This page contains a Flash digital edition of a book.
Healthcare Management


All communities can help to ensure the long-term health and wellness of residents by allocating enough parks, recreation facilities, walking trails and cycling paths for current and future populations, and they should locate these outdoor spaces in areas that make it convenient for people to exercise. In addition, communities can provide public transit systems, pedestrian walkways and bike lanes that reduce traffic, make commuting less stressful, and provide easy access to preventative health services and recreation facilities. Toronto, which has 1,500 parks, more than 20,000 acres of parkland and 116 miles of bike paths, has reduced diabetes in those areas of the city that are accessible to parks and other spaces for physical activity.


In China, the Nationwide Physical Fitness Program was created in 1995 with a goal of having 40 percent of the population exercising regularly by 2010. To help achieve this goal, since 2000, tens of thousands of fitness centers have been installed in public parks, squares, schoolyards and other convenient urban locations and are used by people of all ages, including China’s rapidly growing elderly population.


Encouraging healthier behavior


Cities and communities and local stakeholders can offer new programs and services to motivate citizens to engage in healthier behavior. They can also use social media and other online collaboration methods to help residents connect with their personal networks of friends and family that help support positive changes. For example, cities, communities or regions can implement citizen portals that provide easy access to information about health and wellness. These portals enable individuals to track their weight loss and exercise results and offer contests and games to encourage citizens to lose weight, exercise and adopt other healthy behavior. Cities, communities and regions can also host community and school events such as runs, walks, exercise programs and health fairs, and they can provide accessible public transportation so more individuals can participate.


To encourage healthier behavior further, other


stakeholders can introduce their own programs. Healthy lunch programs in


schools, healthy menu options in


restaurants and healthy recipe and eating campaigns in grocery stores can improve nutrition. Businesses can help to improve the health of employees and their families by promoting community health events and services and implementing programs that encourage employee fitness and weight loss. Health providers and payers can introduce programs and services to bring people with chronic diseases together to better manage their conditions; these could include exercise and walking programs, nutrition services, disease management programs and information on the services that individuals are qualified to receive.


26 INSIGHT ON


HOSPITAL & HEALTHCARE MANAGEMENT VOL. 3 ISSUE 3 August 2014


Cities, communities and regions can also host community and school events such as runs, walks, exercise programs and health fairs, and they can provide accessible public transportation so more individuals can participate.


Dubuque, Iowa, focused on encouraging healthy behavior and has become a model for the Live Healthy Iowa and America programs. The city has programs such as the Live Healthy Dubuque 100-Day Challenge, a team-based weight loss and physical activity program for adults and children; the Exercise Your Character Day that teaches students about character, exercise and healthy eating; and the Grandview Gallop, an annual 4-mile run through town that is open to any age or exercise level.


In Bogota, Colombia, city officials are encouraging more citizens to walk and cycle by shutting down more than 97 km of city streets to motorized traffic on Sundays and most public holidays. Although the =program costs the city $1.7 million each year, for every dollar invested, it saves between $3.23 and $4.26 per citizen in healthcare costs.


Page 1  |  Page 2  |  Page 3  |  Page 4  |  Page 5  |  Page 6  |  Page 7  |  Page 8  |  Page 9  |  Page 10  |  Page 11  |  Page 12  |  Page 13  |  Page 14  |  Page 15  |  Page 16  |  Page 17  |  Page 18  |  Page 19  |  Page 20  |  Page 21  |  Page 22  |  Page 23  |  Page 24  |  Page 25  |  Page 26  |  Page 27  |  Page 28  |  Page 29  |  Page 30  |  Page 31  |  Page 32  |  Page 33  |  Page 34  |  Page 35  |  Page 36  |  Page 37  |  Page 38  |  Page 39  |  Page 40  |  Page 41  |  Page 42  |  Page 43  |  Page 44  |  Page 45  |  Page 46  |  Page 47  |  Page 48  |  Page 49  |  Page 50  |  Page 51  |  Page 52