Civic Engagement and
Civic Infrastructure to
Advance Health Equity
PROCEEDINGS OF A WORKSHOP
Alina Baciu and Alexandra Andrada, Rapporteurs
Roundtable on Population Health Improvement
Board on Population Health and Public Health Practice
Health and Medicine Division
THE NATIONAL ACADEMIES PRESS
Washington, DC
www.nap.edu
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This activity was supported by contracts between the National Academy of Sciences and Kresge Foundation, New York Health Foundation, Robert Wood Johnson Foundation, and The California Endowment, and with additional support from Association of American Medical Colleges, Blue Cross Blue Shield of North Carolina, Fannie Rippel Foundation, Nemours, Samueli Foundation, and Wake Forest Baptist Medical Center. Any opinions, findings, conclusions, or recommendations expressed in this publication do not necessarily reflect the views of any organization or agency that provided support for the project.
International Standard Book Number-13: 978-0-309-68930-4
International Standard Book Number-10: 0-309-68930-9
Digital Object Identifier: https://doi.org/10.17226/26590
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Suggested citation: National Academies of Sciences, Engineering, and Medicine. 2023. Civic engagement and civic infrastructure to advance health equity: Proceedings of a workshop. Washington, DC: The National Academies Press. https://doi.org/10.17226/26590.
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PLANNING COMMITTEE ON CIVIC ENGAGEMENT AND CIVIC INFRASTRUCTURE TO ADVANCE HEALTH EQUITY1
SHERI JOHNSON (Chair), Director, Population Health Institute; Associate Professor, Department of Population Health Sciences, School of Medicine and Public Health, University of Wisconsin–Madison, Madison, WI
ERIKA BLACKSHER, John B. Francis Chair in Bioethics, Center for Practical Bioethics; Research Professor, University of Kansas Medical Center, Kansas City, MO
DANIEL DAWES, Executive Director, Satcher Health Leadership Institute, Morehouse School of Medicine, Atlanta, GA
BRUCE LINK, Distinguished Professor of Sociology and Public Policy, University of California, Riverside, Riverside, CA
PHYLLIS MEADOWS, Senior Fellow, The Kresge Foundation, Troy, MI
KARTHICK RAMAKRISHNAN, Professor of Public Policy and Political Science, University of California, Riverside, Riverside, CA
ITZHAK YANOVITZKY, Professor of Communication; Chair of the SC&I Health and Wellness Faculty Cluster, Rutgers University School of Communication and Information, New Brunswick, NJ
___________________
1 The National Academies of Sciences, Engineering, and Medicine’s planning committees are solely responsible for organizing the workshop, identifying topics, and choosing speakers. The responsibility for the published Proceedings of a Workshop rests with the workshop rapporteurs and the institution.
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ROUNDTABLE ON POPULATION HEALTH IMPROVEMENT2
RAYMOND BAXTER (Co-chair), Trustee, Blue Shield of California Foundation, San Francisco, CA
KIRSTEN BIBBINS-DOMINGO (Co-chair), Professor and Chair of the Department of Epidemiology and Biostatistics; Lee Goldman, M.D., Endowed Professor of Medicine; Vice Dean for Population Health and Health Equity, University of California, San Francisco, School of Medicine; San Francisco, CA
PHILIP M. ALBERTI, Senior Director, Health Equity Research and Policy, Association of American Medical Colleges, Washington, DC
DAWN ALLEY, Chief Strategy Officer, Center for Medicare and Medicaid Innovation, Washington, DC
JOHN AUERBACH, Executive Director, Trust for America’s Health, Washington, DC
DEBBIE I. CHANG, President and Chief Executive Officer, Blue Shield of California Foundation, San Francisco, CA
MARC N. GOUREVITCH, Professor and Chair, Department of Population Health, New York University School of Medicine, New York, NY
MEG GUERIN-CALVERT, Senior Managing Director and President, Center for Healthcare, Economics and Policy, FTI Consulting, Washington, DC
GARY R. GUNDERSON, Vice President, Faith Health, School of Divinity, Wake Forest University, Winston-Salem, NC
HILARY HEISHMAN, Senior Program Officer, The Robert Wood Johnson Foundation, Princeton, NJ
DORA HUGHES, Associate Research Professor of Health Policy and Management, Milken Institute School of Public Health, The George Washington University, Washington, DC
SHERI JOHNSON, Director, Population Health Institute; Associate Professor, Department of Population Health Sciences, School of Medicine and Public Health, University of Wisconsin–Madison, Madison, WI
WAYNE JONAS, Executive Director, Integrative Health Programs, H & S Ventures, Samueli Foundation, Alexandria, VA
ROBERT M. KAPLAN, Professor, Center for Advanced Study in the Behavioral Sciences, Stanford University, Stanford, CA
___________________
2 The National Academies of Sciences, Engineering, and Medicine’s planning committees are solely responsible for organizing the workshop, identifying topics, and choosing speakers. The responsibility for the published Proceedings of a Workshop rests with the workshop rapporteurs and the institution.
MILTON LITTLE, President, United Way of Greater Atlanta, Atlanta, GA
PHYLLIS D. MEADOWS, Senior Fellow, Health Program, The Kresge Foundation, Troy, MI
BOBBY MILSTEIN, Director, ReThink Health, Morristown, NJ
JOSÉ T. MONTERO, Director, Center for State, Tribal, Local and Territorial Support; Deputy Director, Centers for Disease Control and Prevention, Atlanta, GA
VON NGUYEN, Senior Vice President and Chief Medical Officer, Blue Cross Blue Shield of North Carolina, Durham, NC
KARA ODOM WALKER, Executive Vice President and Chief Population Health Officer, Nemours Children’s Health System, Washington, DC
WILLIE OGLESBY, Interim Dean, College of Population Health, Jefferson University, Philadelphia, PA
JASON PURNELL, Vice President, Community Health Improvement, BJC HealthCare; Associate Professor, Brown School, Washington University in St. Louis, St. Louis, MO
LOURDES J. RODRÍGUEZ, Senior Program Officer, St. David’s Foundation, Austin, TX
KOSALI SIMON, Herman B. Wells Endowed Professor, Associate Vice Provost for Health Sciences, Paul H. O’Neill School of Public and Environmental Affairs, Indiana University, Bloomington, IN
OKTAWIA WÓJCIK, Senior Program Officer, The Robert Wood Johnson Foundation, Princeton, NJ
HANH CAO YU, Chief Learning Officer, The California Endowment, Oakland, CA
Health and Medicine Division Staff
ALINA BACIU, Roundtable Director
ALEXANDRA ANDRADA, Program Officer
AYSHIA COLETRANE, Senior Program Assistant
HARIKA DYER (through July 2021), Research Assistant
MAGGIE ANDERSON (from September 2021), Research Assistant
ROSE M. MARTINEZ, Senior Board Director
Reviewers
This Proceedings of a Workshop was reviewed in draft form by individuals chosen for their diverse perspectives and technical expertise. The purpose of this independent review is to provide candid and critical comments that will assist the National Academies of Sciences, Engineering, and Medicine in making each published proceedings as sound as possible and to ensure that it meets the institutional standards for quality, objectivity, evidence, and responsiveness to the charge. The review comments and draft manuscript remain confidential to protect the integrity of the process.
We thank the following individual for her review of this proceedings:
DAWN A. MORALES, National Institutes of Health
Although the reviewer listed above provided many constructive comments and suggestions, she was not asked to endorse the content of the proceedings nor did she see the final draft before its release. The review of this proceedings was overseen by MARTHE R. GOLD, City University of New York School of Medicine. She was responsible for making certain that an independent examination of this proceedings was carried out in accordance with standards of the National Academies and that all review comments were carefully considered. Responsibility for the final content rests entirely with the rapporteurs and the National Academies.
We also thank staff member EMILY TWIGG for reading and providing helpful comments on this manuscript.
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Contents
Organization of the Workshop and this Proceedings
On the Political Determinants of Health
On the Intersection of Civic Engagement and Health
Quantitative and Qualitative Approaches for Measurement
Civic Infrastructure Discussion
Media and Narrative: Discussion
5 DEMOCRATIC DELIBERATION AND CLOSING REFLECTIONS
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