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Evolving lic Health Approaches and Drivers <br /> ■ Infectious disease model <br /> ■ Growth of knowledge and ■ Chronic disease model <br /> tools for medicine and public ■ Systematic development of ■ Life course, multifactorial <br /> health PH agency capacity across US model <br /> ■ Uneven access to care and ■ Focus on traditional PH ■ Engage multiple sectors and <br /> public health (PH) agency programs community g Y p g y partners to <br /> generate collective impact <br /> ■ Reduce risk of chronic <br /> disease by addressing social <br /> determinants of health <br /> Late 1800's 1988 IOM Future of Public Health Recession Affordable 2012 IOM For The <br /> Care Act Public's Health <br /> What's Driving This Evolution? <br /> Shifting health paradigm Inflexible(categorical)funding model <br /> Evolving healthcare needs of the population Revolution in data and information access, needs <br /> Changing population demographics Changing access to clinical care <br /> Recognized role of SDOH and non-clinical Fiscal constraints despite demand for increased <br /> solutions breadth of services <br /> Emerging health and related threats Demands for accreditation and professionalization <br /> I I M A 28 <br /> SOURCE: Graphic adapted from DeSalvo,Public Health 3.0;A Call to Action,2017. <br />