community exam 2 .docx - CHAPTER 7 Health Equity what it is...

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CHAPTER 7 Health Equity- what it is? How is it different from equality? How do we achieve it? o Attainment of the highest level of health for all people o When all people have "the opportunity to 'attain their full health potential' and no one is 'disadvantaged from achieving this potential because of their social position or other socially determined circumstance'" o How do we achieve health equity? We value all people equally. We optimize the conditions in which people are born, grow, live, work, learn and age. We work with other sectors to address the factors that influence health, including employment, housing, education, health care, public safety and food access. We name racism as a force in determining how these social determinants are distributed The “Triple Aim of Health Equity,” is a multi-pronged approach to improve health equity by: Expanding our understanding of what creates health Implementing a Health in All Policies approach with health equity as the goal Strengthening the capacity of communities to create their own healthy future Health Disparities- what are disparities? Why do they matter? What are examples? What are actions to reduce health disparities? o Health and health care disparities refer to differences in health and health care between population groups. Disparities occur across many dimensions, including race/ethnicity, socioeconomic status, age, location, gender, disability status, and sexual orientation. Health Outcomes are worse for:
Lower income individuals/families. Racial and ethnic minorities. Those lacking health insurance. Health disparities are inequality in some aspect of health. o Solutions to reduce health disparities should focus on Social determinants. Collaboration and promotion of community engagement. Promoting sustainable and effective partnerships. Media outreach and communication of research findings. o Actions to reduce disparities Increase cultural awareness and sensitivity Initiate cultural assessment of the individual, community, or population Promote training to develop culturally sensitive and empathetic communication skills Increase the diversity of the health-care staff Make sure patients receive equitable health-care services Be a patient advocate Always use a translator, as needed Recognize that nurses and other care providers can be discriminatory Culture of Health, Health Impact Pyramid, Health in all Policies o Culture of Health
Culture of health : a concept introduced by the Robert Wood Johnson Foundation in 2013. Definition: “Where good health flourishes across geographic, demographic, and social sectors; where being healthy and staying healthy is an esteemed social value; and everyone has access to affordable, quality health care” o Health in all Policies Health in All Polices or HiAP is a collaborative approach to improving health by integrating health into the decision making process. HiAP

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