Focus Area 11: Health Communication: Objectives and Subobjectives

As a result of the Healthy People 2010 Midcourse Review, changes were made to the Healthy People 2010 objectives and subobjectives. These changes are specific to the following situations:

Changes in the wording of an objective to more accurately describe what is being measured.
Changes to reflect a different data source or new science.
Changes resulting from the establishment of a baseline and a target (that is, when a formerly developmental objective or subobjective became measurable).
Deletion of an objective or subobjective that lacked a data source.
Correction of errors and omissions in Healthy People 2010.

Revised baselines and targets for measurable objectives and subobjectives do not fall into any of the above categories and, thus, are not considered a midcourse review change.¹

When changes were made to an objective, three sections are displayed:

In the Original Objective section, the objective as published in Healthy People 2010 in 2000 is shown.
In the Objective With Revisions section, strikethrough indicates text deleted, and underlining is used to show new text.
In the Revised Objective section, the objective appears as revised as a result of the midcourse review.

Details of the objectives and subobjectives in this focus area, including any changes made at the midcourse, appear on the following pages.

¹See Technical Appendix for more information on baseline and target revisions.

NO CHANGE IN OBJECTIVE
11-1.	Increase the proportion of households with access to the Internet at home. Target: 80 percent. Baseline: 26 percent of households had access to the Internet at home in 1998. Target setting method: Better than the best. Data source: Computer and Internet Use Supplement to the Current Population Survey, U.S. Department of Commerce, Bureau of the Census.

NO CHANGE IN OBJECTIVE
11-2.	(Developmental) Improve the health literacy of persons with inadequate or marginal literacy skills. Potential data source: National Adult Literacy Survey, 2002, U.S. Department of Education.

NO CHANGE IN OBJECTIVE
11-3.	(Developmental) Increase the proportion of health communication activities that include research and evaluation. Potential data sources: Sponsored survey of Federal Register notices; Grantmakers in Health; National Health Council.

NO CHANGE IN OBJECTIVE
11-4.	(Developmental) Increase the proportion of health-related World Wide Web sites that disclose information that can be used to assess the quality of the site. Potential data sources: Health on the Net Foundation; Health Internet Ethics (Hi-Ethics); Internet Healthcare Coalition.

ORIGINAL OBJECTIVE
11-5.	(Developmental) Increase the number of Centers of Excellence that seek to advance the research and practice of health communication. Potential data sources: Health Communication Interest Group, American Public Health Association; Society for Social Marketing; Association of Schools of Public Health; Health Communication Divisions, International Communication Association and National Communication Association; NCI.
OBJECTIVE WITH REVISIONS
11-5.	~~(Developmental)~~ Increase the number of Centers of Excellence that seek to advance the research and practice of health communication. Target: 6 Centers of Excellence for Health Communication. Baseline: 4 Centers of Excellence for Health Communication existed in 2003. Target setting method: Expert opinion. ~~Potential d~~Data sources: ~~Health Communication Interest Group, American Public~~ ~~Health Association; Society for Social Marketing; Association of Schools of Public~~ ~~Health; Health Communication Divisions, International Communication Association~~ ~~and National Communication Association;~~ NIH, NCI.
REVISED OBJECTIVE
11-5.	Increase the number of Centers of Excellence that seek to advance the research and practice of health communication. Target: 6 Centers of Excellence for Health Communication. Baseline: 4 Centers of Excellence for Health Communication existed in 2003. Target setting method: Expert opinion. Data source: NIH, NCI.

ORIGINAL OBJECTIVE

11-6.

(Developmental) Increase the proportion of persons who report that their health care providers have satisfactory communication skills.

Potential data sources: National Committee for Quality Assurance; Behavioral Risk Factor Surveillance System (BRFSS), CDC, NCCDPHP; National Health Interview Survey (NHIS), CDC, NCHS; industry surveys (FIND/SVP, Nielsen, Jupiter Communications).

OBJECTIVE WITH REVISIONS

11-6.

~~(Developmental)~~ Increase the proportion of persons who report that their health care providers have satisfactory communication skills.

Target and baseline:

Objective	Increase in Patients Reporting That Doctors or Other Health Providers Always	2000 Baseline Percent	2010 Target Percent
11-6a.	Listen carefully to them	56	64
11-6b.	Explain things so they can understand	58	65
11-6c.	Show respect for what they have to say	58	65
11-6d.	Spend enough time with them	45	52

Target setting method: Better than the best.

~~Potential d~~Data sources: ~~National Committee for Quality Assurance; Behavioral~~ ~~Risk Factor Surveillance System (BRFSS), CDC, NCCDPHP; National Health~~ ~~Interview Survey (NHIS), CDC, NCHS; industry surveys (FIND/SVP, Nielsen, Jupiter~~ ~~Communications)~~ Medical Expenditure Survey (MEPS), AHRQ.

REVISED OBJECTIVE

11-6.

Increase the proportion of persons who report that their health care providers have satisfactory communication skills.

Target and baseline:

Objective	Increase in Patients Reporting That Doctors or Other Health Providers Always	2000 Baseline Percent	2010 Target Percent
11-6a.	Listen carefully to them	56	64
11-6b.	Explain things so they can understand	58	65
11-6c.	Show respect for what they have to say	58	65
11-6d.	Spend enough time with them	45	52

Target setting method: Better than the best.

Data source: Medical Expenditure Survey (MEPS), AHRQ.

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