新泽西州最大的慈善机构报告称,需要在13个领域改变政策,以帮助缩小新泽西州的健康差距
Informed by extensive research and months of conversations with nearly 300 community residents, nonprofit and business leaders, and others from across the state, the report identifies 13 priorities for building a Culture of Health in New Jersey in three areas:
- Healthy children and families
- Healthy communities
- High-quality, equitable health and social service systems
The recommendations span many sectors, including education, housing, nutrition, income, and health care, with a particular focus on health equity, or the principle that everyone should have a fair and just opportunity to be as healthy as possible, regardless of race, place, gender, income or any other factor. Recommendations include providing high-quality early education for all 3- and 4-year-olds; helping everyone fully benefit from the recently expanded paid family leave benefit; creating and preserving affordable homes; and integrating mental health, addiction, and physical health services for Medicaid enrollees. Each recommendation addresses pressing needs, advances health equity and is supported by evidence.
“The report is very clear: If we truly want to improve health and well-being in our state, we must make sure that opportunity is there for everyone. This is what we mean by health equity,” said Richard Besser, MD, president and CEO of the Robert Wood Johnson Foundation. “Everyone should have access to the building blocks of good health and well-being: from good jobs with fair pay; to safe, affordable housing; a good education; and a high-quality health care system that meets its patients’ needs and is invested in keeping people healthy. Every sector has a role to play in this work, including policymakers, business and education leaders, public health officials, and all of us who make this great state our home. The Foundation is exploring ways to work to help make these recommendations a reality.”
“The priorities in this report were identified as the real challenges to being healthy that New Jerseyans face each day, and the policies are supported by the best available evidence,” said Joel Cantor, director of the Rutgers Center for State Health Policy. “These are not just pie-in-the-sky ideas—they have been vetted to ensure there are ways to build support for and implement them.”
The report notes that nearly 6,400 deaths a year in New Jersey could be avoided if every resident has “a fair and just opportunity to live our healthiest life.” Among examples of the wide and, in some cases, growing health gaps New Jersey faces:
- In Cumberland County, 44 percent of premature deaths could be avoided if residents had the same opportunities as those in healthier counties.
- Average life expectancy in Trenton is 73 years, but is 87 only 13 miles away in Princeton.
- Statewide, babies born into black families are twice as likely to die before his or her first birthday than those born into white families.
- The policy options outlined in the report are aimed at eliminating inequitable gaps like these by addressing the factors that shape health.
新泽西州普林斯顿大学——罗伯特·伍德·约翰逊基金会(RWJF)今天发布的一份报告说,新泽西州的领导人应该寻求广泛的政策选择,以扩大机会,使新泽西州的每个人——无论他们是谁,住在哪里,赚多少钱——都能过上最健康的生活。
基金会编写了这份报告。”建立健康文化:帮助所有新泽西人过上最健康生活的政策路线图分析师说国家健康政策中心和John J. Heldrich劳动力发展中心两人都来自罗格斯大学。
通过广泛的研究和数月来与近300名社区居民、非营利组织和商业领袖以及来自全州各地的其他人的对话,该报告确定了在新泽西州建立健康文化的13个优先事项,包括三个方面:
- 健康的儿童和家庭
- 健康的社区
- 高质量、公平的卫生和社会服务体系
这些建议涉及许多部门,包括教育、住房、营养、收入和卫生保健,特别侧重于卫生公平,即每个人都应该有公平和公正的机会,无论种族、地点、性别、收入或任何其他因素如何,尽可能保持健康。建议包括为所有3岁和4岁儿童提供高质量的早期教育;帮助每个人充分享受最近扩大的带薪探亲假福利;建造和保护经济适用房;整合医疗补助计划参保者的心理健康、成瘾和身体健康服务。每项建议都涉及紧迫的需求,促进卫生公平,并得到证据的支持。
“这份报告非常明确:如果我们真的想改善我们州的健康和福祉,我们必须确保每个人都有机会。这就是我们所说的卫生公平,”罗伯特·伍德·约翰逊基金会总裁兼首席执行官Richard Besser医学博士说。“每个人都应该有机会获得良好健康和福祉的基本要素:从报酬公平的好工作;安全、经济适用的住房;良好的教育;一个高质量的医疗保健系统,满足病人的需求,并投资于保持人们的健康。每一个部门都可以在这项工作中发挥作用,包括政策制定者、商业和教育领袖、公共卫生官员,以及我们所有把这个伟大的州当作家的人。基金会正在探索帮助这些建议成为现实的方法。”
罗格斯州卫生政策中心主任乔尔·康托尔说:“这份报告中的优先事项被确定为新泽西州人每天面临的真正健康挑战,这些政策得到了最有力的证据的支持。”“这些都不是不切实际的想法——它们都经过了审查,以确保有办法为它们提供支持和实施。”
报告指出,如果每个居民都有“公平和公正的机会过上最健康的生活”,新泽西州每年可以避免近6400人死亡。新泽西州面临着巨大的、在某些情况下还在不断扩大的健康差距,其中包括:
- 在坎伯兰县,如果居民与健康县的居民有同样的机会,44%的过早死亡是可以避免的。
- 特伦顿人的平均预期寿命是73岁,而13英里外的普林斯顿人的平均预期寿命是87岁。
- 在全州范围内,黑人家庭出生的婴儿在一岁前死亡的可能性是白人家庭出生的婴儿的两倍。
- 报告中概述的政策选择旨在通过解决影响健康的因素来消除此类不公平差距。
About the Robert Wood Johnson Foundation
For more than 45 years the Robert Wood Johnson Foundation (RWJF) has worked to improve health and health care. We are working alongside others to build a national Culture of Health that provides everyone in America a fair and just opportunity for health and well-being. RWJF has invested more than $1.2 billion in New Jersey since 1972. For more information, visit www.ottomotal.com. Follow the Foundation on Twitter at www.ottomotal.com/twitter or on Facebook at www.ottomotal.com/facebook.
" data-isabstract="false" class="cmp-text">关于罗伯特伍德约翰逊基金会
45年来,罗伯特·伍德·约翰逊基金会(RWJF)一直致力于改善健康和医疗保健。我们正在与其他国家一道努力建立一种全国健康文化,为美国每个人提供公平和公正的健康和福祉机会。自1972年以来,RWJF已在新泽西州投资超过12亿美元。欲了解更多信息,请访问www.ottomotal.com.在Twitter上关注基金会www.ottomotal.com/twitter或者在Facebook上www.ottomotal.com/facebook.
About the John J. Heldrich Center for Workforce Development
Founded in 1997, the John J. Heldrich Center for Workforce Development is dedicated to raising the effectiveness of the American workplace by strengthening workforce education, placement and training programs, and policies and has earned a reputation as one of the nation’s leading research centers for workforce development. The Center’s efforts concentrate on both nurturing concrete innovations in workforce practices, as well as addressing broad-scale economic policy changes that ensure Americans receive the education and training they need to be productive and prosperous in the knowledge economy of the 21st century. For more information, visit https://www.heldrich.rutgers.edu. Follow the Heldrich Center on Twitter at https://twitter.com/heldrichcenter.
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关于州健康政策中心
罗格斯州卫生政策中心在新泽西州和全国范围内提供信息,支持和促进健全和创造性的州卫生政策。该中心就重要的州卫生政策问题提供公正的政策分析、研究、培训、促进和咨询。该中心成立于1999年,将罗格斯大学在公共卫生、卫生服务研究和社会科学方面的传统学术优势与应用研究和政策分析举措相结合。欲了解更多信息,请访问http://www.cshp.rutgers.edu.在Twitter上关注该中心https://twitter.com/rutgerscshp.
关于John J. Heldrich劳动力发展中心
John J. Heldrich劳动力发展中心成立于1997年,致力于通过加强劳动力教育,安置和培训计划以及政策来提高美国工作场所的有效性,并赢得了作为国家领先的劳动力发展研究中心之一的声誉。该中心的工作重点是在劳动力实践中培养具体的创新,以及解决大规模的经济政策变化,以确保美国人获得在21世纪知识经济中富有成效和繁荣所需的教育和培训。欲了解更多信息,请访问https://www.heldrich.rutgers.edu.在推特上关注海德里奇中心https://twitter.com/heldrichcenter.
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