U.S. Health in International Perspective Shorter Lives, Poorer Health (2013) / Chapter Skim
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Introduction
Introduction
Pages 11-20
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From page 11... ...
health disadvantage1: the United States is losing ground in the control of diseases, injuries, and other sources of morbidity. 1 The term "health disadvantage," which is used in the statement of task given to the panel and throughout this report, is defined here as a condition of relative inferiority, reflecting the unfavorable health outcomes in the United States compared with those in other high-income countries.
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study found that the United States began losing ground relative to other high-income countries around 1980, falling from the middle of the group in 1980 to near the bottom by 2007. Between 1980 and 2007, life expectancy at age 50 increased by only 2.5 years in the United States compared with 6.4 years in Japan, 5.2 years in Italy, and an average of 3.9 years in nine high-income countries other than the United States (National Research Council, 2011)
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Many Americans understand that health care in the United States needs improvement (Pew Research Center, 2009) , and indeed, national reform proposals often target specific weaknesses in the U.S.
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Life-styles and behaviors, social and economic circumstances, environmental influences, and public policies can also play key roles in shaping individual and community health. And a number of these factors may be critical to understanding why some highincome countries experience significantly better health outcomes than the United States.
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From page 15... ...
The panel produced this report over a period of 18 months and met in person four times between January 2011 and June 2012. Three of these meetings included public sessions during which the panel heard from the study sponsors as well as other leading experts and researchers from both the United States and overseas.
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From page 16... ...
, and the Robert Wood Johnson Foundation's Commission to Build a Healthier America in the United States (Braveman and Egerter, 2008)
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. In the United States, health status differs markedly for poor people, for people with low educational attainment, and for some minority populations, such as blacks and Native Americans (Agency for Healthcare Research and Quality, 2011; Bleich et al., 2012; Braveman et al., 2011b; Satcher et al., 2005; Woolf et al., 2004)
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. It is also important to note that, unlike the National Research Council (2011)
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Part III The panel's conclusions and recommendations are in Part III of this report, which sets out priorities for research and action: • Chapter 9: Research Agenda • Chapter 10: Next Steps Given the ambitious charge to the panel, the significance of the findings to emerge from Part I, and the breadth of the explanatory framework laid out in Part II, we see this report as laying the foundation for a challenging research agenda but also for immediate next steps the nation can take while awaiting the results of future studies.
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