Health Education Affects Your Health & Care

Care systems can be set up based on the prevalence of disease and proven preventive measures. For instance, heart disease kills about 1 million/ year, and about 1.5 million hospitalizations occur as a result. We can build on existing programs that focus on guidelines and evidence-based data for the most prevalent conditions, and implement them in our clinics. The USPSTF is dedicated to this type of service. The USPSTF recently found evidence that early detection (with bone density tests), and treatment of osteoporosis in women without symptoms reduced the risk of fractures. Globally speaking, the recent World Cancer Report by WHO has found that cancer may rise by 50% by 2020. One third of these can be prevented. That is very significant! The following table lists (British Medical Journal, March 29, 2003) the costliest conditions to treat.

The 15 costliest treatments (and number of people with diagnosis) in 1997 Heart disease $58bn (17 million) Cancer $46bn (9 million) Trauma $44bn (37 million) Mental disorders $30bn (20 million) Diabetes $20bn (10 million) Hypertension $18bn (27 million) Cerebrovascular disease $16bn (2 million) Osteoarthritis $16bn, (16 million) Pneumonia $16bn (4 million) Back problems $13bn (13 million) Kidney disease $10bn (2 million) Endocrine disorders $10bn (18 million) Skin disorders $9bn (20 million) Infectious diseases $6bn (16 million)

Alongside the USPHS is the HHS which has in place the ACHI, Association for Community Health Improvement. This group focuses on communities
networking together for better health. It is in 42 states (D.C. and Canada), and is composed of people from different areas of medicine. This is a valuable resource to use in developing health system uniformity because it is almost nationwide, at the local community level, and very diversified. HHS has 300 programs that help in "protecting the health of all Americans and providing essential human services". The Medicare program is the largest health insurer in the nation. In April 2003 HHS had a national
summit, "Steps to a Healthier USA: Putting Prevention First" that addressed prevention and promotion of healthy lifestyles. Funds ($15 million) for “Healthy
Communities” will help communities do their part. The ODPHP works to promote disease prevention and healthy living. Their program, Healthy People 2010* is "the prevention agenda for the Nation". It outlines health objectives for the Nation.

Providing more health information is vital. TV is the most powerful, and most accessed way to get information. Almost everybody watches TV, has a TV, and talks about what is on TV (even if they say they don't watch TV you can be sure you will be asked, "Did you see on TV..."). In addition to public service announcements, more television programming on health issues can be added to the daily schedule on existing channels. Eventually Public Health TV will be available with daily medical news, and basic health information. After all, we have 24-7 dedicated channels for theology, sports, news, finance, cartoons, and music, to name a few, yet basic health programming is still in its infancy.

More basic health information should be available. Health TV channels now tend to focus on lifestyle changes (cooking, exercise, etc.), and reality shows focusing on emergencies, patient procedures, etc.. In the news media there is an occasional mention of the latest outbreak of the disease of the month, and maybe a mention of a profound medical study. This is good, but there is a need for more basic information programming that lets me know about this hypertension that I have, or the headache that won’t go away, or what doctor should I see for what I have. We need to know all the risks and complications as well as the different treatments for what we have so a more informed decision can be made. Like going on the Internet, or to a textbook, there will be a program that addresses a particular health concern. A daily health news show highlighting the latest medical developments is greatly needed. The Internet provides such information.
There are webcasts on the Internet that are becoming more accessible for professionals and the public. Some managed care providers have treatment guidelines for enrollees and doctors to view on their websites. The mantra for the 21rst century will be, "If
doctors don't educate themselves, patients will educate them".  Most people have a TV so what better place to start. In the future, computers will be in almost every home, too. With the Internet patients are able to access the same information as their doctor.

Providing educational materials that are easy to read and understand, i.e. at the lowest grade level possible, are essential, and key. This includes audio and visual learning - books, television, tapes, CDs, computer - as well as direct teaching. This is available
on the Internet with health sites just for kids like www.kidshealth.org and www.bam.gov . Health literacy systems can be of more use for distance learning technology via webcast teleconferences, and television programming. Learning in the home is effective and convenient.

Let your health home schooling begin!

*now Healthy People 2020