Primary Care and Public Health: Exploring Integration to Improve Population Health

Ensuring that members of society are healthy and reaching their full potential requires the prevention of disease and injury; the promotion of health and well-being; the assurance of conditions in which people can be healthy; and the provision of timely, effective, and coordinated health care. Achieving substantial and lasting improvements in population health will require a concerted effort from all these entities, aligned with a common goal. The Health Resources and Services Administration (HRSA) and the Centers for Disease Control and Prevention (CDC) requested that the Institute of Medicine (IOM) examine the integration of primary care and public health.

Primary Care and Public Health identifies the best examples of effective public health and primary care integration and the factors that promote and sustain these efforts, examines ways by which HRSA and CDC can use provisions of the Patient Protection and Affordable Care Act to promote the integration of primary care and public health, and discusses how HRSA-supported primary care systems and state and local public health departments can effectively integrate and coordinate to improve efforts directed at disease prevention.

This report is essential for all health care centers and providers, state and local policy makers, educators, government agencies, and the public for learning how to integrate and improve population health.

• Front Matter
• Summary
• 1 Introduction
• 2 Integration: A View from the Ground
• 3 Potential for Interagency Collaboration
• 4 Policy and Funding Levers
• 5 Conclusions and Recommendations
• Appendix A: Health Resources and Services Administration (HRSA) and Centers for Disease Control and Prevention (CDC)
• Appendix B: HRSA-Supported Primary Care Systems and Health Departments
• Appendix C: Meeting Agendas
• Appendix D: Biosketches of Committee Members