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No Equity, No Triple Aim: Strategic Proposals to Advance Health Equity in a Volatile Policy Environment

Author

Listed:
  • Wilkinson, G.W.
  • Sager, A.
  • Selig, S.
  • Antonelli, R.
  • Morton, S.
  • Hirsch, G.
  • Lee, C.R.
  • Ortiz, A.
  • Fox, D.
  • Lupi, M.V.
  • Acuff, C.
  • Wachman, M.

Abstract

Health professionals, including social workers, community health workers, public health workers, and licensed health care providers, share common interests and responsibilities in promoting health equity and improving social determinants of health-the conditions in which people live, work, play, and learn. We summarize the underlying causes of health inequity and comparatively poor health outcomes in the United States. We describe barriers to realizing the hope embedded in the 2010 Patient Protection and Affordable Care Act, that moving away from fee-for-service payments will naturally drive care upstream as providers respond to greater financial risk by undertaking greater prevention efforts for the health of their patients. We assert that health equity should serve as the guiding framework for achieving the Triple Aim of health care reform and outline practical opportunities for improving care and promoting stronger efforts to address social determinants of health. These proposals include developing a dashboard of measures to assist providers committed to health equity and community-based prevention and to promote institutional accountability for addressing socioeconomic factors that influence health.

Suggested Citation

  • Wilkinson, G.W. & Sager, A. & Selig, S. & Antonelli, R. & Morton, S. & Hirsch, G. & Lee, C.R. & Ortiz, A. & Fox, D. & Lupi, M.V. & Acuff, C. & Wachman, M., 2017. "No Equity, No Triple Aim: Strategic Proposals to Advance Health Equity in a Volatile Policy Environment," American Journal of Public Health, American Public Health Association, vol. 107(S3), pages 223-228.
    • Handle: RePEc:aph:ajpbhl:10.2105/ajph.2017.304000_8
    DOI: 10.2105/AJPH.2017.304000
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    Cited by:

    1. Kane, Natalie, 2022. "Revealing the racial and spatial disparity in pediatric asthma: A Kansas City case study," Social Science & Medicine, Elsevier, vol. 292(C).
    2. M. Lelinneth B. Novilla & Michael C. Goates & Tyler Leffler & Nathan Kenneth B. Novilla & Chung-Yuan Wu & Alexa Dall & Cole Hansen, 2023. "Integrating Social Care into Healthcare: A Review on Applying the Social Determinants of Health in Clinical Settings," IJERPH, MDPI, vol. 20(19), pages 1-27, October.
    3. Guanghuai Zheng & Xinyi Zhang & Yean Wang & Mingzi Ma, 2021. "The Strengthening Mechanism of the Relationship between Social Work and Public Health under COVID-19 in China," IJERPH, MDPI, vol. 18(19), pages 1-16, September.

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