Academic Health Centers and Social Determinants of Health: Community Health Improvemen
Public Deposited- Creator
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Caruana, Marc
- Affiliation: Gillings School of Global Public Health, Department of Health Policy and Management
- Abstract
- ABSTRACTMarc Caruana: Academic Health Centers and Social Determinants of Health:Community Health Improvement(Under the direction of Morris Weinberger) Problem: Academic Health Centers (AHCs) have traditionally focused on their three core missions of patient care, research, and education. The current changing health care environment requires AHCs to continue to offer specialized tertiary care services to individual patients while also broadening their focus to improve the health of their communities.Study Objective: The objective of this study is to identify the opportunities and challenges for AHCs in North Carolina that are addressing Social Determinants of Health (SDOH) to improve the health of patients and their communities. The five AHCs in North Carolina during the study period were the University of North Carolina Health, Duke University Health System, Vidant Health System, Wake Forest Baptist Health, and Atrium Health.Data Collection: The study used a mixed methods design. Financial data from system wide community benefits reports and the Form 990 Schedule H of the primary medical centers (when available) from the five AHCs in North Carolina were analyzed. Additionally, four key informant interviews were completed at each of the five AHCs in North Carolina. Plan for Change: A proposed framework for a plan for change incorporates the eight steps in the Kotter process for leading change. Leaders and an army of volunteers will be key to develop partnerships with local organizations addressing SDOH. A new strategic vision must incorporate social accountability into their core missions to remove barriers and institute and sustain change. The long-term goal is to establish and sustain partnerships with active programs addressing SDOH to improve the health of their community through community building activities
- Date of publication
- 2023
- Keyword
- DOI
- Resource type
- Rights statement
- In Copyright - Educational Use Permitted
- Advisor
- Weinberger, Morris
- Greene, Sandra
- Flynn, David
- Shea, Christopher
- Zuber, Alexandra
- Degree
- Doctor of Public Health
- Degree granting institution
- University of North Carolina at Chapel Hill Graduate School
- Graduation year
- 2023
- Language
Relations
- Parents:
This work has no parents.
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