Spread, Scale, and Sustainability in Population Health Workshop Summary (2015) / Chapter Skim
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2 Spread and Scale
2 Spread and Scale
Pages 7-16
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From page 7... ...
Following the introductory keynote address, all attendees participated in an interactive activity facilitated by Ashley Forman and Fareed Mostoufi, community engagement experts from Arena Stage in Washington, DC. The activity was designed to elicit current perceptions on spread and scale as they relate to population health, and to get participants thinking about questions and solutions for moving forward.
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Sustainability is persistence and commitment to dealing with the health care challenges in the community over time. Cultivating Spread, Scale, and Sustainability in Population Health McGahan said that there are often tradeoffs among spread, scale, and sustainability, and she highlighted several opportunities for cultivat 2 These are McGahan's definitions of these terms.
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Marketing Health Marketing health is essential to breaking the tradeoff between scale and sustainability, she said. In global health, the missing link between effectiveness and sustainability involves advertising what is being done, explaining the benefits of the various interventions that are available in a community, and teaching people how to use the system more effectively.
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Franchising and Collaboration On the topic of treatment, McGahan highlighted the concept of solidarity, the idea that practitioners do what it takes to make patients better and health delivery more effective. Obtaining sustainable resilient health outcomes also depends on enfranchising the patient support system.3 Franchising and collaboration also provide opportunities for spread and scale of treatment.4 The Aravind Eye Care System, for example, has been very effective in treating glaucoma and other eye illnesses at a much lower cost by having physicians see many patients, and providing the health care that only doctors are qualified to deliver.
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Individual experiences of health often have less to do with the administration of health care by a provider, and more to do with the personal choices and experiences that have led to positive health outcomes (e.g., the decision not to smoke)
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As a result, the cost per user decreases, and the platform is more effective with more people in it. There is no setup cost to cultivating beliefs, and only marginal additional costs, and hopefully, she said, the result is the creation of a "pandemic of health." Population Resilience Terry Allan of the Cuyahoga County Board of Health and the National Association of County and City Health Officials noted that the term "resilience" is often used in the context of emergency preparedness and the ability to recover after disaster.
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, mutual aid agreements among fire departments, or leadership that fosters a sense of calm in a crisis. These may not be what are conventionally thought of as part of the health care system, but they have a tremendous impact on how citizens experience health.
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For the next set of activities, participants grouped themselves in response to verbal questions about their awareness of and perceptions about spread and scale in population health. Finally, participants responded individually to questions posted around the room by writing their responses on BOX 2-1 Individual Participants' Responses During the Engagement Activity, as Summarized by Fareed Mostoufi What does a healthy community have/need?
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From page 15... ...
• Brainstorm strategies • Share information, learn new approaches • Network, build stronger relationships • Find inspiration SOURCE: As summarized during the activity by participants and facilitator Fareed Mostoufi, community and training programs manager at Arena Stage, Washington, DC.
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