Communities in Action

Communities in Action

Author: National Academies of Sciences, Engineering, and Medicine

Publisher: National Academies Press

Published: 2017-04-27

Total Pages: 583

ISBN-13: 0309452961

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In the United States, some populations suffer from far greater disparities in health than others. Those disparities are caused not only by fundamental differences in health status across segments of the population, but also because of inequities in factors that impact health status, so-called determinants of health. Only part of an individual's health status depends on his or her behavior and choice; community-wide problems like poverty, unemployment, poor education, inadequate housing, poor public transportation, interpersonal violence, and decaying neighborhoods also contribute to health inequities, as well as the historic and ongoing interplay of structures, policies, and norms that shape lives. When these factors are not optimal in a community, it does not mean they are intractable: such inequities can be mitigated by social policies that can shape health in powerful ways. Communities in Action: Pathways to Health Equity seeks to delineate the causes of and the solutions to health inequities in the United States. This report focuses on what communities can do to promote health equity, what actions are needed by the many and varied stakeholders that are part of communities or support them, as well as the root causes and structural barriers that need to be overcome.


Problem Solving for Better Health

Problem Solving for Better Health

Author: Joyce J. Fitzpatrick, PhD, MBA, RN, FAAN

Publisher: Springer Publishing Company

Published: 2010-11-22

Total Pages: 329

ISBN-13: 082610469X

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Problem Solving for Better Healthcovers human potential and possibilities for change in a global environment where health issues have now reached crisis proportions. Through the Dreyfus Health Foundation's Problem Solving for Better HealthÆ and related programs, this book presents innovative methodologies that promote grass-roots solutions to pressing health issues. A progress report and call to further action, the book speaks to such issues in 27 countries, including the United States. With contributions from Dreyfus Health Foundation international program leaders and esteemed health care practitioners and educators, Problem Solving for Better Health presents practical interventions through community and institutional initiatives to improve health and quality of life. The tools presented are currently integrated into nursing and medical curricula internationally, including 75 medical institutions in India and 20 in China. This book is an essential resource for doctors, nurses, public health care providers, and individuals working at the community, institutional, and policy levels. Co-publication with the Dreyfus Health Foundation, this book: Offers new approaches to health challenges at the local level for teachers and students in nursing, public health, medicine, and health policy programs Provides useful problem-solving tools now in use in various settings internationally Gives examples of interventions that have influenced policy in and across institutions and at the national level Incorporates perspectives from international health leaders


A Framework for Educating Health Professionals to Address the Social Determinants of Health

A Framework for Educating Health Professionals to Address the Social Determinants of Health

Author: National Academies of Sciences, Engineering, and Medicine

Publisher: National Academies Press

Published: 2016-10-14

Total Pages: 173

ISBN-13: 0309392659

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The World Health Organization defines the social determinants of health as "the conditions in which people are born, grow, work, live, and age, and the wider set of forces and systems shaping the conditions of daily life." These forces and systems include economic policies, development agendas, cultural and social norms, social policies, and political systems. In an era of pronounced human migration, changing demographics, and growing financial gaps between rich and poor, a fundamental understanding of how the conditions and circumstances in which individuals and populations exist affect mental and physical health is imperative. Educating health professionals about the social determinants of health generates awareness among those professionals about the potential root causes of ill health and the importance of addressing them in and with communities, contributing to more effective strategies for improving health and health care for underserved individuals, communities, and populations. Recently, the National Academies of Sciences, Engineering, and Medicine convened a workshop to develop a high-level framework for such health professional education. A Framework for Educating Health Professionals to Address the Social Determinants of Health also puts forth a conceptual model for the framework's use with the goal of helping stakeholder groups envision ways in which organizations, education, and communities can come together to address health inequalities.


Parenting Matters

Parenting Matters

Author: National Academies of Sciences, Engineering, and Medicine

Publisher: National Academies Press

Published: 2016-11-21

Total Pages: 525

ISBN-13: 0309388570

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Decades of research have demonstrated that the parent-child dyad and the environment of the familyâ€"which includes all primary caregiversâ€"are at the foundation of children's well- being and healthy development. From birth, children are learning and rely on parents and the other caregivers in their lives to protect and care for them. The impact of parents may never be greater than during the earliest years of life, when a child's brain is rapidly developing and when nearly all of her or his experiences are created and shaped by parents and the family environment. Parents help children build and refine their knowledge and skills, charting a trajectory for their health and well-being during childhood and beyond. The experience of parenting also impacts parents themselves. For instance, parenting can enrich and give focus to parents' lives; generate stress or calm; and create any number of emotions, including feelings of happiness, sadness, fulfillment, and anger. Parenting of young children today takes place in the context of significant ongoing developments. These include: a rapidly growing body of science on early childhood, increases in funding for programs and services for families, changing demographics of the U.S. population, and greater diversity of family structure. Additionally, parenting is increasingly being shaped by technology and increased access to information about parenting. Parenting Matters identifies parenting knowledge, attitudes, and practices associated with positive developmental outcomes in children ages 0-8; universal/preventive and targeted strategies used in a variety of settings that have been effective with parents of young children and that support the identified knowledge, attitudes, and practices; and barriers to and facilitators for parents' use of practices that lead to healthy child outcomes as well as their participation in effective programs and services. This report makes recommendations directed at an array of stakeholders, for promoting the wide-scale adoption of effective programs and services for parents and on areas that warrant further research to inform policy and practice. It is meant to serve as a roadmap for the future of parenting policy, research, and practice in the United States.