Research ArticleSpecial Communication

Revisiting Primary Care's Critical Role in Achieving Health Equity: Pisacano Scholars' Reflections from Starfield Summit II

Brian Park, Anastasia J. Coutinho, Noemi Doohan, Jonathan Jimenez, Sara Martin, Max Romano, Diana Wohler and Jennifer DeVoe
The Journal of the American Board of Family Medicine March 2018, 31 (2) 292-302; DOI: https://doi.org/10.3122/jabfm.2018.02.170256

References

  1. 1.↵
    1. Starfield B,
    2. Shi L,
    3. Macinko J
    . Contribution of primary care to health systems and health. Milbank Q 2005;83:457–502.
    OpenUrlCrossRefPubMedWeb of Science
  2. 2.↵
    1. Doohan N,
    2. Coutinho AJ,
    3. Lochner J,
    4. Wohler D,
    5. DeVoe J
    . “A paradox persists when the paradigm is wrong”: Pisacano Scholars' reflections from the inaugural Starfield Summit. J Am Board Fam Med 2016;29:793–804.
    OpenUrlAbstract/FREE Full Text
  3. 3.↵
    OCHIN (2017). Available from: http://www.ochin.org. Accessed June 18, 2017.
  4. 4.↵
    Starfield Summit [homepage]. Available from: http://www.starfieldsummit.com/. Accessed June 16, 2017.
  5. 5.↵
    Ignite [homepage]. Available from: http://www.ignitetalks.io/. Accessed June 16, 2017.
  6. 6.↵
    National Academies of Sciences, Engineering, and Medicine. Communities in action: pathways to health equity. Washington (DC): National Academies Press; 2017.
  7. 7.↵
    1. Minkler M
    1. Minkler M
    . Introduction to community organizing and community building. In: Minkler M, ed. Community organizing and community building for health and welfare. Rutgers (NJ): Rutgers University Press; 2012: 5–26.
  8. 8.↵
    1. Shirley D
    . Community organizing for urban school reform. Austin: University of Texas Press; 1997.
  9. 9.↵
    1. Shlay AB,
    2. Whitman G
    . Research for democracy: linking community organizing and research to leverage blight policy. City Community 2006;5:153–71.
    OpenUrlCrossRef
  10. 10.↵
    1. Rank MR
    . One nation, underprivileged. New York: Oxford University Press; 2004.
  11. 11.↵
    1. Subica AM,
    2. Grills CT,
    3. Villanueva S,
    4. Douglas JA
    . Community organizing for healthier communities: environmental and policy outcomes of a national initiative. Am J Prev Med 2016;51:916–25.
    OpenUrl
  12. 12.↵
    1. Connor E,
    2. Mullan F
    1. Geiger HJ
    . The meaning of community oriented primary care in an American context. In: Institute of Medicine (US) Division of Health Care Services; Connor E, Mullan F, eds. Community oriented primary care: new directions for health services delivery. Washington (DC): National Academies Press; 1983:73–114.
  13. 13.↵
    1. Geiger HJ
    . The first community health centers: a model of enduring value. J Ambul Care Manage 2005;28:313–20.
    OpenUrlPubMed
  14. 14.↵
    1. Rosen G
    . What is social medicine? A genetic analysis of the concept. Bull Hist Med 1947;21:674–733.
    OpenUrlPubMed
  15. 15.↵
    1. Green LA,
    2. Fryer GE,
    3. Yawn BP,
    4. Lanier D,
    5. Dovey SM
    . The ecology of medical care revisited. N Engl J Med 2001;344:2021–5.
    OpenUrlCrossRefPubMedWeb of Science
  16. 16.↵
    1. Nutting PA
    . Community-oriented primary care: from principle to practice. Albuquerque: University of New Mexico Press; 1990.
  17. 17.↵
    National Commission on Community Health Services. Health is a community affair: report of the National Commission on Community Health Services. Cambridge (MA): Harvard University Press; 1966.
  18. 18.↵
    1. Stephens GG
    . Remembering 40 years, plus or minus. J Am Board Fam Med 2010;23(Suppl 1):S5–10.
    OpenUrlFREE Full Text
  19. 19.↵
    1. Stephens GG
    . Family medicine as counterculture. Fam Med 1989;21:103–9.
    OpenUrlPubMed
  20. 20.↵
    World Health Organization. Declaration of Alma-Ata. International Conference on Primary Health Care; Alma-Ata, USSR; September 6–12, 1978.
  21. 21.↵
    1. Starfield B,
    2. Shi L
    . Policy relevant determinants of health: an international perspective. Health Policy 2002;60:202–21.
    OpenUrl
  22. 22.↵
    1. Shi L,
    2. Macinko J,
    3. Starfield B,
    4. Politzer R,
    5. Xu J
    . Primary care, race, and mortality in US states. Soc Sci Med 2005;61:65–75.
    OpenUrlCrossRefPubMedWeb of Science
  23. 23.↵
    1. Starfield B
    . The hidden inequity in health care. Int J Equity Health 2011;10:15.
    OpenUrlCrossRefPubMed
  24. 24.↵
    1. Das A
    . How does race get “under the skin”? Inflammation, weathering, and metabolic problems in late life. Soc Sci Med 2013;77:75–83.
    OpenUrlCrossRefPubMed
  25. 25.↵
    1. Proctor BD,
    2. Semega JL,
    3. Kollar MA
    . Income and poverty in the United States: 2015. Washington (DC): US Census Bureau; 2016.
  26. 26.↵
    1. McDonough P,
    2. Duncan GJ,
    3. Williams D,
    4. House J
    . Income dynamics and adult mortality in the United States, 1972 through 1989. Am J Public Health 1997;87:1476–83.
    OpenUrlCrossRefPubMedWeb of Science
  27. 27.↵
    Zumbrun J SAT scores and income inequality: how wealthier kids rank higher. Wall Street Journal, October 7, 2014. Available from: https://blogs.wsj.com/economics/2014/10/07/sat-scores-and-income-inequality-how-wealthier-kids-rank-higher/. Accessed May 15, 2017.
  28. 28.↵
    World Health Organization (WHO). More health for the money. In Health systems financing: the path to universal coverage. Geneva: WHO;2010:72–5.
  29. 29.↵
    1. Katerndahl D,
    2. Wood R,
    3. Jaén CR
    . Family medicine outpatient encounters are more complex than those of cardiology and psychiatry. J Am Board Fam Med 2011;24:6–15.
    OpenUrlAbstract/FREE Full Text
  30. 30.↵
    1. Beasley JW,
    2. Hankey TH,
    3. Erickson R,
    4. et al
    . How many problems do family physicians manage at each encounter? A WReN study. Ann Fam Med 2004;2:405–10.
    OpenUrlAbstract/FREE Full Text
  31. 31.↵
    1. Bradley EH,
    2. Elkins BR,
    3. Herrin J,
    4. Elbel B
    . Health and social services expenditures: associations with health outcomes. BMJ Qual Saf2011;20:826–31.
    OpenUrlAbstract/FREE Full Text
  32. 32.↵
    Institute of Medicine. Public health: exploring integration to improve population health. Washington (DC): National Academies Press; 2012.
  33. 33.↵
    1. Berwick DM,
    2. Nolan TW,
    3. Whittington J
    . The triple aim: care, health, and cost. Health Aff (Millwood) 2008;27:759–69.
    OpenUrlAbstract/FREE Full Text
  34. 34.↵
    1. Davis K,
    2. Stremikis K,
    3. Schoen C,
    4. Squires D
    . Mirror, mirror on the wall, 2014 update: how the US health care system compares internationally. New York: Commonwealth Fund; 2014. Available from: http://www.commonwealthfund.org/publications/fund-reports/2014/jun/mirror-mirror. Accessed January 23, 2018.
  35. 35.↵
    National Research Council; Committee on Population. US health in international perspective: shorter lives, poorer health. Washington (DC): National Academies Press; 2013.
  36. 36.↵
    National Institute of Health Care Management Foundation. The concentration of health care spending. Washington (DC): National Institute of Health Care Management Foundation; 2012.
  37. 37.↵
    1. Berenson J,
    2. Doty MM,
    3. Abrams MK,
    4. Shih A
    . Achieving better quality of care for low-income populations: the roles of health insurance and the medical home in reducing health inequities. New York: Commonwealth Fund; 2012.
  38. 38.↵
    1. Counsell SR,
    2. Callahan CM,
    3. Clark DO,
    4. et al
    . Geriatric care management for low-income seniors. JAMA 2007;298:2623–33.
    OpenUrlCrossRefPubMedWeb of Science
  39. 39.↵
    1. Richard L,
    2. Furler J,
    3. Densley K,
    4. et al
    . Equity of access to primary healthcare for vulnerable populations: the IMPACT international online survey of innovations. Int J Equity Health 2016;15:64.
    OpenUrl
  40. 40.↵
    1. Thomas SB,
    2. Quinn SC,
    3. Butler J,
    4. Fryer CS,
    5. Garza MA
    . Toward a fourth generation of disparities research to achieve health equity. Ann Rev Public Health 2011;32:399–416.
    OpenUrlCrossRefPubMedWeb of Science
  41. 41.↵
    Institute of Medicine of the National Academies, Committee on the Recommended Social and Behavioral Domains and Measures for Electronic Health Records. Capturing social and behavioral domains in electronic health records: phase 2. Washington (DC): National Academies Press; 2014.
  42. 42.↵
    1. Gottlieb LM,
    2. Tirozzi KJ,
    3. Manchanda R,
    4. Burns AR,
    5. Sandel MT
    . Moving electronic medical records upstream: incorporating social determinants of health. Am J Prev Med 2015;48:215–8.
    OpenUrlCrossRefPubMed
  43. 43.↵
    1. DeVoe JE,
    2. Bazemore AW,
    3. Cottrell EK,
    4. et al
    . Perspectives in primary care: a conceptual framework and path for integrating social determinants of health into primary care practice. Ann Fam Med 2016;14:104–8.
    OpenUrlFREE Full Text
  44. 44.↵
    Institute for Alternative Futures. Community health centers leveraging the social determinants of health. Alexandria (VA): Institute for Alternative Futures; 2012.
  45. 45.↵
    American Academy of Pediatrics. Social determinants of health. Available from: https://www.aap.org/en-us/advocacy-and-policy/aap-health-initiatives/Screening/Pages/Social-Determinants-of-Health.aspx. Accessed June 16, 2017.
  46. 46.↵
    Centers for Medicare & Medicaid Services. Accountable health communities model. Available from: https://innovation.cms.gov/initiatives/AHCM. Accessed June 16, 2017.
  47. 47.↵
    1. Bazemore AW,
    2. Cottrell EK,
    3. Gold R,
    4. et al
    . “Community vital signs”: incorporating geocoded social determinants into electronic records to promote patient and population health. J Am Med Inform Assoc 2015;23:407–12.
    OpenUrl
  48. 48.↵
    1. Hughes LS,
    2. Phillips RL,
    3. DeVoe JE,
    4. Bazemore AW
    . Community vital signs: taking the pulse of the community while caring for patients. J Am Board Fam Med 2016;29:419–22.
    OpenUrlAbstract/FREE Full Text
  49. 49.↵
    1. Yaggy SD,
    2. Michener JL,
    3. Yaggy D,
    4. et al
    . Just for Us: an academic medical center–community partnership to maintain the health of a frail low-income senior population. Gerontologist 2006;46:271–6.
    OpenUrlCrossRefPubMedWeb of Science
  50. 50.↵
    1. Hurwitz B,
    2. Greenhalgh T,
    3. Skultans V
    1. Herxheimer A,
    2. Ziebland S
    . The DIPEx project: collecting personal experiences of illness and health care. In: Hurwitz B, Greenhalgh T, Skultans V, eds. Narrative research in health and illness. Malden (MA): Blackwell; 2004: 115–31.
  51. 51.↵
    Oregon Health Authority. Community assessment. Available from: http://www.oregon.gov/oha/PH/PREVENTIONWELLNESS/HEALTHYCOMMUNITIES/COMMUNITYPLANNING/Pages/community-assessment.aspx. Accessed September 18, 2017.
  52. 52.↵
    1. Graham H
    . Social determinants and their unequal distribution: clarifying policy understandings. Milbank Q 2004;82:101–24.
    OpenUrlCrossRefPubMedWeb of Science
  53. 53.↵
    1. Havercamp SM,
    2. Scott HM
    . National health surveillance of adults with disabilities, adults with intellectual and developmental disabilities, and adults with no disabilities. Disabil Health J 2015;8:165–72.
    OpenUrl
  54. 54.↵
    1. Derose KP,
    2. Escarce JJ,
    3. Lurie N
    . Immigrants and health care: sources of vulnerability. Health Aff (Millwood) 2007;26:1258–68.
    OpenUrlAbstract/FREE Full Text
  55. 55.↵
    1. Hartley D
    . Rural health disparities, population health, and rural culture. Am J Public Health 2004;94:1675–8.
    OpenUrlCrossRefPubMedWeb of Science
  56. 56.↵
    1. Nelson AR,
    2. Stith AY,
    3. Smedley BD
    eds.. Unequal treatment: confronting racial and ethnic disparities in health care. Washington (DC): National Academies Press; 2002.
  57. 57.↵
    1. Caiola C,
    2. Docherty S,
    3. Relf M,
    4. Barroso J
    . Using an intersectional approach to study the impact of social determinants of health for African-American mothers living with HIV. ANS Adv Nurs Sci 2014;37:287–98.
    OpenUrl
  58. 58.↵
    1. Hardeman RR,
    2. Medina EM,
    3. Kozhimannil KB
    . Structural racism and supporting black lives—the role of health professionals. N Engl J Med 2016;375:2113–5.
    OpenUrl
  59. 59.↵
    1. Devine PG,
    2. Forscher PS,
    3. Austin AJ,
    4. Cox WT
    . Long-term reduction in implicit race bias: a prejudice habit-breaking intervention. psychology Exp Soc Psychol 2012;48:1267–78.
  60. 60.↵
    1. Burgess D,
    2. Van Ryn M,
    3. Dovidio J,
    4. Saha S
    . Reducing racial bias among health care providers: lessons from social-cognitive psychology. medicine Gen Intern Med 2007;22:882–7.
  61. 61.↵
    1. Gold SB,
    2. Park B
    . Effective payment for primary care. An annotated bibliography. Available from: https://www.graham-center.org/content/dam/rgc/documents/publications-reports/reports/StarfieldSummit%20Annotated%20Bibliography_Payment-FIN.pdf. Accessed June 24, 2017.
  62. 62.↵
    1. Betancourt JR
    . Ushering in the new era of health equity. Health Affairs Blog, October 31, 2016. Available from: http://healthaffairs.org/blog/2016/10/31/ushering-in-the-new-era-of-health-equity/. Accessed June 24, 2017.
  63. 63.↵
    Centers for Medicare & Medicaid Services. Comprehensive primary care initiative. Available from: https://innovation.cms.gov/initiatives/comprehensive-primary-care-initiative/. Accessed September 19, 2017.
  64. 64.↵
    1. Hostetler C
    . ACA opened the door for payment reform and practice transformation to address SDoH, now what? Starfield Summit II, Portland, OR, April 24, 2017.
  65. 65.↵
    1. Woolf SH,
    2. Johnson RE,
    3. Phillips RL Jr.,
    4. Philipsen M
    . Giving everyone the health of the educated: an examination of whether social change would save more lives than medical advances. Am J Public Health 2007;97:679–83.
    OpenUrlCrossRefPubMedWeb of Science
  66. 66.↵
    1. Hämmig O,
    2. Bauer GF
    . The social gradient in work and health: a cross-sectional study exploring the relationship between working conditions and health inequalities. BMC Public Health 2013;13:1170.
    OpenUrlCrossRefPubMed
  67. 67.↵
    World Health Organization. The economics of social determinants of health and health inequalities: a resource book (vol. 3700). Geneva: World Health Organization; 2013.
  68. 68.↵
    National Academies of Sciences, Engineering, and Medicine. Accounting for social risk factors in Medicare payment: criteria, factors, and methods. Washington (DC): National Academies Press; 2016.
  69. 69.↵
    1. Salmond CE,
    2. Crampton P
    . Development of New Zealand's deprivation index (NZDep) and its uptake as a national policy tool. Can J Public Health 2012;103(8 Suppl 2)S7–11.
    OpenUrlPubMed
  70. 70.↵
    1. Joynt KE,
    2. De Lew N,
    3. Sheingold SH,
    4. Conway PH,
    5. Goodrich K,
    6. Epstein AM
    . Should Medicare value-based purchasing take social risk into account? N Engl J Med 2016;376:510–3.
    OpenUrl
  71. 71.↵
    1. Boelen C
    . Why should social accountability be a benchmark for excellence in medical education? Educ Med 2016;17:101–5.
    OpenUrl
  72. 72.↵
    1. Gottlieb LM,
    2. Wing H,
    3. Adler N
    . A systematic review of interventions on patients' social and economic needs. Am J Prev Med. 2017;53:719–29.
    OpenUrl
  73. 73.↵
    1. Greene SM,
    2. Reid RJ,
    3. Larson EB
    . Implementing the learning health system: from concept to action. Ann Intern Med 2012;157:207–10.
    OpenUrlCrossRefPubMedWeb of Science
  74. 74.↵
    1. Grumbach K,
    2. Lucey CR,
    3. Johnston SC
    . Transforming from centers of learning to learning health systems: the challenge for academic health centers. JAMA 2014;311:1109–10.
    OpenUrlCrossRefPubMed
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