Health and Wellness Atlas

How The Body Thrives
Concepts

Health Impact Pyramid

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The Health Impact Pyramid is a five-tier framework, published by Thomas Frieden in a 2010 American Journal of Public Health article, ranking public health interventions by their likely population impact against the individual effort each requires. From the base upward the tiers run: interventions addressing socioeconomic determinants of health, interventions that change the context so a healthy choice becomes the easy default, long-lasting protective interventions requiring limited individual contact, ongoing direct clinical care, and health education and counseling at the narrow top. The pyramid's core claim is that impact and individual effort run in opposite directions: interventions lower on the pyramid reach broader segments of a population and require less of any one person, so they carry the greatest potential to improve population health, while interventions at the top are the most readily available to build but reach and move the needle on the fewest people.

Facts
First Described Year
2010 1
Concept Class
Public Health Framework 1
Cross-Tradition Connections

Associated With

The pyramid's base tier is exactly the socioeconomic determinants this atlas's social-determinants-of-health concept already covers.

In Branch

Sources
1. NCCMT: A Framework for Public Health Action, The Health Impact Pyramid
National Collaborating Centre for Methods and Tools, McMaster UniversityResource description
Quote, Resource description
greater effort is required at the top of the pyramid, with decreasing intensity as users moves down the pyramid.
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1. NCCMT: A Framework for Public Health Action, The Health Impact Pyramid
National Collaborating Centre for Methods and Tools, McMaster UniversityKey Principle
Quote, Key Principle
less effective for population health, but are most readily available
View the Source
1. NCCMT: A Framework for Public Health Action, The Health Impact Pyramid
National Collaborating Centre for Methods and Tools, McMaster UniversityAuthor and PublicationView the Source
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