Consortium Meeting and Public Hearing
"Building the Next Generation of Healthy People"
November 12 and 13, 1998
Capital Hilton, Washington, D.C.
|Moderator: Diane Justice, Office on
Note taker: Joan Lyon, ODPHP
Comments on Draft 2010 Document:
- Needs index by topic and category.
- Needs user friendly cross-reference for objectives.
- Difficult to find relevant objectives for grant writing,
- Key word search on web site may not be sufficient to find
all objectives for a specific sub-population.
- Objectives are robust regarding initial prevention, however
they do not adequately address prevention of complications once the disease exists ie.
Beta blocker therapy after heart attacks.
- Prevention efforts need to target the full spectrum of life,
be age-appropriate, and focused on the whole person not just the chronic disease.
- Continuity of care needs to be an overarching issue.
Comments on Specific Subject Areas:
- May need additional differentiation by age cohort, ie. 65
year-old people are very different than 85year-olds.
- Need an objective on pain management in the elderly.
- Include elderly in depression and smokeless tobacco
- We now have elderly boomers taking care of their very
elderly parents. Need to address support systems to help them - adult caregivers should
have systems as good as child caregivers.
- Have an objective on social engagement as this improves
health status. We need to keep older people active and productive to give them a purpose
for staying healthy.
- Need to focus on long-term care - we need creative
solutions/facilities that are not driven by cost.
- Address sensory deficits related to aging such as vision and
- Include an overview of the link between oral health and
cardiovascular disease, as well as respiratory disease.
- Need to address immigrant population as most emerging
infectious diseases enter the country via this vector.
- All pain should be addressed.
End-of-life issues - need to
develop objectives on:
- Physical suffering.
- Patient autonomy