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Suggested Citation:"Front Matter." Institute of Medicine. 2014. Supporting a Movement for Health and Health Equity: Lessons from Social Movements: Workshop Summary. Washington, DC: The National Academies Press. doi: 10.17226/18751.
×

SUPPORTING A MOVEMENT
for HEALTH
and HEALTH EQUITY

Lessons from Social Movements

WORKSHOP SUMMARY

Alison Mack, Alina Baciu, and Nirupa Goel, Rapporteurs

Roundtable on Population Health Improvement

Roundtable on the Promotion of Health Equity and the
Elimination of Health Disparities

Board on Population Health and Public Health Practice

INSTITUTE OF MEDICINE
              OF THE NATIONAL ACADEMIES

THE NATIONAL ACADEMIES PRESS

Washington, D.C.

www.nap.edu

Suggested Citation:"Front Matter." Institute of Medicine. 2014. Supporting a Movement for Health and Health Equity: Lessons from Social Movements: Workshop Summary. Washington, DC: The National Academies Press. doi: 10.17226/18751.
×

THE NATIONAL ACADEMIES PRESS 500 Fifth Street, NW Washington, DC 20001

NOTICE: The workshop that is the subject of this workshop summary was approved by the Governing Board of the National Research Council, whose members are drawn from the councils of the National Academy of Sciences, the National Academy of Engineering, and the Institute of Medicine.

This activity was supported by contracts between the National Academy of Sciences and The California Endowment (20112338), the California HealthCare Foundation (17102), Health Partners, Health Resources and Services Administration (HHSH25034015T), Kaiser East Bay Community Foundation (20131471), The Kresge Foundation (101288), the Mayo Clinic, Missouri Foundation for Health (12-0879-SOF-12), the National Association of County and City Health Officials (2013-010204), Nemours, New York State Health Foundation (12-01708), Novo Nordisk, and the Robert Wood Johnson Foundation (70555). The views presented in this publication do not necessarily reflect the views of the organizations or agencies that provided support for the activity.

International Standard Book Number-13: 978-0-309-30331-6
International Standard Book Number-10: 0-309-30331-1

Additional copies of this workshop summary are available for sale from the National Academies Press, 500 Fifth Street, NW, Keck 360, Washington, DC 20001; (800) 624-6242 or (202) 334-3313; http://www.nap.edu.

For more information about the Institute of Medicine, visit the IOM home page at: www.iom.edu.

Copyright 2014 by the National Academy of Sciences. All rights reserved.

Printed in the United States of America

The serpent has been a symbol of long life, healing, and knowledge among almost all cultures and religions since the beginning of recorded history. The serpent adopted as a logotype by the Institute of Medicine is a relief carving from ancient Greece, now held by the Staatliche Museen in Berlin.

Cover image credits: Photo of protest from the Library of Congress, Prints & Photographs Division, U.S. News & World Report Magazine Collection [LC-U9-1036437]. Photo of pins from the Smithsonian National Museum of American History’s Division of the History of Medicine and Science. Used with permission.

Suggested citation: IOM (Institute of Medicine). 2014. Supporting a movement for health and health equity: Workshop summary. Washington, DC: The National Academies Press.

Suggested Citation:"Front Matter." Institute of Medicine. 2014. Supporting a Movement for Health and Health Equity: Lessons from Social Movements: Workshop Summary. Washington, DC: The National Academies Press. doi: 10.17226/18751.
×

Knowing is not enough; we must apply.
Willing is not enough; we must do.
”      

                                                —Goethe

image

INSTITUTE OF MEDICINE
              OF THE NATIONAL ACADEMIES

Advising the Nation. Improving Health.

Suggested Citation:"Front Matter." Institute of Medicine. 2014. Supporting a Movement for Health and Health Equity: Lessons from Social Movements: Workshop Summary. Washington, DC: The National Academies Press. doi: 10.17226/18751.
×

THE NATIONAL ACADEMIES

Advisers to the Nation on Science, Engineering, and Medicine

The National Academy of Sciences is a private, nonprofit, self-perpetuating society of distinguished scholars engaged in scientific and engineering research, dedicated to the furtherance of science and technology and to their use for the general welfare. Upon the authority of the charter granted to it by the Congress in 1863, the Academy has a mandate that requires it to advise the federal government on scientific and technical matters. Dr. Ralph J. Cicerone is president of the National Academy of Sciences.

The National Academy of Engineering was established in 1964, under the charter of the National Academy of Sciences, as a parallel organization of outstanding engineers. It is autonomous in its administration and in the selection of its members, sharing with the National Academy of Sciences the responsibility for advising the federal government. The National Academy of Engineering also sponsors engineering programs aimed at meeting national needs, encourages education and research, and recognizes the superior achievements of engineers. Dr. C. D. Mote, Jr., is president of the National Academy of Engineering.

The Institute of Medicine was established in 1970 by the National Academy of Sciences to secure the services of eminent members of appropriate professions in the examination of policy matters pertaining to the health of the public. The Institute acts under the responsibility given to the National Academy of Sciences by its congressional charter to be an adviser to the federal government and, upon its own initiative, to identify issues of medical care, research, and education. Dr. Harvey V. Fineberg is president of the Institute of Medicine.

The National Research Council was organized by the National Academy of Sciences in 1916 to associate the broad community of science and technology with the Academy’s purposes of furthering knowledge and advising the federal government. Functioning in accordance with general policies determined by the Academy, the Council has become the principal operating agency of both the National Academy of Sciences and the National Academy of Engineering in providing services to the government, the public, and the scientific and engineering communities. The Council is administered jointly by both Academies and the Institute of Medicine. Dr. Ralph J. Cicerone and Dr. C. D. Mote, Jr., are chair and vice chair, respectively, of the National Research Council.

www.national-academies.org

Suggested Citation:"Front Matter." Institute of Medicine. 2014. Supporting a Movement for Health and Health Equity: Lessons from Social Movements: Workshop Summary. Washington, DC: The National Academies Press. doi: 10.17226/18751.
×

PLANNING COMMITTEE ON ACCELERATING
IMPROVEMENT IN THE PUBLIC’S HEALTH1

DAVID KINDIG (Co-Chair), Professor Emeritus, University of Wisconsin School of Medicine and Public Health

MILDRED THOMPSON (Co-Chair), Director, PolicyLink Center for Health Equity and Place

TERRY ALLAN, Health Commissioner, Cuyahoga County Board of Health

MARTHE R. GOLD, Professor, City College of New York

GEORGE ISHAM, Senior Advisor, HealthPartners, Inc.

SANNE MAGNAN, President and CEO, Institute for Clinical Systems Improvement

MARY PITTMAN, President and Chief Executive Officer, Public Health Institute

IOM Staff

KAREN M. ANDERSON, Study Director

ALINA B. BACIU, Study Director

COLIN F. FINK, Senior Program Assistant

AMY GELLER, Senior Program Officer

LYLA HERNANDEZ, Senior Program Officer

ANDREW LEMERISE, Research Associate

CAROL MASON SPICER, Associate Program Officer

ROSE MARIE MARTINEZ, Director, Board on Population Health and Public Health Practice

Consultant

ALISON MACK, Writer

____________

1 Institute of Medicine planning committees are solely responsible for organizing the workshop, identifying topics, and choosing speakers. The responsibility for the published workshop summary rests with the workshop rapporteurs and the institution.

Suggested Citation:"Front Matter." Institute of Medicine. 2014. Supporting a Movement for Health and Health Equity: Lessons from Social Movements: Workshop Summary. Washington, DC: The National Academies Press. doi: 10.17226/18751.
×

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Suggested Citation:"Front Matter." Institute of Medicine. 2014. Supporting a Movement for Health and Health Equity: Lessons from Social Movements: Workshop Summary. Washington, DC: The National Academies Press. doi: 10.17226/18751.
×

ROUNDTABLE ON POPULATION HEALTH IMPROVEMENT1

GEORGE ISHAM (Co-Chair), Senior Advisor, HealthPartners, Inc., and Senior Fellow, HealthPartners Institute for Education and Research

DAVID A. KINDIG (Co-Chair), Professor Emeritus, University of Wisconsin School of Medicine and Public Health

TERRY ALLAN, President, National Association of County and City Health Officials, and Health Commissioner, Cuyahoga County Board of Health

CATHERINE BAASE, Chief Health Officer, The Dow Chemical Company

GILLIAN BARCLAY, Vice President, Aetna Foundation

RAYMOND J. BAXTER, Senior Vice President, Community Benefit, Research and Health Policy, and President, Kaiser Foundation International, Kaiser Foundation Health Plan, Inc.

DEBBIE I. CHANG, Vice President, Policy and Prevention, Nemours

GEORGE R. FLORES, Program Manager, The California Endowment

MARY LOU GOEKE, Executive Director, United Way of Santa Cruz County

MARTHE R. GOLD, Visiting Scholar, New York Academy of Medicine, and Professor, City College of New York

GARTH GRAHAM, President, Aetna Foundation

PEGGY A. HONORÉ, Director, Public Health System, Finance and Quality Program, Office of the Assistant Secretary for Health, U.S. Department of Health and Human Services

ROBERT HUGHES, President and Chief Executive Officer, Missouri Foundation for Health

ROBERT M. KAPLAN, Director, Office of Behavioral and Social Sciences Research, National Institutes of Health

JAMES KNICKMAN, President and Chief Executive Officer, New York State Health Foundation

PAULA LANTZ, Professor and Chair, Department of Health Policy, George Washington University School of Public Health and Health Services

MICHELLE LARKIN, Assistant Vice President, Health Group, Robert Wood Johnson Foundation

THOMAS A. LaVEIST, Professor and Director, Hopkins for Health Disparities Solutions, Johns Hopkins Bloomberg School of Public Health

____________

1 Institute of Medicine forums and roundtables do not issue, review, or approve individual documents. The responsibility for the published workshop summary rests with the workshop rapporteurs and the institution.

Page viii Cite
Suggested Citation:"Front Matter." Institute of Medicine. 2014. Supporting a Movement for Health and Health Equity: Lessons from Social Movements: Workshop Summary. Washington, DC: The National Academies Press. doi: 10.17226/18751.
×

JEFFREY LEVI, Executive Director, Trust for America’s Health

SARAH R. LINDE, Rear Admiral, U.S. Public Health Service, Chief Public Health Officer, Health Resources and Services Administration

SANNE MAGNAN, President and Chief Executive Officer, Institute for Clinical Systems Improvement

PHYLLIS D. MEADOWS, Associate Dean for Practice, Office of Public Health Practice, School of Public Health, University of Michigan, and Senior Fellow, Health Program, The Kresge Foundation

JUDITH A. MONROE, Director, Office for State, Tribal, Local, and Territorial Support, Centers for Disease Control and Prevention

JOSÉ MONTERO, President, Association of State and Territorial Health Officials, and Director, New Hampshire Division of Public Health Services

MARY PITTMAN, President and Chief Executive Officer, Public Health Institute

PAMELA RUSSO, Senior Program Officer, Robert Wood Johnson Foundation

LILA J. FINNEY RUTTEN, Associate Scientific Director, Population Health Science Program, Department of Health Sciences Research, Mayo Clinic

BRIAN SAKURADA, Senior Director, Managed Markets and Integrated Health Systems

MARTIN JOSÉ SEPÚLVEDA, Fellow and Vice President, Health Research, International Business Machines Corporation

ANDREW WEBBER, Chief Executive Officer, Maine Health Management Coalition

IOM Staff

ALINA B. BACIU, Study Director

COLIN F. FINK, Senior Program Assistant

AMY GELLER, Senior Program Officer

LYLA HERNANDEZ, Senior Program Officer

ANDREW LEMERISE, Research Associate

CAROL MASON SPICER, Associate Program Officer

ROSE MARIE MARTINEZ, Director, Board on Population Health and Public Health Practice

Suggested Citation:"Front Matter." Institute of Medicine. 2014. Supporting a Movement for Health and Health Equity: Lessons from Social Movements: Workshop Summary. Washington, DC: The National Academies Press. doi: 10.17226/18751.
×

ROUNDTABLE ON THE PROMOTION OF HEALTH EQUITY AND THE ELIMINATION OF HEALTH DISPARITIES1

ANTONIA VILLARRUEL (Chair), Associate Dean for Research and Global Affairs, University of Michigan School of Nursing

MILDRED THOMPSON (Co-Chair), Director, PolicyLink Center for Health Equity and Place

PATRICIA BAKER, President and CEO, The Connecticut Health Foundation

GILLIAN BARCLAY, Vice President, Aetna Foundation

ANNE C. BEAL, Senior Vice President and Chief Patient Officer, Sanofi-Aventis

REBECCA BRUNE, Vice President, Strategic Planning, Methodist Healthcare Ministries of South Texas, Inc.

NED CALONGE, President and Chief Executive Officer, The Colorado Trust

IRENE DANKWA-MULLAN, Acting Director, Division of Scientific Programs, National Institute on Minority Health and Health Disparities, National Institutes of Health

GERIMALD P. DAUS, Public Health Analyst, Office of Health Equity, Health Resources and Services Administration

JAMILA DAVISON, Pinellas County Health Department

FRANCISCO GARCIA, Director, Pima County Department of Health

ALLAN GOLDBERG, Leader, U.S. Advocacy and Professional Affairs, Merck & Co., Inc.

J. NADINE GRACIA, Director, Officer of Minority Health, U.S. Department of Health and Human Services

JEFFREY A. HENDERSON, President and Chief Executive Officer, Black Hills Center for American Indian Health

EVE J. HIGGINBOTHAM, Vice Dean, Perelman School of Medicine, University of Pennsylvania

CARA V. JAMES, Director, Office of Minority Health, Centers for Medicare & Medicaid Services

OCTAVIO MARTINEZ, JR., Executive Director and Clinical Professor, Hogg Foundation for Mental Health, University of Texas at Austin

NEWELL McELWEE, Executive Director, U.S. Outcomes Research, Merck & Co., Inc.

____________

1 Institute of Medicine forums and roundtables do not issue, review, or approve individual documents. The responsibility for the published workshop summary rests with the workshop rapporteurs and the institution.

Suggested Citation:"Front Matter." Institute of Medicine. 2014. Supporting a Movement for Health and Health Equity: Lessons from Social Movements: Workshop Summary. Washington, DC: The National Academies Press. doi: 10.17226/18751.
×

PHYLLIS D. MEADOWS, Senior Fellow, Health Program, The Kresge Foundation

AMELIE G. RAMIREZ, Director and Professor, Institute for Health Promotion Research, University of Texas Health Science Center at San Antonio

MELISSA A. SIMON, George H. Gardner Professor of Clinical Gynecology, Northwestern University Feinberg School of Medicine

PATTIE TUCKER, Associate Director for Health Equity, Centers for Disease Control and Prevention

ROHIT VARMA, Grace and Emory Beardsley Professor and Chair, University of Southern California

WINSTON F. WONG, Medical Director, Community Benefit, Kaiser Permanente

TERRI D. WRIGHT, Director, Center for School, Health and Education, American Public Health Association

IOM Staff

KAREN M. ANDERSON, Study Director

ROSE MARIE MARTINEZ, Director, Board on Population Health and Public Health Practice

Suggested Citation:"Front Matter." Institute of Medicine. 2014. Supporting a Movement for Health and Health Equity: Lessons from Social Movements: Workshop Summary. Washington, DC: The National Academies Press. doi: 10.17226/18751.
×

Reviewers

This workshop summary has been reviewed in draft form by individuals chosen for their diverse perspectives and technical expertise, in accordance with procedures approved by the National Research Council’s Report Review Committee. The purpose of this independent review is to provide candid and critical comments that will assist the institution in making its published workshop summary as sound as possible and to ensure that the workshop summary meets institutional standards for objectivity, evidence, and responsiveness to the study charge. The review comments and draft manuscript remain confidential to protect the integrity of the process. We wish to thank the following individuals for their review of this workshop summary:

Dawn Alley, Office of the Surgeon General, U.S. Department of Health and Human Services

Jacqueline Martinez Garcel, New York State Health Foundation

Frances Lu, University of California, Davis

Connie Mitchell, California Department of Public Health

Although the reviewers listed above have provided many constructive comments and suggestions, they did not see the final draft of the workshop summary before its release. The review of this workshop summary was overseen by Susan J. Curry, University of Iowa. Appointed by the Institute of Medicine, she was responsible for making certain

Suggested Citation:"Front Matter." Institute of Medicine. 2014. Supporting a Movement for Health and Health Equity: Lessons from Social Movements: Workshop Summary. Washington, DC: The National Academies Press. doi: 10.17226/18751.
×

that an independent examination of this workshop summary was carried out in accordance with institutional procedures and that all review comments were carefully considered. Responsibility for the final content of this workshop summary rests entirely with the rapporteurs and the institution.

Suggested Citation:"Front Matter." Institute of Medicine. 2014. Supporting a Movement for Health and Health Equity: Lessons from Social Movements: Workshop Summary. Washington, DC: The National Academies Press. doi: 10.17226/18751.
×

Acronyms

ACA Patient Protection and Affordable Care Act
ACT UP AIDS Coalition to Unleash Power
 
EPA U.S. Environmental Protection Agency
EU European Union
 
IOM Institute of Medicine
 
MEDA Mission Economic Development Association
MPN Mission Promise Neighborhood
 
NAACP National Association for the Advancement of Colored People
NRC National Research Council
 
OSHA Occupational Safety and Health Administration
 
PICO People Improving Communities through Organizing
PSR–LA Physicians for Social Responsibility–Los Angeles
 
RWJF Robert Wood Johnson Foundation
Suggested Citation:"Front Matter." Institute of Medicine. 2014. Supporting a Movement for Health and Health Equity: Lessons from Social Movements: Workshop Summary. Washington, DC: The National Academies Press. doi: 10.17226/18751.
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Supporting a Movement for Health and Health Equity is the summary of a workshop convened in December 2013 by the Institute of Medicine Roundtable on the Promotion of Health Equity and the Elimination of Health Disparities and the Roundtable on Population Health Improvement to explore the lessons that may be gleaned from social movements, both those that are health-related and those that are not primarily focused on health. Participants and presenters focused on elements identified from the history and sociology of social change movements and how such elements can be applied to present-day efforts nationally and across communities to improve the chances for long, healthy lives for all.

The idea of movements and movement building is inextricably linked with the history of public health. Historically, most movements - including, for example, those for safer working conditions, for clean water, and for safe food - have emerged from the sustained efforts of many different groups of individuals, which were often organized in order to protest and advocate for changes in the name of such values as fairness and human rights. The purpose of the workshop was to have a conversation about how to support the fragments of health movements that roundtable members believed they could see occurring in society and in the health field. Recent reports from the National Academies have highlighted evidence that the United States gets poor value on its extraordinary investments in health - in particular, on its investments in health care - as American life expectancy lags behind that of other wealthy nations. As a result, many individuals and organizations, including the Healthy People 2020 initiative, have called for better health and longer lives.

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