Shared Language for Shared Work in Population Health.

Autor:	Peek CJ; Department of Family Medicine and Community Health, University of Minnesota, Minneapolis, Minnesota cjpeek@umn.edu., Westfall JM; Robert Graham Center, Washington, DC., Stange KC; Case Western Reserve University Center for Community Health Integration, Cleveland, Ohio., Liaw W; Health Systems and Population Health Sciences, University of Houston College of Medicine, Houston, Texas., Ewigman B; Department of Family Medicine, North-Shore University Health System & the Pritzker School of Medicine, University of Chicago, Chicago, Illinois., DeVoe JE; Department of Family Medicine, Oregon Health & Science University, Portland, Oregon., Green LA; Department of Family Medicine, University of Colorado School of Medicine, Aurora, Colorado., Polverento ME; Department of Family Medicine, College of Human Medicine, Michigan State University, East Lansing, Michigan., Bora N; Kent County Health Department, Grand Rapids, Michigan., deGruy FV; Department of Family Medicine, University of Colorado School of Medicine, Aurora, Colorado., Harper PG; Department of Family Medicine and Community Health, University of Minnesota, Minneapolis, Minnesota., Baker NJ; Department of Family Medicine and Community Health, University of Minnesota, Minneapolis, Minnesota.
Jazyk:	angličtina
Zdroj:	Annals of family medicine [Ann Fam Med] 2021 Sep-Oct; Vol. 19 (5), pp. 450-457.
DOI:	10.1370/afm.2708
Abstrakt:	People working on behalf of population health, community health, or public health often experience confusion or ambiguity in the meaning of these and other common terms-the similarities and differences and how they bear on the tasks and division of labor for care delivery and public health. Shared language must be clear enough to help, not hinder people working together as they ultimately come to mutual understanding of roles, responsibilities, and actions in their joint work. Based on an iterative lexicon development process, the authors developed and propose a definitional framework as an aid to navigating among related population and community health terms. These terms are defined, similarities and differences clarified, and then organized into 3 categories that reflect goals, realities, and ways to get the job done. Goals include (a) health as well-being for persons, (b) population health as that goal expressed in measurable terms for groups, and (c) community health as population health for particular communities of interest, geography, or other defining characteristic-groups with shared identity and particular systemic influences on health. Realities are social determinants as influences, health disparities as effects, and health equity as both a goal and a design principle. Ways to get the job done include health care delivery systems for enrollees and public health in population-based civic activities-with a broad zone of collaboration where streams of effort converge in partnership with served communities. This map of terms can enable people to move forward together in a broad zone of collaboration for health with less confusion, ambiguity, and conflict. (© 2021 Annals of Family Medicine, Inc.)
Databáze:	MEDLINE
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