Health-Focused Public–Private Partnerships in the Urban Context Proceedings of a Workshop (2020) / Chapter Skim
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4 Identifying and Addressing Health Inequities in Urban Settings
4 Identifying and Addressing Health Inequities in Urban Settings
Pages 43-52
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From page 43... ...
. • Kaiser Permanente's new program, Thrive Local, attempts to scale lessons learned from its community health programs through developing a resource directory that provides information on social services and public benefits; geo graphic community partner networks to which providers can refer their patients; and a technology platform that offers two-way, closed-loop referrals and integra tion into electronic health records and community-based organizations' client management systems (Cooke)
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From page 44... ...
The workshop's third panel session featured presentations about urban health inequities. The panelists were David Napier, professor of medical anthropology and director of the Science, Medicine, and Society Network at the University College London and global academic lead for Cities Changing Diabetes; Karin Cooke, director of Kaiser Permanente International and director of technology innovation and the innovation fund for technology at Kaiser Permanente; and Geoffrey So, head of strategy and global health policy at Novartis Foundation.
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From page 45... ...
In that context, Novo Nordisk invited Napier and his colleagues to join one of its new initiatives -- Cities Changing Diabetes -- in collaboration with Steno, a world-leading institution in diabetes care and prevention. The program seeks to engage different cross-sector partners in address
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From page 46... ...
-- of the estimated 437 million people living with diabetes, only about half are diagnosed, and of that number, only about half receive care. Moreover, only half of those who receive care achieve their treatment targets, and only half of these individuals achieve desired outcomes (Cities Changing Diabetes, 2017b)
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From page 47... ...
In each case, locally based research on the social d rivers of health vulnerabilities has, with public–private support, led to rapid implementation of specific programs designed to reduce the prevalence of obesity and/or prediabetes and to improve outcomes for people who live with diabetes. COMMUNITY HEALTH: IMPROVING HEALTH FOR ALL As a nonprofit health care organization, explained Karin Cooke (Kaiser Permanente, also referred to as Kaiser)
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From page 48... ...
Data from years of Kaiser Permanente's community health needs assessments indicate that many members have unmet health and social needs: more than 40 percent experience financial strain, 25 percent deal with food insecurity, and 23 percent have issues with housing (Hamity et al., 2018; Sundar, 2018)
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From page 49... ...
In Ulaanbaatar, 60 percent of the 1.4 million residents live in informal settlements with significant health disparities and with high levels of premature cardiovascular mortality. Better Hearts Better Cities has five pillars: fostering strong local ownership of multi-stakeholder partnerships that include government agencies, civil society organizations, and implementation agencies; establishing a quality-improvement culture for health and care; enhancing the performance of local health systems; delivering health and care closer to where people live, work, and play; and implementing policies aimed at addressing urban cardiovascular health.
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From page 50... ...
In São Paulo, the program partnered with local champions such as the Corinthians Football Club and the city's many samba schools to increase awareness of hypertension and heart health and to conduct screening campaigns on football match days and during carnival parades. It also facilitated implementing health literacy programs and physical exercise in schools; trained lifestyle advocates at several companies in local communities; and partnered with community leaders to advocate for early diagnosis and treatment and to encourage behavioral change.
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From page 51... ...
John Monahan from the Georgetown University McCourt School of Public Policy asked Cooke if Kaiser helps under-resourced community organizations implement the technologies they need to participate in the program. Cooke replied that Kaiser is concerned about stressing community systems, so it does invest in community organizations.
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