system 2) Behavioral factors or unhealthy lifestyles: the leading cause of death for adolescents and young adults 3) Environmental hazards 4) Human biological factors * Five major health goals according to life span (infants, children, adolescents and young adults, adults, and older adults) 2)
In 1980, “ Objectives for the Nation” -- a total of 226 specific goals A mid course review in 1986
3) “ Healthy People 2000” in 1990: Focus is to improve the QOL, and people’s sense of well-being (rather than just reduction of mortality rate) - Increase the span of healthy life for Americans - Reduce health disparities among Americans (people with low income, disabilities, in minority groups) - Achieve access to preventive health services for all Americans (social and environmental factors) 4) “ Healthy People 2010” in 2000: due to advances in preventive therapies, vaccines and pharmaceuticals, assistive technologies, and computerized systems. * 28 Focus areas (Box 3-1), 467 goals 5) “ Healthy People 2020”
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