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Summary MD2Assign1.docx MD2Assign Walden University Clinical Preventative Services A. Brief Introductory Paragraph Public health policy is a fundamental tool that can be used to assist communities in the task of protecting people from threats to health, p $7.49   Add to cart

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Summary MD2Assign1.docx MD2Assign Walden University Clinical Preventative Services A. Brief Introductory Paragraph Public health policy is a fundamental tool that can be used to assist communities in the task of protecting people from threats to health, p

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MD2A MD2Assign Walden University Clinical Preventative Services A. Brief Introductory Paragraph Public health policy is a fundamental tool that can be used to assist communities in the task of protecting people from threats to health, preventing disease, and striving for overall healthy pop...

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  • May 7, 2021
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  • 2020/2021
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Walden University

Clinical Preventative Services


A. Brief Introductory Paragraph

Public health policy is a fundamental tool that can be used to assist communities in the task

of protecting people from threats to health, preventing disease, and striving for overall healthy

populations. Health care policy and promotion should encompass both an evidential system and

an ethical system. These have been fundamental in the shaping of behaviors of individuals in

industries, the practice of health care, the environment in which we live and work, and also to

achieving both every day and landmark public health improvements (Wilensky & Teitelbaum,

2020). It is imperative to integrate evidence and ethics in health promotion in order to properly

fulfill public health effectively.


B. Motor Vehicle Occupant Restraints - Counseling


Motor vehicle related injuries are the leading cause of death among children, adolescents,

and young children 3-33 years old. They are the leading cause of death in many other age groups

as well and although it has been proven that wearing a seatbelt and having occupants restrained

properly while traveling reduces the likelihood of injury if a motor vehicle collision occurs,

many individuals still do not abide by this practice (Williams, 2007). It is important to note that

children younger than 9 years old need to have age and weight appropriate child safety seats or

belt positioning booster seats and children under 13 years should ride in the rear of the vehicle

(Williams, 2007). It is important that patients, parents, and their communities are aware of the

proper restraint use. For this reason, it is imperative for primary care physicians to counsel

patients on the proper use of motor vehicle occupant restraints. It was noted in the Guide to

Clinical Preventative Services that there is much evidence that community and public

interventions, including legislation, law enforcement campaigns, car seat distribution campaigns,

, media campaigns, and other community-based interventions are effective in improving the

proper use of vehicle restraints, including, car seats, booster seats, and seat belts (AHRQ, 2014).

Primary care counseling may add great value to the community and population as it serves to

lessen the rate of fatal injuries in motor vehicle collisions. Increasing the use of occupant

restraint devices, for example child safety seats and lap/shoulder safety belts, is one of the

important behavioral methods to reduce motor vehicle related fatalities. It was found that 5839

lives could be saved if 100% of occupants used their restraints (Williams, 2007). In addition to

lessoning the mortality rate in motor vehicle related collisions, providing counsel on the proper

use of restraints would also serve as a way to save on total societal costs. In 2000, motor vehicle

crashes were estimated to have cost $230 billion, representing $820 dollars for every man,

woman and child in the US (Williams, 2007). In the same year, the total cost to society were

$50 billion from alcohol related crashes and $26 million from safety belt non-use (Williams,

2007). Lastly, in 2000, $32 billion was spent on medical care to treat injuries caused by motor

vehicle crashes. According to the National Highway Traffic Safety administration, it has called

for hospital-based programs for child passenger safety education in hospital discharge planning

to include all health care team members. Despite these recommendations, prior studies indicate

injury prevention counseling by medical staff is varied in implemented inconsistently (Aalto et.

al, 2020).

Regulation by states plays a large role in increasing occupant restraint use. While all 50 states

have laws requiring safety seats for infants and children large variations exist in the legislation. It

is important to note that 34 states allow for children to travel unrestrained for circumstances such

as nursing mothers, non-state residence, and overcrowding in vehicles (Williams, 2007). It has

been found that when used correctly child safety seats reduce risk of fatal injury by over 70%

and risk of hospital hospitalization by 67% for infants up to one year old. Furthermore, they

reduce fatality risk by 54% for children one to four years old. Misuse of safety seats, which has

been reported as 80% or higher, can partially or completely nullify this effect (Williams,

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