Prevention Matters

Partnership for Prevention’s Chief Medical Officer, Dr. Jason Spangler, was interviewed by Luis Perez and Shantell Jamison on Chicago Public Media’s Vocalo Overdrive about STD prevention and sexual health. The key message of the interview was the importance of getting screened for STDs. Dr. Spangler also discussed providing a continuum of care, privacy issues, shifting away from fear-based health messages, and why the STD prevalence is so high. Overall, Dr. Spangler emphasized the need to make prevention a priority, discussing how only a small percentage of health care funding actually goes into prevention. You can listen to the entire broadcast here. For more information on STD awareness month visit the National Chlamydia Coalition or the GYT campaign.

Jacky Fontanella
Partnership for Prevention Intern

Dr. Jason Spangler, managing senior fellow at Partnership for Prevention, recently participated in a conference on "The Dollars and Sense of Prevention" that was sponsored by the Center for Studying Health System Change. He was joined by Dr. A. Mark Fendrick, Professor of Internal Medicine and Health Management and Policy at the University of Michigan and Dr. Steven H. Woolf, Professor of Family Medicine at Virginia Commonwealth University. A transcript of that conference - including Powerpoint presentations - is available online by clicking here.

Anyone familiar with Partnership for Prevention’s work and activities knows that “real health reform starts with prevention.” Implicit within this assertion is the conviction that the issue is health reform, not just health care reform. Partnership has always promoted this idea-it is the central premise of our Principles for Prevention-Centered Health Reform and all of our health reform recommendations.

Robert Wood Johnson Foundation’s Commission to Build a Healthier America further developed this theme with the release April 2 of its 10 recommendations for improving the nation’s health. By concentrating on evidence-based interventions and programs that are outside the health care system, the Commission emphasizes the need to have a broader view of health to generate a healthier nation.

Three aspects of the recommendations are particularly worth noting:

• The Commission addresses the main causes of poor health. Half of the recommendations deal directly with the three primary actual causes of death in the United States-smoking, poor diet, and physical inactivity;
• The Commission focuses on working as “upstream” as possible in the age continuum. Determinants of health and health behavior habits start early in life, therefore any policy or program implementation must begin with our children; and
• The Commission recognizes the role that non-health factors play in the health of the country. Policies related to transportation, housing, infrastructure, agriculture, and the environment all have a “health impact,” and developing healthy communities requires measuring that impact.

Finally, these recommendations are consistent with Partnership’s emphasis on the significance that community prevention plays in health reform, and we look forward to collaborating with the Commission and other partners to advance interventions that will have a greater impact on health than increased access to medical care, improved health insurance coverage, less medical errors, or health IT. As we say in our principles, “The nation will get a much greater return on investment by focusing on health improvements in communities, schools, and worksites rather than focusing solely on what occurs in traditional healthcare settings, such as doctors’ offices and hospitals.”

Read more on Partnership’s health reform efforts at www.prevent.org/healthreform. The Commission to Build a Healthier America’s recommendations can be found on its website at http://www.commissiononhealth.org/.

- Jason Spangler, MD, MPH

Aspirin not only relieves aches and pains, but it can also help prevent heart attacks and strokes. There is some confusion over exactly who should use aspirin to help their hearts and how they should use it. The U.S.Preventive Services Task Force has issued new recommendations to help doctors and consumers. Discussing these recommendations is Dr. Nieca Goldberg, associate professor of medicine at New York University and a member of Partnership for Prevention's Task Force for Appropriate Aspirin Use. Click on the media player directly below to listen to the podcast.