No equity, no triple aim: strategic proposals to advance health equity in a volatile policy environment

Download/View
AJPH manuscrip...pdf (217.9Kb)
Accepted manuscript
Author
Wilkinson, Geoffrey
Sager, A.
Selig, S.
Antonelli, R.
Morton, S.
Hirsch, G.
Lee, C.R.
Ortiz, A.
Fox, D.
Lupi, M.V.
Acuff, C.
Wachman, M.
Metadata
Show full item recordPermanent Link
https://hdl.handle.net/2144/23002Citation
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).Abstract
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.
Rights
Attribution-NonCommercial-NoDerivatives 4.0 InternationalCollections
- BU Open Access Articles [804]
Related items
Showing items related by title, author, creator and subject.
-
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 ... -
Risk selection, risk adjustment and choice: concepts and lessons from the Americas
Ellis, Randall P.; Fernandez, Juan Gabriel (2013-10-25)Interest has grown worldwide in risk adjustment and risk sharing due to their potential to contain costs, improve fairness, and reduce selection problems in health care markets. Significant steps have been made in the ... -
The effects of pro-poor health insurance on health facility delivery and skilled birth delivery in Indonesia: a mixed-methods evaluation
Brooks, Mohamad Ibrahim (2016)PROBLEM: As part of Indonesia’s strategy to achieve the goal of Universal Health Coverage (UHC), large investments have been made to increase health access for the poor. These have resulted in the implementation of various ...