No Equity, No Triple Aim: Strategic Proposals to Advance Health Equity in a Volatile Policy Environment

Wilkinson, Geoffrey; Sager, Alan; Selig, Sara; Antonelli, Richard C.; Morton, Samantha; Hirsch, Gail R.; Lee, Celeste Reid; Ortiz, Abigail; Fox, Durrell J.; Lupi, Monica Valdes; Acuff, Cecilia; Wachman, Madeline

doi:10.2105/ajph.2017.304000

Cited by 21 publications

(22 citation statements)

References 8 publications

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“…A range of topics relating to equity and interprofessional care delivery was covered. These included the relationship between models (Martin-Misener et al , 2012; Oelke et al , 2013), the impact of models on access and equity (Demby and Northrige, 2017; O'Malley et al , 2015; Wilkinson et al , 2017; Waldron, 2010; Glazier, 2007), care teams and impact (McPherson and McGibbon, 2010; Schuttner and Parchman, 2019), organisational interventions (Khanassov et al , 2016) and personal interventions (Kinser, 2016). Countries represented within the data where the UK, USA, Canada, the Netherlands, Brazil, Australia and Slovenia; some papers examined multiple countries (see Table 3).…”

Section: Resultsmentioning

confidence: 99%

The impact of interprofessional practice models on health service inequity: an integrative systematic review

Carey

Taylor

2021

JHOM

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PurposeThe purpose of this review was to explore the literature for evidence of the impact of interprofessional practice models on health service inequity, particularly within community care settings for diverse ageing populations.Design/methodology/approachAn integrative systematic literature review was conducted following the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) framework combined with the EndNote reference management system. Following the collection and comprehensive screening process completion, a thematic analysis of the included articles occurred utilising within NVivo 12 software.FindingsThe review found that there was a paucity of evidence related to the relationship between interprofessional practice models (IPM) and health service equity for ageing populations. There is a need to improve collaborative practices between social care, public health care and health service providers to more clearly define team member roles. Key aspirations included the need for future innovations in health service delivery to place health service equity as a goal for interprofessional practice. There is a need to find ways to measure and articulate the impact for vulnerable populations and communities.Research limitations/implicationsThe review offers insight into the need for health care delivery models to place health service equity at the centre of the model design. In practice settings, this includes setting interprofessional team goals around achieving equitable care outcomes for, and with, vulnerable populations. Implications for practice relate to improving how interprofessional teams work with communities to achieve health care equity.Originality/valueThere is a consensus across the literature that there continues to be health service inequity, yet IPE and interprofessional collaborative practice (IPC) have been growing in momentum for some time. Despite many statements that there is a link between interprofessional practice and improved health service equity and health outcomes, evidence for this is yet to be fully realised. This review highlights the urgent need to review the link between education and practice, and innovative health models of care that enable heath care professionals and social care providers to work together towards achieving health equity for ageing populations. It is clear that more evidence is required to establish evidence for best practice in interprofessional care that has the mitigation of health care inequity as a central objective.

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Section: Resultsmentioning

confidence: 99%

The impact of interprofessional practice models on health service inequity: an integrative systematic review

Carey

Taylor

2021

JHOM

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“…Wilkinson and colleagues argue that health equityone of twin moral aims of PH along with population health [24]-should act as the guiding framework to realize the Triple Aim [25] best achieved through collaboration of multiple sectors (e.g., health care, community, and government) to address health and social needs [25]. Martin's commentary supports this argument:…”

Section: Introductionmentioning

confidence: 99%

Addressing quadruple aims through primary care and public health collaboration: ten Canadian case studies

et al. 2020

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Background: Health systems in Canada and elsewhere are at a crossroads of reform in response to rising economic and societal pressures. The Quadruple Aim advocates for: improving patient experience, reducing cost, advancing population health and improving the provider experience. It is at the forefront of Canadian reform debates aimed to improve a complex and often-fragmented health care system. Concurrently, collaboration between primary care and public health has been the focus of current research, looking for integrated community-based primary health care models that best suit the health needs of communities and address health equity. This study aimed to explore the nature of Canadian primary care-public health collaborations, their aims, motivations, activities, collaboration barriers and enablers, and perceived outcomes. Methods: Ten case studies were conducted in three provinces (Nova Scotia, Ontario, and British Columbia) to elucidate experiences of primary care and public health collaboration in different settings, contexts, populations and forms. Data sources included a survey using the Partnership Self-Assessment Tool, focus groups, and document analysis. This provided an opportunity to explore how primary care and public health collaboration could serve in transforming community-based primary health care with the potential to address the Quadruple Aims. Results: Aims of collaborations included: provider capacity building, regional vaccine/immunization management, community-based health promotion programming, and, outreach to increase access to care. Common precipitators were having a shared vision and/or community concern. Barriers and enablers differed among cases. Perceived barriers included ineffective communication processes, inadequate time for collaboration, geographic challenges, lack of resources, and varying organizational goals and mandates. Enablers included clear goals, trusting and inclusive relationships, role clarity, strong leadership, strong coordination and communication, and optimal use of resources. Cases achieved outcomes addressing the Q-Aims such as improving access to services, addressing population health through outreach to at-risk populations, reducing costs through efficiencies, and improving provider experience through capacity building.

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“…A professional group within the social work profession has also begun to regain its interest in public health in recent years [ 4 ]. Social workers have a complex identity, with knowledge in psychology, sociology, and medicine, and they are not only members of the social sciences but are also health professionals who on the one hand play an important role in the clinical field, and on the other hand, have a shared interest and responsibility in promoting health equity and improving the social determinants of health and the conditions in which people live [ 5 ]. Social work has long played an important role in promoting human health and well-being, and in that light, all social work can be regarded as health social work [ 6 , 7 ].…”

Section: Introductionmentioning

confidence: 99%

The Strengthening Mechanism of the Relationship between Social Work and Public Health under COVID-19 in China

Zheng

Zhang

Wang

et al. 2021

IJERPH

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Social work and public health have always shared a common mission and vision in promoting human health. However, existing research tends to view social work and public health as two separate fields at both practice and policy levels, and these studies have largely neglected the consideration of how to integrate public health and social work. In the context of the COVID-19 epidemic, the link between the two has been strengthened and health social work has been given more importance. The question addressed in this article is through what mechanisms or practices the social work profession can strengthen its professional status and engage in interprofessional collaboration. Based on key informant interviews and case studies (one community and two cabin Hospitals), this study points out that three legitimacy mechanisms are needed: operationalizing policy, extending value, and completing justification. Furthermore, the future and possible limitations in relation to the development of health social work in China are discussed and specific recommendations are provided. Health social work needs to conduct practices and summarize its experiences and methods, to create a more friendly political environment by translating its results into policies that are conducive to the development of health social work through a political agenda. It needs to improve upon its practical abilities and methodologies, as well as professional education relating to professional values and ethics, in addition to identifying the deeper social needs of residents and discovering new, undeveloped areas of service. Moreover, because long-term change is difficult to justify due to China’s policy agendas, the question of whether the professional status of health social work in the post-epidemic context can be improved is something that needs to be further explored in future studies.

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No Equity, No Triple Aim: Strategic Proposals to Advance Health Equity in a Volatile Policy Environment

Cited by 21 publications

References 8 publications

The impact of interprofessional practice models on health service inequity: an integrative systematic review

The impact of interprofessional practice models on health service inequity: an integrative systematic review

Addressing quadruple aims through primary care and public health collaboration: ten Canadian case studies

The Strengthening Mechanism of the Relationship between Social Work and Public Health under COVID-19 in China

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