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Health Equity Panel
Wisconsin State Prevention ConferenceJune 12, 2012
Objectives
• Better understand the root causes of health-related inequities and disparities
• Understand the application of strategies to improve health equity
• Be able to identify at least one strategy to address health inequity within your own organization or setting
Fam
ily
&
C
ult
ure
Health Inequities
Health Disparities
Work on Health Equity
The interventions for the “medical model” look very different then interventions in the
“social determinants model”!
Medical and Public Health Interventions (Traditional)
Health Equity Interventions (Public Health 2.0)
Tend to focus on individuals•Surveillance, healthy behavior promotion•When focus on policies usually narrow policy focus (e.g., seat belts, imms, smoking)
Work at a system, policy level •Social systems, policies and practices
Adapted from a lecture by Dr. Tony Iton
Medical and Public Health Interventions (Traditional)
Health Equity Interventions (Public Health 2.0)
Tend to focus on individuals Work at a system, policy level
Tend to be remedial in nature Proactive
Adapted from a lecture by Dr. Tony Iton
Medical and Public Health Interventions (Traditional)
Health Equity Interventions (Public Health 2.0)
Tend to focus on individuals Work at a system, policy level
Tend to be remedial in nature Proactive
Do not address underlying conditions Work on root causes •Social Determinants•Equity
Adapted from a lecture by Dr. Tony Iton
Medical and Public Health Interventions (Traditional)
Health Equity Interventions (Public Health 2.0)
Tend to focus on individuals Work at a system, policy level
Tend to be remedial in nature Proactive
Do not address underlying conditions Work on root causes (Social Determinants)
Expensive and difficult to sustain Cost Effective in the long term? •But need long term investment
Adapted from a lecture by Dr. Tony Iton
Medical and Public Health Interventions (Traditional)
Health Equity Interventions (Public Health 2.0)
Tend to focus on individuals Work at a system, policy level
Tend to be remedial in nature Proactive
Do not address underlying conditions Work on root causes (Social Determinants)
Expensive and difficult to sustain Cost Effective in the long term? But need long term investment
No sustained impact on health disparities Directly address the reason for disparity
Adapted from a lecture by Dr. Tony Iton
Medical and Public Health Model Interventions
Health Equity Interventions
Tend to focus on individuals Work at a system, policy level
Tend to be remedial in nature Proactive
Do not address underlying conditions Work on root causes (Social Determinants)
Expensive and difficult to sustain Cost Effective in the long term? But need long term investment
No sustained impact on health disparities Directly address the reason for disparity
Interventions tend to be designed and implemented in top-down approach
Interventions should build community capacity
Medical and Public Health Interventions (Traditional)
Health Equity Interventions (Public Health 2.0)
Tend to focus on individuals Work at a system, policy level
Tend to be remedial in nature Proactive
Do not address underlying conditions Work on root causes (Social Determinants)
Expensive and difficult to sustain Cost Effective in the long term? But need long term investment
No sustained impact on health disparities Directly address the reason for disparity
Interventions tend to be designed and implemented in top-down approach
Interventions should build community capacity
Adapted from a lecture by Dr. Tony Iton
Medical and Public Health Model Interventions
Health Equity Interventions
Tend to focus on individuals Work at a system, policy level
Tend to be remedial in nature Proactive
Do not address underlying conditions Work on root causes (Social Determinants)
Expensive and difficult to sustain Cost Effective in the long term? But need long term investment
No sustained impact on health disparities Directly address the reason for disparity
Medical and Public Health Interventions (Traditional)
Health Equity Interventions (Public Health 2.0)
Tend to focus on individuals Work at a system, policy level
Tend to be remedial in nature Proactive
Do not address underlying conditions Work on root causes
Expensive and difficult to sustain Cost Effective in the long term? But need long term investment
No sustained impact on health disparities Directly address the reason for disparity
Interventions tend to be designed and implemented in top-down approach
Interventions should build community capacity
Partners largely include health care providers and social service agencies
Engage non-traditional partners•Organizations who work on policy and advocacy on social, economic and environmental issues•Community organizers who work on civic engagement•Community planners
Adapted from a lecture by Dr. Tony Iton
Medical and Public Health Interventions (Traditional)
Health Equity Interventions (Public Health 2.0)
Tend to focus on individuals Work at a system, policy level
Tend to be remedial in nature Proactive
Do not address underlying conditions Work on root causes (Social Determinants)
Expensive and difficult to sustain Cost Effective in the long term. But need long term investment
No sustained impact on health disparities Directly address the reason for disparity
Interventions tend to be designed and implemented in top-down approach
Interventions should build community capacity
Partners largely include health care providers and social service agencies
Engage non-traditional partners
Majority of Health, Social Services & Criminal Justice budget spent on these kind of interventions
Funding does not match potential impact
Adapted from a lecture by Dr. Tony Iton
Wisconsin Center for Health EquityGuiding Principles
• WCHE focuses its efforts on: – Socioeconomic factors that most greatly affect
population health – Systemic, policy-oriented approaches to
improving population
Wisconsin Center for Health Equity Strategies
• WCHE is dedicated to improving the social and economic factors that strongly influence population health by :– improving our understanding of how
socioeconomic conditions affect people’s health– incorporating health into a wide range of policies
to promote and sustain health– encouraging community involvement to support
changes in public policy
Panelists
• Amy Harley– UW-Milwaukee, Zilber School of Public Health,
• Jill Hoiting– Supporting Families Together Association
• Margarita Santiago– UW-Madison, Department of Nutritional Sciences
• Moderator: Raisa Koltun– Wisconsin Center for Health Equity
Questions1. Describe your organization and your position within
the organization.2. What does health equity mean to you?3. What does your work look like through a health
equity lens, hitting on the points below? – Where do social determinants of health fit in your work?– What is the role of your organization in engaging in policy
or systems change?– How do you engage non-traditional partners or sectors in
your work?– How do you engage community in your work?
4. Describe an initiative you are involved in that illustrates health equity.
Closing Question
How do you suggest organizations or individuals can begin to incorporate health equity principles into their work?
DiseaseBehaviorCommunity
Death
Diseased SocietalDecision
Processes
DeathBiased
Behaviors(Isms)
Medical Model (individuals)Socio-Ecological (society)
Emergency Rooms
ClinicsHealth Education
Comm.CapacityBuilding
Policy Advocacy
??????
Adapted from a lecture by Dr. Tony Iton
