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Influences on Health: Broadening the Focus
Courtesy of Robert Wood Johnson Foundation Commission to Build a Healthier America
According to the American Public Health Association, public health promotes and protects the health of individuals and the communities where they live, learn, work and play. Public health is interdisciplinary work that is grounded in values of social justice and community empowerment, ultimately aimed at assuring the conditions in which all people can live healthy and productive lives.
These living and working conditions that impact health are often referred to as social determinants of health because they are shaped by the distribution of resources at the community or societal level, rather than being under the direct and sole control of individuals. Examples of social determinants include the built environment (e.g. affordable quality housing, safe streets and parks, etc.), jobs, education, community characteristics (e.g. violence, social cohesion, etc.), as well as race/ethnicity, gender identity, disability status, and other characteristics of privilege. The unequal distribution of these and other resources needed for good health are the underlying factors that drive inequities in health at the community level and is an important focus of our work.
CCRS works with community partners and state agencies to enhance the delivery of public health services, promote just and effective health and social policy, and ultimately improve the health of individuals and communities.
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Health Equity Guide 2019
A collborative research team from the University's Partnership for
Healthy Communities, the Center for Community Research and Service and
the Delaware Division of Public Health updated the Health Equity Guide
first published in 2015. The research team focused on structural racism
as a fundamental cause of health inequities.
State-Led Evaluation of the Delaware State Innovation Model (SIM) 2016-2018
Delaware's State Innovation Model (SIM) Plan was part of a multi-year
process involving multiple stakeholdersconsumers, health care
providers, payers, community organizations and othersaimed at
transforming the state's health system in ways that improve quality and
lower health care costs. DE SIM is funded in part from the Center for Medicare and Medicaid Innovation (CMMI) State Innovation Models initiative established through the Affordable Care Act. The initiative is managed by the Delaware Health Care Commission and supported by the Delaware Center for Health Innovation.
Researchers in CCRS partnered with researchers at Concept Systems, Inc.
on a mixed methods system evaluation of DE SIM. The evaluation is
designed to be participant-oriented and utilization-focused. We are
engaging stakeholders in a continuous improvement approach to examining
the processes and outcomes of the DE SIM initiative.
Hepatitis C Epidemological Profile, 2017
Sponsored by the Delaware Division of Public Health (DPH), CCRS
coordinated the development of an Epidemiologic Profile on Hepatitis C
Virus (HCV) to support DPHs efforts to understand the extent of HCV in
the state of Delaware. CCRS worked with DPH to identify and access
different data sets that were used to develop the profile.
Health in All Policies Training Collaborative, 2016
Health in All Policies (HiAP) is
a cross-sector approach to decision-making that addresses the complex
factors that influence health and equity at the state and community
level. It requires engaging and collaborating with non-traditional
partners in sectors that may not view themselves as having and interest
in or influence on health, or do not see themselves as having a role in
health promotion. The purpose of this project was to research promising
practices, as well as collect baseline data across sectors, in order
to develop recommendations for building a statewide HiAP Collaborative
in Delaware. The project supports the Delaware Division of Public Health's efforts to implement its health equity strategy with other state agencies and community partners.
Health Equity Guide for Public Health Practitioners and Partners, 2015
Health equity is the attainment of the highest possible
level of health for all peopleis a fundamental (though sometimes
overlooked) goal of public health. A right to the attainment of optimal
health was articulated in the Constitution of the World Health Organization in 1948 and continues to be central to a human rights-based approach to health.
The Health Equity Guide was originally created with the intent to support the Delaware Division of Public Health in
the implementation of its health equity strategy. In this way, it is
intended as a practical resource for professionals. At the same time, we
saw the need for a more politically-aware approach to evidence based
practice in public health, and this guide is an attempt to drive public
dialogue in the right direction. It provides tools for health equity
advocates at different levels of influence to shape healthy public
policies and practices