Making a Difference: Partnering to Achieve Health Equity Giselle Corbie-Smith, MD, MSc Al Richmond, MSW Professor, Social Medicine and Medicine; Executive Director Director, Center for Health Equity Community-Campus Partnerships Research for Health University of North Carolina at Chapel Hill @ccphED @gcsmd
Making a Difference: Partnering to Achieve Health Equity Giselle Corbie-Smith, MD, MSc | @gcsmd | @uncCHER Al Richmond, MSW | @CCPH_news #PCORI2019
Disclosures Giselle Corbie- Smith Has nothing to disclose. Al Richmond Has nothing to disclose.
Fish, Lakes and Groundwater
Fish, Lakes and Groundwater
Racial Disparity Persists in Every System Across the Country, Without Exception Term: System: Health Disparity Health Disproportionality Child Welfare Education (Achievement) Achievement Gap Juvenile Justice Disproportionate Minority Contact (DMC) Disproportionate Education (Special Ed.) Representation Historically Underutilized Economic Development Businesses
Racial Disparity Persists in Every System Across the Country, Without Exception Term: System: Health Disparity Health Disproportionality Child Welfare Education (Achievement) Achievement Gap Juvenile Justice Disproportionate Minority Contact (DMC) Disproportionate Education (Special Ed.) Representation Historically Underutilized Economic Development Businesses
What is Health Equity? Source: Robert Wood Johnson Foundation
Social Determinants of Health Education Social support Childhood Housing experiences Family income Our communities Employment Access to healthcare “…people are born, grow, work, live, and age , and the wider set of forces and systems shape the conditions of daily life.. including economic policies and systems, development agendas, social norms, social policies and political systems .” Source: who.int/social_determinants
Source: Let’s Get Healthy California
Creating Opportunities so Everyone Has a Chance to Live Their Healthiest Life • Reframing with strengths based approach to health equity • “Centering the Margins” • Prioritizes needs and wants of those at "margins"- patients and communities we hope to serve • Democratized process to include direct participation by the stakeholders, giving a meaningful voice • Design and evaluation of impact of research according to stakeholder outcomes • Underlying current emphasize on patient and community engagement
History of Collaborating 2005 NC Institute for Minority Economic UNC School of Medicine Development National Community Based Organization Network Carolina Community Network CTSA Key Function Committee Cecil G. Sheps Center Program on Health Disparities NC TraCS CARES Community Advisory Board NC TraCS CARES Community Bridges to Cancer Clinical Trials UNC Center for Health Equity Community-Campus Partnerships for Health Research 2019
Facilitating Patient and Stakeholder Engagement through Partnerships ✔ Patients want Trust , ✔ Patients require evidence of Trustworthiness , ✔ Patients want Transparency , and ✔ Patients want to be Partners .
CCPH Model for Authentic Partnerships
The master’s tools will never dismantle the master’s house. – Audre Lorde
Arc of Our Partnership Individual: • Community Bridges to Cancer Clinical Trials Partnerships/Institutional: • Understanding Trust in Research Partnership • Clinical & Translational Science Award • Research Ethics for Engaged Scholarship Structural: • Engagement in Rural Communities • Clinical Scholars (a program of RWJF)
National Leadership Program
Clinical Scholars Core Competencies 25 Competencies and 4 Domains: ❖ Personal ❖ Interpersonal ❖ Internal Organizational Leadership ❖ Organizational and Community Impact
Dismantling Structural Inequalities: Infusing Art in Our Work
What Are Anchor Institutions? Source: Healthcare Anchor Network
Bon Secours Health System Source: Healthcare Anchor Network
One of the most vital ways we sustain ourselves is by building communities of resistance, places where we know we are not alone. – bell hooks
Thank You! Al Richmond, MSW Giselle Corbie-Smith, MD, MSc Community-Campus UNC Chapel Hill Partnerships for Health School of Medicine @ccph_news @gcsmd @uncCHER ccphealth.org @CSPfellows cher.unc.edu pcori.org | info@pcori.org | #PCORI2019
Recommend
More recommend
