The implementation of the Affordable Care Act of 2010 and the Obama administration’s urban policy create an opportunity to link community development with health in new and powerful ways. The administration’s policy emphasizes improved access to and quality of care through coordinated local and regional approaches, expansion of access to healthy food and the support of environmental health—including clean air, water and soil—and healthy homes.
New federal programs, such as the Affordable Care Act’s Community Transformation Grants, seek to prevent death and disability through policy, environmental, programmatic and infrastructure changes. But fragmented congressional jurisdiction and budget “scoring” rules pose challenges to needed reform.
We argue that government agencies need to adopt so-called systems of innovation, or organizational practices and support mechanisms that seek continuously to test new models, refine promising ones, bring to scale those that work best, and restructure or terminate what does not. We also argue that a strong and well-focused policy advocacy coalition is needed to help drive reform focused on the social determinants of health.
- 1. How the Health and Community Development Sectors are Combining Forces to Improve Health and Well-Being
- 2. Community Development Efforts Offer a Major Opportunity to Advance Americans' Health
- 3. Partnerships Among Community Development, Public Health, and Health Care Could Improve the Well-Being of Low-Income People
- 4. Despite Obstacles, Considerable Potential Exists for More Robust Federal Policy on Community Development and Health
- 5. Bringing Researchers and Community Developers Together to Revitalize a Public Housing Project and Improve Health
- 6. Community Health Centers and Community Development Financial Institutions
- 7. Training New Community Health, Food Service, and Environmental Protection Workers Could Boost Health, Jobs, and Growth
- 8. The PROMETHEUS Bundled Payment Experiment
- 9. Mayo Clinic Employees Responded to New Requirements for Cost Sharing by Reducing Possibly Unneeded Health Services Use
- 10. Gaps in Residency Training Should be Addressed to Better Prepare Doctors for a Twenty-First-Century Delivery System
- 11. How the National Prevention Council Can Overcome Key Challenges and Improve Americans' Health
- 12. Evolving Brand-Name and Generic Drug Competition May Warrant a Revision of the Hatch-Waxman Act
- 13. Strengthening Children's Oral Health