Challenges and opportunities for tobacco control: the Robert Wood Johnson Foundation agenda
Challenges and opportunities for tobacco control: the Robert Wood Johnson Foundation agenda
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烟草控制的挑战和机遇：罗伯特·伍德·约翰逊基金会议程
作者：
Orleans Ct
我谨代表我在罗伯特·伍德·约翰逊基金会的同事说，我们非常高兴能够帮助支持这次会议--这是一系列会议中的第一个，旨在表彰和鼓励管理性医疗中预防和治疗烟草成瘾的创新。令人欣慰的是，这里有这么多人赞同扩大管理式医疗在烟草控制中的作用。
我想从罗伯特·伍德·约翰逊基金会烟草投资组合的角度来研究一下，管理性保健干预措施在哪些方面符合更广泛的国家烟草控制议程，以及为什么我们基金会将其视为改善所有美国人的健康和保健不可或缺的一部分。我还将简要介绍一些为我们的新倡议--解决管理保健中的烟草问题--奠定基础的一些基础计划。
我们最新的年度报告特别关注市场驱动的医疗体系在我们的三个主要目标领域--确保获得基本医疗保健；改善慢性病护理；以及减少药物使用造成的伤害--在筹资方面面临的机遇和挑战。报告指出，管理型医疗的爆炸性增长带来了新的机遇，特别是为药物滥用领域的赠款提供了新的机会。管理型医疗有利于保持人们的健康，以控制成本，并有能力将变革制度化。
尽管这是我们的最新目标，但减少药物滥用造成的危害已经达到了同等水平，去年占到了基金会拨款的整整三分之一。我们在烟草控制方面积极和承诺的资金总额略高于1.2亿美元。烟草控制一直是该基金会的优先事项，因为烟草使用和成瘾仍然是美国可预防的死亡和疾病的头号原因。烟草不仅导致…
On behalf of my colleagues at the Robert Wood Johnson foundation, let me say that we are very pleased to help support this conference—the first in a series of conferences to recognise and stimulate innovation in the prevention and treatment of tobacco addiction in managed care. It is gratifying to see so many people here who share the vision of an expanded role for managed care in tobacco control.
I should like to examine, from the perspective of the Robert Wood Johnson Foundation tobacco portfolio, where managed care interventions fit in the larger national tobacco control agenda, and why we at the foundation see them as integral to improving health and health care for all Americans. I shall also briefly describe some of the foundation programmes that have laid the groundwork for our new initiative, Addressing Tobacco in Managed Care.
Our most recent annual report focuses specifically on the opportunities and challenges that a market-driven healthcare system present for funding in each of our three major goal areas—assuring access to basic health care; improving care for chronic disease; and reducing the harm caused by substance use. The report notes that the explosive growth in managed care, with its interest in keeping people healthy to contain cost and its ability to institutionalise change, brings new opportunities, especially for grant-making in the field of substance abuse.
Although it is our newest goal, reducing the harm caused by substance abuse has reached parity, accounting last year for fully a third of the foundation’s grants. The sum of our active and committed funds in tobacco control totals a little over $120 million. Tobacco control has been a priority for the foundation because tobacco use and addiction remain the United States’ number one cause of preventable death and disease. Tobacco not only causes more than …