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OBSSR Director, Dr. Robert Kaplan interviewed Neal Halfon, MD, MPH, after his recent presentation at NIH, Leveraging the Science Health Development to Transform the U.S. Health System: Moving from 2.0 to 3.0. Dr. Halfon is director of the UCLA Center for Healthier Children, Families and Communities, and a professor of: pediatrics in the David Geffen School of Medicine at UCLA; health policy and management in the UCLA Fielding School of Public Health; and public policy in the UCLA Luskin School of Public Affairs.

Dr. Halfon has conceptualized a new era of Health Care in America that will reflect our understanding of the complexity and diversity of Human Development over the life course. The new model will be responsive to our all of our knowledge, and will include a delivery system that is capable of providing appropriate individualized health care (e.g., an emergent model). Using the analogy of a computer operating system, Dr. Halfon said the new era will require paradigm shifts across all domains of research, education and training, and health care delivery.

The Evolution

System 1.0: focused on acute care and infectious disease, followed a biomedical model

System 2.0: focused on chronic disease, followed the biopsychosocial model

System 3.0: to focus on health development over the life-course, to follow an integrative approach

Interview Clips

Topics from Dr. Halfon’s interview with Dr. Kaplan are provided below to serve as menu options; start at the beginning or pick and choose the issues. (Transcript)

The Health Care System

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Download (2:54, 1.99MB)

Education, Training, and Leadership

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Download (6:20, 5.07MB)

Research Methods and Policy Making

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Common themes across all three domains included: integration, collaboration, long-term thinking, and creative dissemination. Dr. Halfon made his presentation following Dr. Gruber, both were Videocast.

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Compared to other high income countries, the U.S. has lower life-expectancies, and across the life course Americans are also less healthy. In an interview with Dr. Steven Woolf, who co-edited a recent NIH-commissioned study, U.S. Health in International Perspective: Shorter Lives, Poorer Health, we explore the findings and seek answers.

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Download (4:06; 2.8MB) /Transcript

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In this two part episode of The Connector Podcast Series, information about the current state of incarceration and the population within the criminal justice system in the U.S. At a recent OBSSR sponsored symposium. researchers shared their work around issues of prisoner re-entry into communities, with attention to HIV/AIDS, hepatitis, drug abuse and mental health.

Part One:

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Part Two:

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Part Two Download (4:37; 3.7MB)

Transcript

To see details of the research project presented by Dr. Adeline Nyamathi, watch the video, Nurses and Peer Coaching: A Healthy New Beginning for Homeless Parolees.

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