Drivers Of Health As A Shared Value: Mindset, Expectations, Sense Of Community, And Civic Engagement

Abstract

Making health a shared value is central to building a culture of health, a new action framework intended to spur faster progress toward equitable health outcomes in the United States. Unlike in other US social movements, such as the environmental and civil rights movements, the necessary understanding of shared values has not yet been achieved for health. Discussions about values regarding health have primarily focused on health care instead of health or well-being. These discussions have not progressed to a clear focus on prioritizing values on health instead of simply health care. The evidence base for understanding health as a shared value is only now emerging. Making health a shared value is the first of four Action Areas in the Robert Wood Johnson Foundation's Culture of Health Action Framework. We assert that the achievement of this shared understanding of health as a cultural value will be enhanced through action in specific drivers: mindset and expectations, sense of community, and civic engagement. Building on a literature review and stakeholder engagement, this article examines the evidence base for these drivers and identifies where policy and research actions are needed to advance positive change on population health and well-being outcomes.

Building the foundation to generate a fundamental care standardised data set

“…Increasing healthcare costs and health inequities require a shift towards value‐based health care that includes a shared understanding that collaboration across sectors and communities is needed to improve population health (Chandra et al., ) New models of care within integrated systems require engaging communities in providing supportive environments and services for targeted populations, and cross‐sector collaborations and partnerships (including mental and behavioural health, social service, acute care and other healthcare systems) (Tamblyn, McMahon, Nadigel, Dunning, & Drake, ; Towe et al., ).…”

Issues Relevant to Population Health in Political Advertising in the United States, 2011‐2012 and 2015‐2016

“…The current analysis provides an important baseline from which to understand public attention to population health‐relevant issues, both overall and relative to each other, and from which to advance further research on specific issues. Future analyses are needed to assess factors that affect the overall and regional volume of discussion of population health policies, as well as how political discourse may influence public opinion (and potentially shift underlying values) in ways that could advance policies to promote population health …”

Factors Related to Health Civic Engagement: Results from the 2018 National Survey of Health Attitudes to Understand Progress towards a Culture of Health

“…Moreover, other research suggests that how individuals understand and frame the causes of and degree of personal responsibility for health conditions such as diabetes (e.g., as the result of individual behavior vs. environmental conditions) is linked to their willingness to support investments in community health (16,24,25). The importance of mindset and expectations in health is also supported by research and practice evidence from social network theory, community resilience, narrative theory, well-being science, and asset-based community development, each field articulating pathways by which individual and community sentiment about an issue is formed and addressed (21,26,27).…”