A Health Equity Approach to Obesity Efforts Proceedings of a Workshop (2019) / Chapter Skim
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6 Lessons from the Field: Achieving Equity in Obesity Treatment in Health Care Settings
6 Lessons from the Field: Achieving Equity in Obesity Treatment in Health Care Settings
Pages 57-66
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From page 57... ...
(Melissa Simon) • Health care providers' ability to reduce stigma and build trust with patients is a precursor to effective obesity prevention and treatment in primary care.
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From page 58... ...
She began by listing basic elements of architectural design, highlighting such concepts as balance, space, and scale and proportion, and described this discipline's methodical and iterative process for creating functional outputs. She compared this process to the designing of primary care, including health professionals' training, the spaces where primary care delivery occurs, the flow of the electronic health record, the structure of partnerships between communities and primary care, and the nature of laws concerning health care delivery and reimbursement.
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From page 59... ...
. Key knowledge about obesity's pathophysiology and social and environmental determinants can help change the treatment approach, she proposed, as can training to increase providers' empathy, alter perceived norms, and educate on patient-centered approaches and welcoming health care environments.
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From page 60... ...
She concluded by stressing that health inequities "don't just happen," arguing that eliminating disparities "really does take a village" and is about modifying the architecture and design of health care policies, clinical care settings, reimbursement, and provider training. LESSONS FOR ACHIEVING EQUITY IN HEALTH CARE SETTINGS FROM NONOBESITY FIELDS Marshall Chin, Richard Parrillo Family Professor of Health Care Ethics in the Department of Medicine, The University of Chicago, shared insights from nonobesity fields with relevance for achieving equity in health care settings.
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From page 61... ...
He referenced the Consolidated Framework for Implementation Research, FIGURE 6-1 Multiple levels for clinical and policy actions to reduce health disparities. SOURCES: Presented by Marshall Chin, April 1, 2019 (Chin et al., 2012)
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Chin highlighted a new Robert Wood Johnson Foundation program for advancing health equity by leading transformation in care, payment, and systems. He described its goal as aligning state Medicaid agencies, Medicaid managed care organizations, and front-line health care organizations to achieve health equity because, he insisted, no single group can do it alone.
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From page 63... ...
The grantee's employees develop their own personal mission statement, he said, which is inscribed on a badge worn alongside their identification badge. He argued that, despite living in a politically divided country, health equity can be a common-ground issue even for people of disparate political ideologies.
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From page 64... ...
She listed examples that included engaging in role play; conducting implicit association tests with students, fellows, or trainees to assess implicit attitudes; intentionally infusing health equity into all curricula; and achieving buy-in from university leadership for actively addressing health equity. Caregivers as Health Care Partners A participant proposed that caregivers be included as collaborative partners in health care systems given their role in rendering care.
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From page 65... ...
ACHIEVING EQUITY IN OBESITY TREATMENT 65 Chin reiterated his presentation's appeal for health equity policies incorporating accountability and adequate funding, suggesting that such policies could be pursued using a free market approach, regardless of the political environment of the day. Conversations about values using strategic messaging and framing are critical, he asserted, to influence people to care about health equity as a moral issue.
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