Integration of medical care and worksite health promotion

Article Abstract:

The changing economics of health and the relationship between healthcare coverage and the workplace suggests that health promotion at the worksite can be an effective way of improving public health. The increasing cost of healthcare to businesses is in itself incentive for companies to promote healthy lifestyles. Typical worksite health programs since the 1980s have targeted smoking and other lifestyle factors. Such programs have typically been implemented only at larger companies. Future programs need to develop a closer relationship between the worksite and the medical service provider, and establish ethical guidelines to prevent job discrimination based on health status and other potential conflicts of interest. Better monitoring of such programs is also needed to evaluate their effectiveness and identify needs. This necessarily involves better community-wide data and a sharing of resources between employers, care providers and government agencies. Smaller businesses also need to become involved.

Management, Community health services, Occupational health services, Wellness programs

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Race, treatment, and long-term survival from prostate cancer in an equal-access medical care delivery system

Article Abstract:

Black men appear to have similar rates of survival from prostate cancer as do white men when they have equal access to medical care. Researchers studied the records of 1,606 newly diagnosed prostate cancer patients from the U.S. Department of Defense tumor registry. A total of 92.5% of the patients were white and 7.5% were black. Five-year survival for blacks was 76.7% compared to 76.5% for whites. However, blacks were about four years younger than whites when diagnosed with prostate cancer, and they had more high-grade tumors. Rates of prostate cancer were higher among blacks than whites for the 50- to 59-year-old group and for the 60-year-or-older group. There was no difference among the two groups in the size of the primary tumor. Access to medical care should be taken into account when evaluating prostate cancer mortality and treatment results among minorities.

Health aspects, Demographic aspects, Prostate cancer, African American men

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From Disease Prevention to Health Promotion

Article Abstract:

Many people are moving away from the the idea of disease prevention to one of health promotion. The average lifespan of Americans has increased from 50 years in 1900 to 75 years or more in the 1990s. Many of the diseases that killed people in the early 20th century are no longer a threat. As people live longer, they are not just concerned about preventing disease but about enhancing health. Naturally, many things that enhance health will also prevent disease.

Analysis, Health promotion, Preventive medicine, Medicine, Preventive

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