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What Are We Studying about Programs Alignment?
A big and rising physique of proof demonstrates how social determinants form well being throughout the lifespan and inter-generationally, together with elements resembling poverty, discrimination, lack of entry to good jobs with honest pay, poor instructional alternatives, meals insecurity, publicity to family and group violence, and involvement with the legal justice system. Sadly, the providers and helps designed to intervene on these determinants – resembling housing, transportation, instructional reforms, and authorized providers and helps – are sometimes disconnected from the medical providers and public well being applications tasked with enhancing well being. Because of this, medical and public well being interventions usually fall brief in enhancing well being and well being fairness as a result of they fail to adequately tackle underlying social, financial and environmental situations.
Over the previous a number of years, there was an explosion of pilots, demos, and trials of multi-sector initiatives designed to construct stronger connections amongst medical, social, and public well being methods. This fast innovation is spectacular and inspiring, however sadly the analysis group has not saved tempo, elevating considerations about sustainability and unintended penalties. How will we all know what works, and do we have to anticipate years to seek out out?
Our analysis program, Programs for Motion (S4A) , has been working arduous to place sturdy analysis designs round these initiatives in order that we are able to produce sturdy proof about what works, the place, for whom and why. As a signature analysis program of the Robert Wooden Johnson Basis (RWJF), the S4A program builds a Tradition of Well being by rigorously testing new methods of connecting the nation’s fragmented medical, social, and public well being methods. Research carried out by means of the S4A program take a look at revolutionary mechanisms for aligning supply and financing methods for medical, social, and public well being providers, with a give attention to estimating the consequences of those mechanisms on well being and well being fairness.
The system alignment mechanisms we research take many types, together with shared governance fashions, platforms for knowledge change and integration, bundled and blended cost fashions, and cross-cutting workforce parts resembling navigators and integrators. Over the previous 4 years, greater than 25 research have been carried out by means of S4A to establish which alignment mechanisms work finest for which populations and in what group circumstances. And we’re in good firm, as different federal and philanthropic initiatives have begun to sponsor analysis on multi-sector approaches to inhabitants well being enchancment.
Particular AJPH Complement Concern: Aligning Programs
To synthesize and unfold the rising proof from this rising space of analysis, we’re collaborating with the American Journal of Public Well being to provide a particular complement subject on well being and social system alignment. This subject will function the newest findings from research of system alignment fashions examined in communities throughout the U.S.–together with a cautious examination of each successes and failures—together with discussions of the insurance policies and practices wanted to unfold and maintain promising fashions. This subject will prioritize empirical analysis articles that provide proof concerning the implementation and influence of system alignment methods, however we may even contemplate different forms of AJPH manuscripts resembling analytic essays, and area studies on improvements in observe. This subject will seem in print and on-line in summer time 2020.
Submissions for this subject have to be acquired by December 15, 2019 by means of the AJPH submission web site. Importantly, submissions should embody a canopy letter formatted as requested within the AJPH Directions for Authors, and may specify that the submission is for the particular complement subject on “Aligning Well being and Social Programs.” Please go to the AJPH web site to overview directions for authors and particular tips for manuscript submission.
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