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Health System Transformation and Improvement Resources for Health Departments

This site offers information, resources, and training opportunities related to changes to the US health system, with an emphasis on how they affect state, tribal, local, and territorial health agencies.

The US health system—consisting of public health, health care, insurance, and other sectors—is undergoing a critical transformation in both financing and service delivery. These changes include improving the efficiency and effectiveness of health organizations and services, as well as increasing connections and collaborations among public health, health care, and other sectors.


Group of doctors

The Health of Americans is a special issue of The Lancet with contributions from leading health experts at the Centers for Disease Control and Prevention, the US Department of Health and Human Services, and the Organisation for Economic Cooperation and Development (OECD). It describes some of the major health challenges facing the United States, including chronic diseases, infectious diseases, and injuries and outlines how opportunities provided by the Patient Protection and Affordable Care Act could improve public health. The issue also compares health spending in the US (currently the highest in the world per capita) with that of other high-spending OECD countries.


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