What does it look like for individuals - Iowa



Nutrition and Physical Activity to Prevent Obesity Symposium Results

Health Care

What does it look like for individuals? What are they experiencing? (Vision) (asterisks indicate duplicate entries)

Symposium Priorities

• Prevention prevails-healthier people

• Recreated physical environment to support lowering obesity

INDIVIDUAL/GROUP IDEAS

Attitudes/Perceptions/Observations

➢ Group Compilations

• Family healthy lifestyle programs

• Better sleeping habits

➢ Individual Compilations

• Patients are part of their health care and welcome medical information

• Many more opportunities (or more energy to participate in more opportunities) because of improved lifestyle

• Introduced to many new people, see that each one has something to offer to an organization, community, work force

• Is this Heaven, No it’s Iowa

• More fun; parks, swimming pools

• Better quality of life

• Zest for life- because physically active and mentally alert

• Awareness of the need for healthy choices regarding diet and activity and the benefits of changing “life long habits”

• Influencing the children and young adults in healthy choices for health in the future

• Everyone incorporates activity into their daily lives

• TV and video games are not cool*

• Work-life balance exists for everyone, vacations mandatory

• Better health-better outcomes

• Moving back to Iowa because of the “health” status

• Ill care is the loss leader to prevention

• Decreased chronic disease

• Knowledge through society on how to be healthy

• Exercise is a way of life

• Families like to eat and spend time doing activities together

• Bad behavior and peer pressure, like smoking, taking elevator one level, are frowned up

• “big” = bad

• Environment where prevention is king

• Recreated community for physical environment and support of health

• I see far fewer obese toddlers, children, and adolescents in my pediatric endocrine practice

o If I do see them there is a system of therapists, educators, and community resources to refer them to

• Type 2 DM is patients less then 16 yrs old is back to “case report status”

• Iowa State Fair = no more horrid food choices

• Healthy eating is something that is a normal daily occurrence. Individuals and families all have access to knowledge and are able to live healthier lives by knowing what choices to make, having those choices available to them, or knowing where to look if they have questions

• Decreased obesity

Education/Children

➢ Group Compilations

• Educate children about physical activity/healthier nutrition choices in the school setting

• Individual education on nutrition, physical activity evidenced by good lab results, zest for life, increased lifespan due to healthy lifestyles

• Graduate high school with “life fitness plan”

• Kids choose to be physically active and enjoy healthy foods

➢ Individual Compilations

• Camp for diabetic children

• Education programs from birth to elderly

• Children graduate from HS with lifetime fitness plan**

• More physical activity for children

• Schools will incorporate more leisure sport activities in curriculum

• Primary care physicians are educated about nutrition and activity

• Innovative approaches used to work with parents of young children

• Innovative/evidence based approach to primary care with parents of young children

• No pop in schools

• Children are better educated

• Children will have physical activity every day at school and it will become part of their daily routine, they will then carry this on beyond school and into adulthood

• Physical education offered everyday in schools

• Children receive health (nutrition and activity) education in schools, both hands on food and activity

• All children get at least 1 hour of physical activity each day

• Al Jr and Sr high students can play after school sports

• Psych, dieticians, medical services are available in school

• Schools with increased healthy foods on school menus without pop available at school or allowed for school lunches

• Decreased time of kids watching TV, video games, etc due to variety of fun activities for their age group and social group

• Decreased number of children with type 2 diabetes

• No pop or candy vending machines in schools

Physical Activity/Fitness

➢ Group Compilations

• Physical activities at work

➢ Individual Compilations

• Work environment with treadmill, walking park, etc for lunch hour, break times with activities, (decreased stress)

• Reduced fatigue, discomfort, pain in workers at work

• More energy at home, family, friends, service in the community

• Kids playing outside

• Communities linked by bike/walking trails

• All children are healthy and fit

• All adults are physically active in various activities

• Access and support for public transportation, bike lanes, walking trails

• Less fatigue from sedentary jobs, stress, and injury

• Access to a variety of fitness venues

• Physical activity will be part of daily life

• Walking/biking are more fun than always taking/driving the car

• Able to walk – sidewalks, bike paths, stairwells

• Increased numbers participating in exercise

Media

➢ Group Compilations

• Decreased TV watching

➢ Individual Compilations

• Hearing the same messages: media, radio, TV, hospitals, health community

• Consistent message regarding nutrition, i.e.-fad diets are recognized as fads

• Regular message of healthy foods on TV

Nutrition/Foods

➢ Group Compilations

• Education on food preparation and purchasing foods

• Better educated public about nutrition

➢ Individual Compilations

• Access to produce by way of helping farmers to be able to grow produce quickly

• Lunch rooms with fresh fruits and vegetables, healthy snacks, milk, juice

• Smaller portion size and food services with healthy choices – ball games, children act excited with healthy choices

• Kids enjoy taste of food – social interaction

• Vending machines offer fruits/vegetables

• No cost/location disparities in nutritious foods vs snack foods – i.e.-fresh, whole foods found in al grocery stores

• Kids enjoy foods (healthy)

• Vending machines to offer 3X amount of veggies*

• Knows the food pyramid

• Knows portion sizes

• Restaurants serve variety of fresh fruits and veggies

• Restaurants serves correct portions

• People will make healthy choices about eating without even giving it a second thought

• Portion sizes are decreased at all restaurants

• Family meal times

• Many convenient healthy foods at low cost

• Portion sizes have deflated

• Use food and knowledge gained through programs to provide healthy, nutrient dense meals for themselves and families

• Make healthy decisions when purchasing foods at the grocery stores and farmers Market (realize that healthy foods are not necessarily more expensive)

• Able to eat healthy- menus with info about appropriate proportions

• Fast food is healthy and cheap food

• Good nutrition and healthy activity and lifestyles are just a basic for everyday life

• Healthy food is always convenient and cheap

Community

➢ Group Compilations

• Increase physical activity, through easily accessible work out arenas, biking/walking trials, etc

• Environment change – sidewalks, music in clean stairwells, zoning changes

• Re-create communities, neighborhoods vs urban spread

• De-centralization of services

• Education programs from birth to elderly

• Built environment conducive to physical activity

• Farmers growing produce that is easily accessible and profitable

• Less fatigue and ergonomic injuries from sedentary jobs

➢ Individual Compilations

• Many bike paths

• Bike trail around the community; rivers, golf courses

• Community that is environmentally safe and active

• Support at worksite

o Built environment (stairs, paths, etc)

o Upper management/supervisor support for flexible work arrangement, participation in wellness programs, encouragement of healthy behaviors and educate leaders

• Built environment conducive to safe and fun physical activity – cul de sacs

• Extensive walking paths and bike trails have been incorporated in major travel areas as well as suburbs

• People will not need to seek out a place to exercise. They will be able to step out their door and be within walking distance of a trail or other public wellness facilities that is free or of low cost

• Children can run and play in safe areas without worrying of them being harmed

• Programs and activities are available at times/places that the individual can access – lat evening, weekends, etc

• Programs/activities/services are brought to the individual – at school, work

• Living in own home or choice of community living with community resources to support, safe, wellness initiatives, active in community groups

• Large amount of exercise and family programs are promoted and created to choose from to keep a healthier lifestyle

State/Health

➢ Group Compilations

• Insurance rates tied to lifestyle choices

• Economic stability due to health workforce

• Annual physicals fro everyone, covered by insurance

• Insurance covers preventative health measures

• Prevention strategies (and collaboration with insurance companies) for health care coverage

• All health care providers and community health centers discuss with regards client – nutrition, physical activity

• Emphasis on preventative rather than curative medicine

• Companies penalized for letting employees work more than 40 hours/week

• More evidence based medicine in PCP setting – MDs working with parents

• No tax for health promotion (fitness centers, fruit, etc)

• Access to funded preventative health care

➢ Individual Compilations

• Access to money for preventative health care (going to the Dr for check ups on how you’re doing with your exercise program)

• Access to funded preventive health care

• Health insurance for everyone

• Wellness exams routine, well baby exams, yearly exams for all

• Screening labs, x-rays, etc all covered by insurance companies

• Reduced injuries, MSD’s, CTD’s

• No obesity, reduction in deaths secondary to heart disease, cancer, diabetes, respiratory illnesses

• To be a healthy/preventive system- not sick care

• No taxes on health prevention

• Insurance to pay for/support proactive health care

• Medical communities engaged

• Key blood results are within normal level

• Lifespan extension

• No tax for health promotion (fitness centers and activities)*

• Evidence-based median in PCP setting. MDs work with parents – support by insurance providers and reimbursement for care

• Medical community engaged with community

• Physicians are engaged with community to address issues

• Insurance pays for innovative approaches

• Effective and evidence based approaches are being used

• Preventative care is practiced routinely

• Incentives- worksite and insurance

• Lower premiums for healthy behaviors

• Type 2 diabetes doesn’t exist in children

• Number of disabled persons due to obesity if decreased

• Prevention is paid for by insurance in much the same was a medicine

• Personal responsibility is factored into health insurance premiums and reimbursed levels

• Health (as opposed to illness) is discussed at every physician/patient interaction

• Companies are penalized for allowing people to work more than 40 hours/week

• Wellness exams decrease insurance premiums

• Nursing facilities have physical fitness programs

• Healthy direct care workforce

• Non-obese residents – less strain in DCW

• Reduced work-related injuries

• Increased insurance rates

• Self-care programs-including nutrition and exercise components –for all health care workers

• Preventative health exams for all ages-covered by insurance

• Family focused activities of health

• Workplace support of health breaks vs smoke breaks

• Incentives such as decreased health insurance premiums for better health

• Insurance companies (and at work) pay people to use prevention and to be healthy (incentives)

• Patients with less medications, less chronic disease at an earlier age, recognize wellness

• Economically more stable as a result of their healthier lifestyle

• More efficient workplace as a result of improved sleep patterns and healthier styles

• Everyone has access and utilizes healthcare appropriately

• Stronger family units exist, decreasing cost of insurance claims and premiums due to improved health

• Healthy insurance covers more “preventive procedures”, mammograms, etc.

What partnerships and collaborations (that don’t exist today) took place to get there? (Action Steps)

Symposium Priorities

• Insurance reimbursement for preventive medicine for all not only high risk

• Law and public policy supports preventive rather than curative

INDIVIDUAL/GROUP IDEAS

Education/Children

➢ Group Compilations

• Re-education of the public, government, health care providers, etc about health care [10]

• School funding

• Curriculum change

➢ Individual Compilations

• Create public policy

• Educate begins at birth towards healthy living

• School districts receiving more funding for PE classes

• Education choices-exercise, diet, spirituality

• PE classes teach children that exercise is fun and less competition

• Re-education on health

• School-based program to coordinate “individualized education plan” for the child challenged with obesity

• Families and children have daily activity built into their lives with YMCA/YWCA memberships, local bike and hiking trails activity “camps”

• Parents educated on how to prepare healthy meals that are easy and fast

• Schools and churches and community centers become areas for PA

• Talked to PTA meeting, parents, school boards

• Day cares have incentives for day care providers to attend classes regarding nutrition, health, and exercise

• Newsletters with educationals articles regarding health, weight, exercise with school

Nutrition/Foods

➢ Group Compilations

➢ Individual Compilations

• Public demands on fast food services

• Nutrition specialists work with physicians

• Grocery stores have worked with public health personnel or community personnel to offer low cost recipes and ways to prepare healthy food options

• It’s easy for family to go to places where they buy food and have easy choices

• Families make meals together with foods they have obtained from local coops and farmer’s markets

• Dieticians are part of the health care team

Community/State/Health

➢ Group Compilations

• Create educational materials for all health care professionals

• Changes in physical environment – zoning laws, sidewalks, etc [8]

• Create environment for physical activity as a normal way of life [2]

• Partnerships medical, private/public

• Law/public policy changes to promote preventative rather than curative medicine (especially regarding insurance) [22]

• To provide local providers (physicians, practitioners) the tools necessary to help others make healthy lifestyle changes [3]

• Policy formation and collaboration between work place and employers to create optimal environment for increased health

• Collaboration between payers and providers

• Everyone shares the same idea state-wide – including CDC, IDPH, community members, local and state public health (not just at the local “community” level) [1]

• More dialogue between health providers and health funders

• 3rd party insurance reimbursement for preventative health (for high and low-risk people) [19]

• Community and Policymakers- decrease or eliminate sales tax for healthy behaviors and show value placement on prevention [1]

➢ Individual Compilations

• Insurance companies offered wellness screening and decreased premiums if healthy, and increased if not healthy choices

• Wellness programs at worksites, incentive to participate, smoking cessation, increased activity and nutrition classes

• Genuine partnership with hospital, clinic, home care, and executives

• Community partners such as extension, Vet, police, fire, emergency, local physicians to buy into plan

• CEO’s, leaders promoting health promotion

• Insurance coverage/tax reduction for preventative health care – PT, dietician

• Flexible work arrangement and decreased hours worked per week*

• Public policy to ensure accurate funding for minorities for health promotion and protection

• State sales tax decrease or elimination for healthy behavior

• Public health and Medicaid community to talk

• Business involvement in communities, faith-based, on planning committee

• 3rd party insurance reimbursement for healthy behaviors (whether at risk or not)

• All workplaces instituted wellness programs

• Fitness centers partnered with employers to gather ideas for motivating workplace activities

• Impacted public policy to create incentives to be healthy

• Statewide incentives to be healthy

• Statewide programs and messages used through any area affecting health/food/activity (schools, hospitals, insurance, grocers, etc)

• County organizations that have always done programs on their own now work in partnerships to promote and implement the same message

• Build community network within community

• Transportation system

• We create environments that allow physically active live to be fun and a way of life for everyone

• Insurance reimbursement

• Policy change for preventive not curative

• Collaboration of pharmaceutical companies with medical field and media to promote healthy lifestyle rather than treating disease

• Bankers, financial groups, travel groups helping to push what they would do with money saved from healthy long term outcomes

• Promotion of industry – time breaks for health

• Local agencies/groups interface o share the most up to date information and best resources

• Referral resources are available and easily accessible

• Teams are available to tackle issues

• Community incentive to built into

• Combined efforts of healthcare teams in the community, partnering with the media at a no or reduced cost

• Public health, YMCA, community schools all involved to promote and “plug kids and families” into this idea

• Individual communities putting volunteer time and community money to improve parks, trails, and community wide efforts to promote all available programs, parks, and resources for kids and families to participate in

• Ads on TV/radio

• Free or low cost memberships to the “Y” of to gyms, etc

Key Partnerships

➢ Group Compilations

• Invite key stakeholders to community planning – i.e. engineers, business leaders, educators, medical providers, faith-based, etc [2]

• Create a system of key stakeholders that work together to create a unified plan and message [5]

• Legislators and community leaders with input from the health and agriculture communities

➢ Individual Compilations

• Insurance companies*

• Insurance industry/government/healthcare

• Corporations/businesses/healthcare*

• Partnerships with dieticians and exercise specialists

• Nursing facilities, nurses, DCW’s, residents, resident’s families, home care agencies

• Doctors/clinics

• Hospitals

• Camps

• Grocery marketing partner with health care

• City, community agencies, health care agencies working together to promote wellness

• Public health and medical community, health insurance, college of medicine, residency program

• Create a system of key shareholders that work together to create a unified plan & message

• Make dialogue between health providers and health funders

• Legislators and community leaders with input from the health and agriculture communities

• Apply knowledge to gain, we create environments/ impacted public policy

• Business partners, faith-based

• Everyone work together – public health, Medicare, community, schools, business, faith-based, city planners and community level

• Less data- more information

• Engage county/city planners

• Engage business to support activities for healthy/fit kids

• Provide avenue for persons to attain goals

• Nation-wide program called “leading by example” recently

• Key stakeholders – city planning, business, educators, fait at community level

• We provide environments that provide education consistently to all people to enable them to get routine physical activity and healthy foods

• Support personnel

• Jobs

• Intergenerational connection

• Wellness/healthcare integrate system

What barriers are keeping this vision from becoming a reality?(Barriers)

Symposium Priorities

• Financial – funding preventive medicine

• Translating research to practice

• Beliefs and cultural practices

• Lack of good data about what works

INDIVIDUAL/GROUP IDEAS

Attitudes/Perceptions

➢ Group Compilations

• Cultural and societal

• Turf issues

• Lack of self-responsibility for own health

• Expectations

• Time commitment

• Lack of incentives and motivation

• Time, lack of focus, long-term commitment and sustainability

• Holding onto the past and changing the paradigm

• Belief system changes (prevention vs. after-care)

• Belief in QUICK FIXES

➢ Individual Compilations

• Turf issues (across agencies/intra agencies)*

• “Top dog” issues

• Taking charge of your own wellness and preventive care

• Lack of responsibility for own health

• Belief systems/culture

• Motivation**

• Expectations*

• Disbelief

• Perceptions between organizations

• Competition

• Beliefs***

• Collaboration

• Participation on both ends- health care and participants

• Status quo-inertia to behavior change

• Cultural***

• Societal

• Political issues

• Iowans

• Lack of value of wellness*

• Lack of value of prevention

• “sick care” instead of health/preventive care**

• Lack of interest in participating (by-in) by health professionals and individuals*

• Personal/group pride – not working together

• Only go when sick

Education/Knowledge

➢ Group Compilations

• How to translate the research that we already have into practice

• Lack of evidence-based medical guidelines for treatment and management of obesity – need multi-faceted approach

➢ Individual Compilations

• Applied public health research

• Lack of education

• Lack of knowledge*

• Lack of evidence-based*

• Lack of science/evidence for obesity research*

• Lack of concrete evidence

• Obesity is multi-faceted

• Children’s behavioral evidence

• Translate research into practice

• Lack of evidence based research- especially children

• Educate for prevention

Media

➢ Group Compilations

• Lack of a clear message

• Behavioral patterns reinforced by the media

➢ Individual Compilations

• Media supportive of negative behavior

• No clear message (from health community/media/research results)**

• Media distraction/advertisement

• Media – negative, lack of accuracy and promotion of health care

Community/Business/Funding

➢ Group Compilations

• Funding sources

• Lack of community involvement

• Poor funding

• Political issues

• Boundaries between organizations (IDPH, local and state agencies, physicians offices, etc)

• Getting buy-in from providers and participants

• Common real-time database

• Inadequate funding

• Financial

• Physical environment

➢ Individual Compilations

• Time****

• Money*******

• Incentives**

• Resources

• $$ paying for the outcome of poor behavior

• environment and lack of sidewalks

• Physical environment

• Breakdown barriers between organizations

• Change in quick fix policy

• Funding***

• 3rd party and insurance reimbursement don’t put emphasis and value on prevention

• Bureaucracy – policy

• Insurance

• Tax simple sugars and high-fat

• Boundaries between organizations instead of collaboration

• Financial change for insurance companies

• Policy change

• Workforce with limited productive time and resources to offer wellness and good food choices

• Lack of community involvement

Health

➢ Group Compilations

• Little value placed on prevention – insurance, taxes

• Cultural: healthcare is only important when you are sick

➢ Individual Compilations

• High cost of health care insurance

• Preventative health care is poorly funded

• Poor funding for any preventative health care attempts

What partnerships and collaborates need to take place to address these barriers? (Solutions)

Symposium Priorities

• Simple science-based messages

• Legislative changes to pay for prevention

• Evidence-based strategies

INDIVIDUAL/GROUP IDEAS

Education

➢ Group Compilations

• Education system

• Consistent educational materials for all

• Universities- research piece [2]

➢ Individual Compilations

• Educational system

• School partnerships – nutritionists, fitness, etc

• Public policy related to school curriculum

• University (research)

• Research on what works – including university, investigators, and members of local communities

• Partnership with school boards with nurses with nutritionists to teach - activity throughout

• so many requirements can’t fit in everything

• extension

Media

➢ Group Compilations

➢ Individual Compilations

• Consistent messages – should come from single identity, not each community make up their own*

• Clear messages from health care, media, food industry

Nutrition/Foods

➢ Group Compilations

➢ Individual Compilations

• Food industry

Community/Business/State

➢ Group Compilations

• Policy created to encourage physical activity and better food choices in work place, schools, etc [6]

• Urban planners, grocers, government, etc

• Food industry, farmers, agriculture

• Health community as a whole

• Providers, payers, legislature

• Using the date base you have for appropriate materials

• 3rd party reimbursement – legislative changes to pay for prevention [17]

• Involve policy makers [1]

• Fitness experts

• Religious/faith communities

➢ Individual Compilations

• County extension

• Agreement from 3rd party payers to fund health maintenance

• 3rd party pay for health

• Collaborations with employers

• Drs and resources they have available

• Public policy

• Employers information about benefits

• Providers know about resources

• Insurance companies as partners, not adversaries

• Policy created to encourage physical activity and increased nutrition

• Urban planners

• Food industry

Health

➢ Group Compilations

• Collaboration with health care providers to have the best available resources in a community

• Health care experts and the media, portray simples messages grounded in science, get everyone on the same page [24]

• Fitness experts

➢ Individual Compilations

• Health care community

• Health care as a whole

• Hospital

• Doctors

• Health care and insurance companies

Key Partnerships

➢ Group Compilations

• Collaboration with employers to select the best benefits package for employers [1]

• Collaborate with school food preparers, nurses, school boards, executives to promote activity (i.e. activity for 5 min throughout the day as a break, not cutting out P.E., recess, etc. because academics take precedence) [15]

• Leadership, upper management support for wellness (CEOs, presidents, vice presidents, etc)

➢ Individual Compilations

• Collaborate between employers, healthcare, insurance, providers

• Community health care and school collaborate

• School nursing and health care works together

• Policy makers, leaders(business, community)

• PHN/BOH

• WIC/Title V agencies

• Schools

• All groups working together

• Partnerships with employers (to select benefits)

• With Drs about available resources

• Providers and payers*

• Legislative*

• Fitness people

• Farmers and agriculture

• Religious community

................
................

In order to avoid copyright disputes, this page is only a partial summary.

Google Online Preview   Download