The poor performance of the United States in
life expectancy and other major health outcomes, as compared with its global
peers reflects what the nation prioritizes in its health investments. It spends
extravagantly on clinical care but meagerly on other types of population-based
actions that influence health more profoundly than medical services. The health
system’s failure to develop and deliver effective preventive strategies
continues to take a growing toll on the economy and society.
In 2009, the IOM formed a committee to
consider three topics related to population health: data and measurement, law
and policy, and funding. In this final report, the IOM assesses both the
sources and adequacy of current government public health funding and identifies
approaches to building a sustainable and sufficient public health presence
going forward, while recognizing the importance of the other actors in the
health system, including clinical care, governmental public health, and others.
In order for health outcomes to improve in the U.S., we will need to transform
the way the nation invests in health to pay more attention to population-based
prevention efforts; remedy the dysfunctional manner in which public health
funding is allocated, structured and used; and ensure stable funding for public
health departments. Download here . . .