Health Rankings Discussion

Learning Activity 1 Instructions

Topic: Virginia’s Health Rankings

Go to the America’s Health Rankings website and go to the EXPLORE link and select “Virginia” where it says, “Find your state” (North Carolina) View the full state report for Virginia. Examine the state’s health value and rank for each health Determinant and Outcome, as well as the combined rankings for these and for diabetes, obesity, and smoking. You can compare these for the 19 years that the rankings have been published as well as contrast them with other states and the nation as a whole.

The County Health Rankings & Roadmaps program compares the health of nearly all counties in the United States to others within its own state, and supports coalitions tackling the social, economic and environmental factors that influence health.

The annual Rankings provide a revealing snapshot of how health is influenced by where we live, learn, work and play. As the Rankings provide a starting point for change, the Roadmaps provide guidance and tools to understand the data, and strategies that communities can use to move from education to action.

County Health Rankings and Roadmaps is a program of the University of Wisconsin Population Health Institute, funded by the Robert Wood Johnson Foundation, to measure the progress of building a Culture of Health.

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Many people find it hard to believe the U.S. performs poorly on most measures of health compared to other high-income countries. But the truth is, study after study supports the same two conclusions:

The U.S. spends more on health care but has worse health outcomes than comparable countries around the globe. This holds true across age and income groups.
Within the U.S., there are unacceptable disparities in health by race and ethnic group, county by county and state by state.
High spending and poor health compared to other countries

Whether you measure health spending on a per capita basis or as a percentage of gross domestic product, the U.S. spends more than two times the average of comparable countries.

A 2014 Commonwealth Fund report, for the fifth time in 10 years, ranked the U.S. dead last against comparable countries. That was in measures such as quality of care, access to care, equity and healthy lives.

A 2011 National Research Council study found the U.S. trailed other high-income countries in life expectancy and other measures of good health. More analysis by the NRC and the Institute of Medicine in 2013 found it’s not just low-income and minority groups driving the trend. It’s true across all ages and incomes. In the U.S., even if you are white, high income, well-educated and have good insurance, you appear to be in worse health than your peers in other developed countries.

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