No equity, no triple aim: strategic proposals to advance health equity in a volatile policy environment
MetadataShow full item record
Citation (published version)G Wilkinson, A Sager, S Selig, R Antonelli, S Morton, G Hirsch, CR Lee, A Ortiz, D Fox, MV Lupi, C Acuff, M Wachman. "No Equity, No Triple Aim: Strategic Proposals to Advance Health Equity in a Volatile Policy Environment." American Journal of Public Health, (Forthcoming).
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 we live, work, play, and learn. This article summarizes underlying causes of health inequity and comparatively poor health outcomes in the U.S. It describes 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 for the health of their patients by undertaking greater prevention efforts. The article asserts that health equity should serve as the guiding framework for achieving the Triple Aim of health care reform. It outlines practical opportunities for improving care and for 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 socio-economic factors that influence health.
RightsAttribution-NonCommercial-NoDerivatives 4.0 International
- BU Open Access Articles 
Showing items related by title, author, creator and subject.
Health implications of an immigration raid: findings from a Latino community in the midwestern United States. Delva, Jorge; Llanes, Mikel; Ledón, Charo; Waller, Adreanne; Harner, Melanie; Martinez, Ramiro; Sanders, Laura; Harner, Margaret; Israel, Barbara; Lopez, William D.; Kruger, Daniel J.Immigration raids exemplify the reach of immigration law enforcement into the lives of Latino community members, yet little research characterizes the health effects of these raids. We examined the health implications of ...
Factors influencing the underutilization of mental health services among Asian American women with a history of depression and suicide. Augsberger, Astraea; Yeung, Albert; Dougher, Meaghan; Hahm, Hyeouk Chris (2015-12-08)BACKGROUND: Despite the substantially high prevalence of depression, suicidal ideation and suicide attempts among Asian American women who are children of immigrants, little is known about the prevalence of mental health ...
The association of recreational space with youth smoking in low-socioeconomic status neighborhoods in Santiago, Chile Lee, Wonhyung; Grogan-Kaylor, Andrew; Sanhueza, Guillermo; Andrade, Fernando; Delva, Jorge (SPRINGER BASEL AG, 2014-02-01)OBJECTIVES: This study examines the relationship of neighborhood recreational space with youth smoking in mid- to low-income areas in the capital of Chile, Santiago. METHODS: A unique data set of adolescents (n = 779, ...