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What Determines Health? <br />What is the impact of poverty on health?  Which drug would better treat a patient?  What is the impact of contaminants on cancer?  What is the best length of hospital stay for certain surgeries?  What is the usefulness of some medical screening practices?  Why are teenagers so attracted to smoking? What intervention strategies are best to address particular health issues?<br />All of these questions require the best information possible to help us address these very difficult health issues.  The federal government recognizes that the national health research infrastructure needs to be recognized in order to be able to answer these questions.  The infrastructure should support collaborative research ventures involving researchers working in different fields and in different parts of the country.<br />The federal government also recognizes that spending more on health research is only part of the solution.  We can also address health issues by broadening our approach to health interventions.  We’ve learned a lot in the past several decades about what determines health and where we should be concentrating our efforts.  Much of the research is telling us that we need to look at the big picture of health to examine factors both inside and outside the health care system that affect our health.  At every stage of life, health is determined by complex interactions between social and economic factors, the physical environment and individual behavior.  These factors are referred to as “determinants of health”.   They do not exist in isolation from each other.  It is the combined influence of the determinants of health that determines health status.<br />See Determinants of Health.<br />The challenge we face is how to use what we know about the determinants of health to:<br />,[object Object]
Adopt strategies that improve healthThat’s where a population health approach comes in.  In a population health approach, taking action on the complex interactions between factors that contribute to health requires:<br />,[object Object]
Efforts to prevent the problem
Improving aggregate health status of the whole society, while considering the special needs and vulnerabilities of sub-populations a focus on partnerships and intersectoral cooperation.
Finding flexible and multidimensional solutions for complex problems
Key Determinants of Health:

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What determines health presentation