making a difference: partnering to achieve health equity · making a difference: partnering to...
TRANSCRIPT
Making a Difference: Partnering to Achieve Health Equity
Giselle Corbie-Smith, MD, MScProfessor, Social Medicine and Medicine; Director, Center for Health Equity ResearchUniversity of North Carolina at Chapel Hill
@gcsmd
Al Richmond, MSWExecutive DirectorCommunity-Campus Partnerships for Health
@ccphED
Making a Difference:Partnering to Achieve Health Equity
Giselle Corbie-Smith, MD, MSc | @gcsmd | @uncCHER
Al Richmond, MSW | @CCPH_news
#PCORI2019
Disclosures
Giselle Corbie- SmithHas nothing to disclose.
Al RichmondHas nothing to disclose.
Fish, Lakes and Groundwater
Fish, Lakes and Groundwater
Racial Disparity Persists in Every System Across the Country, Without Exception
System:Health
Child Welfare
Education (Achievement)
Juvenile Justice
Education (Special Ed.)
Economic Development
Term:Health Disparity
Disproportionality
Achievement Gap
Disproportionate Minority Contact (DMC)
Disproportionate Representation
Historically Underutilized Businesses
Racial Disparity Persists in Every System Across the Country, Without Exception
System:Health
Child Welfare
Education (Achievement)
Juvenile Justice
Education (Special Ed.)
Economic Development
Term:Health Disparity
Disproportionality
Achievement Gap
Disproportionate Minority Contact (DMC)
Disproportionate Representation
Historically Underutilized Businesses
What is Health Equity?
Source: Robert Wood Johnson Foundation
Social Determinants of Health
“…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.”
Childhood experiences
Housing Education Social support
Family income Our communities Employment Access to healthcare
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 basedapproach 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
UNC School of Medicine
Carolina Community Network
Cecil G. Sheps Center Program on Health Disparities
NC TraCS CARES
UNC Center for Health Equity Research
2005
2019
NC Institute for Minority Economic Development
National Community Based Organization Network
CTSA Key Function Committee
NC TraCS CARES CommunityAdvisory Board
Community Bridges toCancer Clinical Trials
Community-Campus Partnerships for Health
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!
pcori.org | [email protected] | #PCORI2019
Al Richmond, MSW
Community-Campus Partnerships for Health
@ccph_newsccphealth.org
Giselle Corbie-Smith, MD, MSc
UNC Chapel Hill School of Medicine
@gcsmd @uncCHER @CSPfellows cher.unc.edu