|2009 Chronic Disease Conference
Centers for Disease Control and Prevention
National Center for Chronic Disease Prevention and Health Promotion
4770 Buford Hwy, NE
Atlanta, GA 30341-3717
Debate and Dialogue Sessions
The National Conference on Chronic Disease Prevention and
Control has proposed a set of Key Challenges and Opportunities for
Action to accelerate progress in preventing disease and promoting
health. We now invite your feedback on these proposed Key Challenges
and Opportunities for Action. Please visit
comment. The conference organizers will consider all input and rankings they
receive by May 31 before issuing a final set of Key Challenges
and Opportunities for Action as an official product of the 20th
Key Challenges and Opportunities for Action
Topic 1 — What Can We Do About the Effects of Food Advertising
on Childhood Obesity?
- The federal government should continue to monitor and point to
excess or "unfair" practices of the food industry. In addition,
self-regulation of food advertising needs to be given a chance to
succeed, underscoring the need for continued monitoring.
- Food companies that are doing the right thing need to be positively
reinforced, although it is unclear how this should be done.
- There is a need for uniform nutritional standards for food
advertised to children, in place of the multiple standards that now
exist. The food industry is not likely to develop such standards,
opening a potential role for the federal government.
- The increasing use of new media (such as Web and mobile technology)
poses a challenge for monitoring and regulation of food advertising, and
the food industry already is taking steps to self-regulate.
- The entertainment industry, which has enormous influence but does
not necessarily view itself as either a marketer or a harmful force,
needs to be engaged.
Topic 2 — Health Reform: Act Now and Make a Difference
- The debate must be reframed from "health care reform" to "health
reform," capitalizing on the current political and economic environment
to advance support for disease prevention and health promotion.
- Health and prevention should be included in all policies at the
local, state, and federal levels.
- Public health should develop and engage leadership at every level
and from every sector —government, civic, and private—to develop
cross-cutting solutions for reforming health policy.
- With 9,000 CPT codes for medical services and procedures, but few
codes for health improvement and wellness, we need to shift the balance
by developing financial incentives for prevention.
- The prevention community must market its work and frame its messages
around value, not cost, to gain the broadest possible political support.
Topic 3 — Health Care Delivery in the 21st Century: Is the Medical
Home Model Ready for Primetime?
- The public health community should serve as an active convener for
the many organizations necessary for building the medical home system,
including providers, payers, and community-based organizations.
- Because primary care providers typically do not have sufficient
expertise in behavior modification nor time for counseling, the public
health community needs to secure funding and expand its capacity to
provide this support to medical home providers.
- The public health community must provide current and relevant
training, education, and information to primary care providers and
- As the business case and the delivery and payment systems for the
medical home model are being scaled up, public health must demonstrate
the value it adds or risk being left behind with more unfunded mandates.
- Public health should work with primary care providers to developed
shared infrastructure solutions for the medical home model, such as
health information technology to improve communication among coordinated
care teams and community groups.
Topic 4 — Addressing the Social Determinants of Health and Achieving
- Public health should "quality-proof" its policies by examining how
policies affect particular social groups such as racial/ethnic
minorities, and focus on populations disproportionately affected by
leading health concerns.
- Data collected on racial/ethnic groups must be sufficiently robust
to allow for differentiation among racial/ethnic subgroups to inform
public health practice in a more culturally appropriate way.
- Health impact assessments should be conducted as part of community
needs assessments to document health status and risks—for example, the
relationship between incarceration rates among African American men and
the overall health status of the African American community.
- Communities must be engaged—actively, respectfully, and
personally—in the process of establishing public health priorities.
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Page last reviewed: April 29, 2009
Page last modified: April 29, 2009
Content source: National Center for
Chronic Disease Prevention and Health Promotion