© 2007 American Public Health Association DOI: 10.2105/AJPH.2007.118356
Russell E. Glasgow is with the Center for Health Dissemination and Implementation Research, Kaiser Permanente Colorado, Denver. Edwin B. Fisher is with the University of North Carolina, Chapel Hill. Debra Haire-Joshu is with Saint Louis University School of Public Health, St. Louis, Mo. Michael G. Goldstein is with Bayer Institute for Health Care Communication, New Haven, Conn. Correspondence: Requests for reprints should be sent to Russell E. Glasgow, PhD, Kaiser Permanente Colorado, PO Box 378066, Denver, CO 80237-8066 (e-mail: russg@ris.net).
The United States spends $2 trillion per year on health care, 2 to 3 times per capita than that of other developed nations.1 Despite this staggering financial investment, our citizens have a lower life expectancy than those in many other countries,1,2 and it has been reported that patients receive only about half the evidence-based care that they should.3 To lead us out of this dilemma, the National Institutes of Health (NIH) have set national health research funding priorities to investigate approaches that are predictive, personalized, preemptive, and participatory—the "4 Ps."4,5 These words represent succinct talking points that have broad appeal.
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