Quality improvement and performance: CDC's strategies to strengthen public health.

摘要

Within the context of health reform, the Obama administration's ambitious goal of integrating prevention, public health, and healthcare delivery systems anticipates greatly expanding prevention and wellness activities as the primary means to reduce the burden of disease, injury, and disability in the United States. This prescription for change represents a significant challenge. If public health is to succeed in delivering on the "promise of prevention," as well as exert our leadership role, then we need to counter with bold initiatives that promote accountability, performance, and improvements in public health. The reason is clear-without a high-performing public health system, we will not be able to attain the goals of the new administration and, most important, the health aspirations of communities across the nation.