The U.S. Healthy People Initiative: Its Genesis and its Sustainability

Posted: 18 Apr 2011

See all articles by Lawrence W. Green

Lawrence W. Green

University of California, San Francisco (UCSF) - School of Medicine

Jonathan E. Fielding

University of California, Los Angeles (UCLA) - Jonathan and Karin Fielding School of Public Health

Date Written: April 2011

Abstract

Unlike most government initiatives in health, the Healthy People initiative of the U.S. federal government was crafted and sustained not as a federal initiative, but as a "national initiative" eliciting participation from nongovernmental national organizations, state health agencies, professional associations, multiple agencies of the U.S. Department of Health and Human Services, and other federal agencies, such as Agriculture, and increasingly engaging academia and state and local stakeholders in adapting the objectives for their own efforts to enact and evaluate state and local policies and programs. The quantified objectives at the center of the initiative were a product of continuous balancing of changing science and political or social concerns and priorities along with national and state or special population needs. The evolution from the first decade's objectives to each subsequent set of objectives reflected changing societal concerns, evidence-based technologies, theories, and discourses of those decades. Such accommodations changed the contours of the initiative over time in attempts to make it more relevant to specific partners and other stakeholders.

Suggested Citation

Green, Lawrence W. and Fielding, Jonathan E., The U.S. Healthy People Initiative: Its Genesis and its Sustainability (April 2011). Annual Review of Public Health, Vol. 32, pp. 451-70, 2011, Available at SSRN: https://ssrn.com/abstract=1810217 or http://dx.doi.org/10.1146/annurev-publhealth-031210-101148

Lawrence W. Green (Contact Author)

University of California, San Francisco (UCSF) - School of Medicine ( email )

513 Parnassus Ave
San Francisco, CA 94143
United States

Jonathan E. Fielding

University of California, Los Angeles (UCLA) - Jonathan and Karin Fielding School of Public Health ( email )

650 Charles E. Young Drive South
Los Angeles, CA 90095
United States

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