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SLIDE 2 Making a Difference: Partnering to Achieve Health Equity
Giselle Corbie-Smith, MD, MSc
Professor, Social Medicine and Medicine; Director, Center for Health Equity Research University of North Carolina at Chapel Hill @gcsmd
Al Richmond, MSW
Executive Director Community-Campus Partnerships for Health @ccphED
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Making a Difference: Partnering to Achieve Health Equity
Giselle Corbie-Smith, MD, MSc | @gcsmd | @uncCHER Al Richmond, MSW | @CCPH_news
#PCORI2019
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Disclosures
Giselle Corbie- Smith
Has nothing to disclose.
Al Richmond
Has nothing to disclose.
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Fish, Lakes and Groundwater
SLIDE 6
Fish, Lakes and Groundwater
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Racial Disparity Persists in Every System Across the Country, Without Exception
System:
Health Child Welfare Education (Achievement) Juvenile Justice Education (Special Ed.) Economic Development
Term:
Health Disparity Disproportionality Achievement Gap Disproportionate Minority Contact (DMC) Disproportionate Representation Historically Underutilized Businesses
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Racial Disparity Persists in Every System Across the Country, Without Exception
System:
Health Child Welfare Education (Achievement) Juvenile Justice Education (Special Ed.) Economic Development
Term:
Health Disparity Disproportionality Achievement Gap Disproportionate Minority Contact (DMC) Disproportionate Representation Historically Underutilized Businesses
SLIDE 9 What is Health Equity?
Source: Robert Wood Johnson Foundation
SLIDE 10 Social Determinants of Health
“…people are born, grow, work, live, and age, and the wider set of forces and systems shape the conditions of daily life.. including economic policies and systems, development agendas, social norms, social policies and political systems.”
Childhood experiences Housing Education Social support Family income Our communities Employment Access to healthcare
Source: who.int/social_determinants
SLIDE 11 Source: Let’s Get Healthy California
SLIDE 12 Creating Opportunities so Everyone Has a Chance to Live Their Healthiest Life
- Reframing with strengths based
approach to health equity
- “Centering the Margins”
- Prioritizes needs and wants of those at
"margins"- patients and communities we hope to serve
- Democratized process to include direct
participation by the stakeholders, giving a meaningful voice
- Design and evaluation of impact of research
according to stakeholder outcomes
- Underlying current emphasize on patient and
community engagement
SLIDE 13 History of Collaborating
UNC School of Medicine Carolina Community Network Cecil G. Sheps Center Program
NC TraCS CARES UNC Center for Health Equity Research
2005 2019
NC Institute for Minority Economic Development National Community Based Organization Network CTSA Key Function Committee NC TraCS CARES Community Advisory Board Community Bridges to Cancer Clinical Trials Community-Campus Partnerships for Health
SLIDE 14 Facilitating Patient and Stakeholder Engagement through Partnerships
✔ Patients want Trust, ✔ Patients require evidence of
Trustworthiness,
✔ Patients want Transparency, and ✔ Patients want to be Partners.
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CCPH Model for Authentic Partnerships
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The master’s tools will never dismantle the master’s house.
– Audre Lorde
SLIDE 17 Arc of Our Partnership
Individual:
- Community Bridges to Cancer Clinical Trials
Partnerships/Institutional:
- Understanding Trust in Research
Partnership
- Clinical & Translational Science Award
- Research Ethics for Engaged
Scholarship
Structural:
- Engagement in Rural Communities
- Clinical Scholars (a program of RWJF)
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National Leadership Program
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Clinical Scholars Core Competencies
25 Competencies and 4 Domains:
❖ Personal ❖ Interpersonal ❖ Internal Organizational Leadership ❖ Organizational and Community Impact
SLIDE 20
Dismantling Structural Inequalities: Infusing Art in Our Work
SLIDE 21 What Are Anchor Institutions?
Source: Healthcare Anchor Network
SLIDE 22 Bon Secours Health System
Source: Healthcare Anchor Network
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One of the most vital ways we sustain ourselves is by building communities of resistance, places where we know we are not alone. – bell hooks
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Thank You!
pcori.org | info@pcori.org | #PCORI2019
Al Richmond, MSW Community-Campus Partnerships for Health @ccph_news ccphealth.org Giselle Corbie-Smith, MD, MSc UNC Chapel Hill School of Medicine @gcsmd @uncCHER @CSPfellows cher.unc.edu
