Now Viewing: Social determinants of health

RWJF Pioneering Ideas Podcast: Episode 6 | What if? Shifting Perspectives to Change the World

Oct 20, 2014, 9:00 AM, Posted by Pioneer Blog Team

Please note that this podcast player might not work in some versions of Internet Explorer. Please view this page in another browser, such as Chrome, Firefox or Safari. You may also access the episode via SoundCloud.

RWJF's Pioneering Ideas Podcast is on iTunes! Don’t miss an episode—click to subscribe.

Welcome to the sixth episode of RWJF’s Pioneering Ideas podcast, where we explore cutting edge ideas and emerging trends that can help build a Culture of Health. Your host is Lori Melichar, director at the foundation.

Ideas Explored in This Episode

Sharing Health Care Providers’ Notes (3:08) OpenNotesTom Delbanco and Jan Walker talk with RWJF’s Emmy Ganos about why they decided getting health care providers to share their notes with patients was an essential innovation–and where their work is headed next. Here’s a hint: what if the  3 million patients who now have easy access to their clinician’s notes could co-write notes with their providers?

Rethinking How We Solve Poverty (20:27) Kirsten Lodal, founder and CEO of LIFT, talks with RWJF’s Susan Mende and shares some simple ideas with the potential to revolutionize our approach to helping people achieve economic stability and well being. In a thought-provoking conversation, Lodal connects the dots between improving the well being of those living in poverty and building a Culture of Health.

A Historian’s Take on Building a Culture of Health (27:58) – Princeton historian Keith Wailoo and RWJF’s Steve Downs discuss how deeply held cultural narratives influence our perceptions of health, and how today’s “wild ideas” are often tomorrow’s cutting edge innovations.

Sound bites

...On opening up health care providers’ notes and what’s next:

“What I would like to do is spread the responsibility for health beyond the health care system. The health care system is good; I hope that it gets better, but there are so many other parts of our lives that contribute to our well being.” – Jan Walker, OpenNotes 

“It will be a very different world in the future. And we do think that OpenNotes is kind of giving people a peek into it. It's a first glimmer that this kind of transparency, this kind of approach to things, while it's passive now, it just opens up an enormous amount of possibilities for the future. And that's what really excites us.” – Tom Delbanco, OpenNotes

...On rethinking how we solve poverty:

“People's lives are like rivers... they flowed before coming into contact with us, and they will flow after having contact with us. And so the opportunity that we have, the privilege that we have is of most positively affecting the trajectory and the velocity of that flow. But if we forget that–if we get too swept up in having to own everything that happens in a person's life–then we won't build the best solutions, because we won't build solutions that provide people with the support they need to navigate the flow of that river over the long term.” – Kirsten Lodal, LIFT

...A historian’s take on building a Culture of Health: 

“Our concern with aggregate trends is an important one in tracing the shifting demographics of health in our country, but to understand what health actually means involves actually putting the data aside and thinking about lives and thinking about individuals and thinking about what these trends mean on an individual level.”– Keith Wailoo, Princeton University

Your Turn

Now that you’ve listened – talk about it! Did anything you heard today get you thinking in new ways about how you can help build a Culture of Health? Do you have a cutting-edge idea you’d like to discuss? Comment below or tweet at me at @lorimelichar, or consider submitting a proposal. Be sure to keep the conversation and explorations going at #RWJFpodcast.

View full post

Entrepreneurs and Underserved Communities: StartUp Health's New Accelerator

Feb 18, 2014, 8:00 AM, Posted by Paul Tarini

Members of the public stand at tables at a polling center, signing in to vote and have flu vaccinations

The past few years have been marked with a surge in health care business accelerators—programs that provide support to help health care entrepreneurs develop their ideas and raise initial funding. In tracking the success of these innovation hubs, we realized something was missing.

On the complex journey of taking a health care idea to market, most entrepreneurs aren’t seeing underserved communities—the people and the providers who serve them—as target markets. The result is that health care innovations are passing by some of the communities that could benefit the most from innovation. But what if we could help entrepreneurs see these patients and their providers as a viable market? What if we could make it easier for health care businesses to design solutions for the needs of our most vulnerable populations?

View full post

Pioneering Idea: Your Patient’s Community Health Needs Assessment on the Desktop

Dec 21, 2012, 10:06 AM, Posted by Ted Eytan

Ted Eytan, MD Ted Eytan

In medical school, we were taught an ahead-of-its-time curriculum called "Community Oriented Primary Care." It looks like now we're going to get to be able to practice it.

When I was with the Project HealthDesign (@PrjHealthDesign) team in Nashville earlier this year (see: A visit to Project HealthDesign and the patient voice, spoken through their observations of daily living | Ted Eytan, MD), we participated in an interesting exercise while wearing silly hats. It involved turning our thinking 180 degrees around about the future of health.

 

View full post

Positioned for Transformation: Expanding the Scope of Health Care

May 18, 2012, 10:58 AM, Posted by Deborah Bae, Jane Isaacs Lowe

In the Stanford Social Innovation Review’s “Realigning Health with Care,” authors Rebecca Onie, Paul Farmer and Heidi Behforouz express their collective belief that—in the United States—we need to expand our understanding of the scope of health care, where it’s delivered and who delivers it. They also make it clear that the time to do so is now if we are going to confront our country’s rising health care costs, primary care physician shortage and expansion of the ranks of those living in poverty or hovering just above it. 

Onie, Farmer and Behforouz also propose that we need to look beyond our shores and borders for models for how to do so, pointing out that “in the developing world, there is no choice but to design health care systems that account for limited financial resources, scarce health care professionals and significant poverty.” 

We couldn’t agree more.

View full post