Partnering on the Social Determinants of Health With the Community Health Improvement Matrix

Laymon, Barbara; Chudgar, Reena; Huang, Tiffany J.; Kulkarni, Mukti; Holtgrave, Peter; Gore, Kathleen

doi:10.1097/phh.0000000000001245

Cited by 4 publications

(2 citation statements)

References 10 publications

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“…Therefore, this community approach includes characteristics of a community's territory, networks, and key actors in the design and implementation of clinical care. This approach focuses on the participation of people in their health processes [17] by linking the community's capacity to systematically and strategically integrate health-related actions with services located in a given territory [18].…”

Section: Community Occupational Therapymentioning

confidence: 99%

What Competencies Does a Community Occupational Therapist Need in Neurorehabilitation? Qualitative Perspectives

Avello-Sáez

Helbig-Soto

Lucero-González

et al. 2022

IJERPH

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More than three million people in Chile suffer from neurological conditions, and many of these become permanent users of health services with a community approach. In this way, disciplinary competencies in this area are relevant. We seek to characterize the competencies for community occupational therapy intervention in neurorehabilitation. Using a qualitative approach, interviews were conducted with eighteen professionals and were analyzed using content analysis. The main results are associated with the competencies of knowledge associated with theoretical biomedical and community elements. Skills range from health evaluation and intervention on micro- and macrosocial levels. Attitude is also an important skill, stemming from personal and relational spheres. These findings suggest that interventions are essentially on a personal and microsocial level, focusing first on pathology and treatment, and later comprehending the interactions with a patient’s close social environment, such as family, schoolmates, and workmates and their physical environment at home, school, and the workplace. Although the final objective of community intervention is present in the discourse as being able to generate structural changes that favor well-being and social inclusion, concrete competencies are not appreciated on a macrosocial level.

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Section: Community Occupational Therapymentioning

confidence: 99%

What Competencies Does a Community Occupational Therapist Need in Neurorehabilitation? Qualitative Perspectives

Avello-Sáez

Helbig-Soto

Lucero-González

et al. 2022

IJERPH

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show abstract

“…Although some research has reviewed the inclusion of SDoH objectives in CHIPs, a more comprehensive assessment of the specific SDoH present and missing from CHIPs can reveal social determinants that need increased attention to alleviate health disparities [ 27 , 28 ]. Furthermore, to our knowledge, there are unanswered questions regarding the challenges and facilitators of including the SDoH and health equity in CHIPs.…”

Section: Introductionmentioning

confidence: 99%

Inclusive and intersectoral: community health improvement planning opportunities to advance the social determinants of health and health equity

Hatton,

Kale,

Pollack Porter

et al. 2024

BMC Public Health

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Background Community health improvement plans (CHIPs) are strategic planning tools that help local communities identify and address their public health needs. Many local health departments have developed a CHIP, yet there is a lack of research on the extent to which these plans address root causes of health disparities such as the social determinants of health. This study aims to inventory the social determinants of health included in 13 CHIPs and examine facilitators and challenges faced by local health departments and partners when trying to include the social determinants of health. Methods We conducted a comparative plan evaluation by scoring 13 CHIPs on their inclusion of equity orientation, inclusive planning processes, and five social determinants of health: health care access and quality, the neighborhood and built environment, economic stability, social and community context, and education access and quality. To supplement the plan evaluation, we conducted 32 in-depth interviews with CHIP leaders and stakeholders to understand the factors contributing to the inclusion and exclusion of the social determinants of health in the planning process. Results CHIPs received an average score of 49/100 for the inclusion of the social determinants of health. Most plans addressed health care access and quality and the neighborhood and built environment, but they often did not address economic stability, the social and community context, and education access and quality. Regarding their overall equity orientation, CHIPs received an average score of 35/100, reflecting a relative lack of attention to equity and inclusive planning processes in the plans. Interviews revealed that challenges engaging partners, making clear connections between CHIPs and social determinants, and a lack of capacity or public and partner support often led to the exclusion of the social determinants of health. Recommendations to improve planning processes include improving data infrastructure, providing resources for dedicated planning staff and community engagement incentives, and centering equity throughout the planning process. Conclusions Although local health departments can leverage CHIPs to improve population health and address health disparities, they face a range of challenges to including the social determinants of health in CHIPs. Additional resourcing and improved data are needed to facilitate broader inclusion of these determinants, and more work is needed to elevate equity throughout these planning processes.

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Development and validation of statewide survey-based measures of livability in Connecticut

Dsouza,

Carroll-Scott,

Bilal

et al. 2024

Health & Place

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Partnering on the Social Determinants of Health With the Community Health Improvement Matrix

Cited by 4 publications

References 10 publications

What Competencies Does a Community Occupational Therapist Need in Neurorehabilitation? Qualitative Perspectives

What Competencies Does a Community Occupational Therapist Need in Neurorehabilitation? Qualitative Perspectives

Inclusive and intersectoral: community health improvement planning opportunities to advance the social determinants of health and health equity

Development and validation of statewide survey-based measures of livability in Connecticut

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