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Commentary |

A Population Health Framework for Setting National and State Health Goals

David A. Kindig, MD, PhD; Yukiko Asada, PhD; Bridget Booske, PhD
JAMA. 2008;299(17):2081-2083. doi:10.1001/jama.299.17.2081.
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With the appointment of the US Department of Health and Human Services Advisory Committee on National Health Promotion and Disease Prevention for 2020, the process for setting national health goals in 2009 for the coming decade is under way. The Healthy People 2010 goals and objectives have served as the framework for establishing outcomes for virtually every public health planning process in the United States from National Institutes of Health grants to federal health programs and to state and local health plans. Although an initial process produced a Draft Model with 4 guiding principles and a proposal for a smaller number of objectives for Healthy People 2020, a specific framework has not yet been decided and will be established after a series of public hearings.1

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Figure. A Schematic Framework for Population Health Planning
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The right side conceptualizes broad population health outcomes. The left side represents the determinants of population health outcomes. The quadrants in the outcomes component are arbitrarily sized equally, as are both the disparity domains within outcomes and the determinant categories. QOL indicates quality of life.

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