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9 Conclusion
Pages 503-506

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From page 503...
... Despite that recognition, approaches to improving health status and health outcomes have narrowly centered on improving medical interventions, technologies, systems, and access. Beyond clinical approaches, some health promotion strategies have focused on changing behavior, despite the robust evidence indicating that they are ineffective in addressing health inequities (Baum and Fisher, 2014)
From page 504...
... Other root causes include inequities in education -- which is highlighted as a key social determinant of health because of the welldocumented impact it has on health and income -- and income, which affects health status along with housing, transportation, and access to health care services. The committee concluded that health inequities are the result of much more than individual choice; they are the result of the historic and ongoing interplay of inequitable structures, policies, norms, and demographic and geographic patterns that shape lives and play out in the social, economic, environmental, and structural determinants of health (Braveman and Gottlieb, 2014; Krieger et al., 1997; Marmot et al., 2010; Williams and Collins, 2001)
From page 505...
... • Community collaboration can help create lasting change when all stakeholders agree on a shared commitment to results and to systematic learning from their experience and evolving research. • Effective community solutions involve collaboration across pro fessional, organizational, and bureaucratic boundaries; draw on the experience of practitioners and residents; and are informed by evidence.
From page 506...
... Public Health Reports 129(Suppl 2)

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