Optimizing Upstream Health in the Community-Oriented Integrative Domain

• Main Authors: Christopher M. Williams, Jehan El-Bayoumi
• Format: Article
• Language: English
• Published: Mary Ann Liebert 2018-10-01
• Series: Health Equity
• Subjects: academic community partnership; community engagement; health care domains; integrative domain; social determinants of health
• Online Access: https://www.liebertpub.com/doi/full/10.1089/HEQ.2018.0041

Three domains define major challenges facing U.S. health care. Although engagement in the clinical and service domains directly impacts health, integrative engagement operates at the community level to address social determinants of health. Relying on examples from the Rodham Institute, an academically-based community organization, the authors describe principles and practices for promoting community self-efficacy and capacity-building to improve health. These include effective listening, allowing the self-identified needs of the community to drive engagement, and facilitating physician learning involving community education. If social determinants are to be effectively addressed, such approaches provide valuable insight.