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Recommendations for the Framework and Format of Healthy People 2020

Glossary for Phase I Report

Biology & Genetics

  1. The role of inheritance in determining lifespan, healthiness and the likelihood of developing certain illnesses. (Source: WHO, the Determinants of Health 2008.External Links Disclaimer icon)

Determinants of Health

  1. The range of personal, social, economic and environmental factors that determine the health status of individuals or populations. (Source: WHO, 1998. Health Promotion Glossary [PDF File - 568 KB]) External Links Disclaimer icon)
  2. Direct causes and risk factors which, based on scientific evidence or theory, are thought to influence directly the level of a specific health problem. These may be defined as the "upstream" factors that affect the health status of populations and individuals.
    (Source: National Public Health Performance Standards Program, CDC, 2007. Acronyms, Glossary, and Reference Terms [PDF File - 1.3 MB])
  3. Individual biology and behavior, physical and social environments, policies and interventions, and access to quality health care—have a profound effect on the health of individuals, communities and the Nation. (Source: Healthy People 2010)

Developmental Stages

  1. Categories that can be used to look at the life course in relation to outcomes. Developmental stages may span different ages, depending on the outcomes of interest.

Disease Prevention

  1. An approach that covers measures not only to prevent the occurrence of disease, such as risk factor reduction, but also to arrest its progress and reduce its consequences once established.

Digital Divide

  1. The gap between individuals, households, businesses and geographic areas at different socio-economic levels with regard to both their opportunities to access information and communication technologies and to their use of the Internet for a wide variety of activities. The digital divide reflects various differences among and within countries. (The World Bank, International Finance Corporation)

Goal

  1. A statement, usually general and abstract, of a desired state toward which a program is directed. (Source: Rossi and Freeman, 1993. Evaluation: A Systematic Approach.)
  2. Broad, long-term aims that define a desired result associated with identified strategic issues. (Source: CDC, Acronyms, Glossary, and Reference Terms [PDF File - 1.3 MB])

Health

  1. A state of complete physical, social and mental well-being, and not merely the absence of disease or infirmity. (Source: World Health Organization External Links Disclaimer icon)
  2. Health is a condition of well being free of disease or infirmity and a basic and universal human right. (BMJ 1997;314:1409 10 May External Links Disclaimer icon)

Health Behavior

  1. Any activity undertaken by an individual, regardless of actual or perceived health status, for the purpose of promoting, protecting or maintaining health, whether or not such behavior is objectively effective towards that end. (Source: WHO, 1998. Health Promotion Glossary [PDF File - 569 KB]). External Links Disclaimer icon)

Health Disparity

  1. A particular type of health difference that is closely linked with social or economic disadvantage. Health disparities adversely affect groups of people who have systematically experienced greater social or economic obstacles to health based on their racial or ethnic group, religion, socioeconomic status, gender, mental health, cognitive, sensory, or physical disability, sexual orientation, geographic location, or other characteristics historically linked to discrimination or exclusion.

Health Equity

  1. A desirable goal/standard that entails special efforts to improve the health of those who have experienced social or economic disadvantage. It requires:
    • continuous efforts focused on elimination of health disparities, including disparities in health care and in the living and working conditions that influence health, and
    • continuous efforts to maintain a desired state of equity after particular health disparities are eliminated. (Source: Subcommittee on Health Equity/Health Disparities)

Health Goal

  1. Summarizes the health outcomes that, in the light of existing knowledge and resources, a country or community might hope to achieve in a defined time period. (Source: WHO, 1998. Health Promotion Glossary [PDF File - 569 KB]) External Links Disclaimer icon)
  2. A general statement of intent and aspiration, intended to reflect the values of the community in general, and the health sector in particular, regarding a healthy society. (Source: WHO, 1998. Health Promotion Glossary [PDF File - 569 KB]) External Links Disclaimer icon)

Health Interventions

  1. Include health promotion, disease prevention, and primary health care. (Source: WHO, 1998. Health Promotion Glossary [PDF File - 569 KB]) External Links Disclaimer icon)

Health Outcome

  1. Any medically or epidemiologically defined characteristic of patients or a health problem in a population that results from health promotion or care provided or required as measured at one point in time. (Source: Green and Kreuter, 1991. Health Promotion Planning: An Educational and Environmental Approach.)
  2. A change in the health status of an individual, group or population which is attributable to a planned intervention or series of interventions, regardless of whether such an intervention was intended to change health status. (Source: WHO, 1998. Health Promotion Glossary [PDF File - 569 KB]) External Links Disclaimer icon)

Health Policy

  1. A formal statement or procedure within institutions (notably government) which defines priorities and the parameters for action in response to health needs available resources and other political pressures. (Source: WHO, 1998. Health Promotion Glossary [PDF File - 569 KB]) External Links Disclaimer icon)

Health Promotion

  1. A process of enabling people to increase control over their health and its determinants, and thereby improve their health. (Source: WHO, Regional Office for Southeast AsiaExternal Links Disclaimer icon)

Health Services

  1. Access and use of quality and affordable services that prevent, treat and track states of health. (Source: WHO, 2008.External Links Disclaimer icon)

Healthy People 2020 Framework

  1. The vision statement, mission statement; overarching goals, recommendations for organizing objectives, and graphic model to depict key concepts and processes in Healthy People 2020.

Intervention

  1. The act or fact or a method of affecting the outcome or course, especially of a condition or process (as to prevent harm or improve functioning). MERRIAM-WEBSTER ONLINEExternal Links Disclaimer icon
  2. The part of a strategy, incorporating method and technique that actually reaches a person or population. (Source: Green and Kreuter, 1991. Health Promotion Planning: An Educational and Environmental Approach.)
  3. A program or other planned effort designed to produce changes in a target population. (Source: Rossi and Freeman, 1993. Evaluation: A Systematic Approach.)

Life Stages

  1. Categories that can be used to divide the life course into discrete blocks (e.g., infancy, childhood, etc.) to facilitate monitoring.

Mission Statement

  1. A description of the unique purpose of an organization. The mission statement serves as a guide for activities and outcomes and inspires the organization to make decisions that will facilitate the achievement of goals. (Source: National Public Health Performance Standards Program, CDC, 2007. Acronyms, Glossary, and Reference Terms [PDF File - 1.3 MB])

Model

  1. A description or analogy used to help visualize something that cannot be directly observed. (MERRIAM-WEBSTER ONLINEExternal Links Disclaimer icon)
  2. Models can perform two fundamentally different representational functions. On the one hand, a model can be a representation of a selected part of the world (the 'target system'). On the other hand, a model can represent a theory in the sense that it interprets the laws and axioms of that theory. These two notions are not mutually exclusive. (Stanford Encyclopedia of PhilosophyExternal Links Disclaimer icon)

Objective

  1. A defined result of specific activity to be achieved in a finite period of time by a specified person or number of people. Objectives state who will experience what change or benefit by how much and by when. (Source: Green and Kreuter, 1991. Health Promotion Planning: An Educational and Environmental Approach)
  2. Specific, operationalized statements detailing the desired accomplishments of a program. (Source: Rossi and Freeman, 1993. Evaluation: A Systematic Approach.)
  3. Results of specific activities or outcomes to be achieved over a stated time. Objectives are specific, measurable, and realistic statements of intention. Objectives state who will experience what change or benefit and how much change is to be experienced in what time. (Source: National Public Health Performance Standards Program, CDC, 2007. Acronyms, Glossary, and Reference Terms [PDF File - 1.3 MB])

Physical Environment

  1. The structure and function of the environment and how it impacts health (Source: WHO, the Determinants of Health 2008.External Links Disclaimer icon)

Policy

  1. A definite course or method of action selected from alternatives and in light of given conditions to guide and determine present and future decisions;a high-level overall plan embracing the general goals and acceptable procedures especially of a governmental body. (MERRIAM-WEBSTER ONLINEExternal Links Disclaimer icon)
  2. The set of objectives and rules guiding the activities of an organization or an administration, and providing authority for allocation of resources. (Source: Green and Kreuter, 1991. Health Promotion Planning: An Educational and Environmental Approach)

Policy Development:

  1. The means by which problem identification, technical knowledge of possible solutions and societal values converge to set a course of action (Institute of Medicine. The Future of Public Health. Washington, DC: The National Academy Press; 1988).
  2. Policy development is a process that enables informed decisions to be made concerning issues related to the public's health. (Source: National Public Health Performance Standards Program, CDC, 2007. Acronyms, Glossary, and Reference Terms [PDF File - 1.3 MB])

Prevalence

  1. A measure of the extent of a disease or health problem in a population based on the number of cases (old and new) existing in the population at a given time. (Source: Green and Kreuter, 1991. Health Promotion Planning: An Educational and Environmental Approach)

Priority

  1. A thing that is regarded as more important than others. (Source: Oxford English DictionaryExternal Links Disclaimer icon)
  2. Alternatives ranked according to feasibility or value (importance) or both. (Source: Green and Kreuter, 1991. Health Promotion Planning: An Educational and Environmental Approach.)

Program

  1. A plan or system under which action may be taken toward a goal (MERRIAM-WEBSTER ONLINEExternal Links Disclaimer icon)
  2. A set of planned activities over time designed to achieve specific objectives (Source: Green and Kreuter, 1991. Health Promotion Planning: An Educational and Environmental Approach)

Social Environment

  1. The aggregate of social and cultural institutions, patterns, beliefs and processes that influence the life of an individual or community. (Source: WHO, the Determinants of Health 2008.External Links Disclaimer icon)

Vision Statement

  1. A compelling and inspiring image of a desired and possible future that a community seeks to achieve. (Bezold C. On Futures Thinking for Health and Health Care: Trends, Scenarios, Visions, and Strategies. Alexandria, VA: Institute for Alternative Futures; 1991).
  2. A vision expresses goals that are worth striving for and appeals to ideals and values that are shared throughout the local public health system. (Source: National Public Health Performance Standards Program, CDC, 2007. Acronyms, Glossary, and Reference Terms

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Continue to Appendix 1. Members of the Secretary's Advisory Committee on Health Promotion and Disease Prevention Objectives for 2020
Back to Section VI. Next Steps for Phase II of Developing Healthy People 2020
Return to Phase I Report Table of Contents

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Last revised: December 11, 2008