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CHAPTER 7Health Equity- what it is? How is it different from equality? How do we achieve it?oAttainment of the highest level of health for all peopleoWhen all people have "the opportunity to 'attain their fullhealth potential' and no one is 'disadvantaged from achieving this potential because of their social position orother socially determined circumstance'"oHow 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, publicsafety and food access. We name racism as a force in determining how these social determinants are distributedThe “Triple Aim of Health Equity,” is a multi-pronged approach to improve health equity by:Expanding our understanding of what creates healthImplementing a Health in All Policies approach with health equity as the goalStrengthening the capacity of communities to create their own healthy futureHealth Disparities- what are disparities? Why do they matter? What are examples? What are actions to reduce health disparities?oHealth 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.oSolutions 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.oActions to reduce disparitiesIncrease 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 servicesBe a patient advocateAlways use a translator, as neededRecognize that nurses and other care providers can be discriminatoryCulture of Health, Health Impact Pyramid, Health in all PoliciesoCulture 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” oHealth 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