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Like many communities across the United States, St. Louis, Missouri, faces stark inequities in health outcomes, including wellness, quality of life, and life expectancy. These inequities are the result of social systems and policies that have robbed generations of St. Louisans of opportunity. BJC HealthCare's (BJC's) commitment to becoming a catalyst for community health by helping to eliminate health disparities led to the launch of its community health improvement strategy. This article details the community-driven and evidence-informed process that BJC used to create a multiyear, proactive approach to addressing the social and economic factors that are the root causes of health inequities. It examines areas of opportunity through which the strategy will drive change and explores lessons learned and promising practices for other healthcare institutions to consider as they advance health equity.

Competing Interests: The authors declare no conflicts of interest.

Titel:	Community Health Improvement: Social Care Is Healthcare.
Autor/in / Beteiligte Person:	Kryzer, E ; Nolan, CM
Zeitschrift:	Frontiers of health services management, Jg. 39 (2022-12-01), Heft 2, S. 17-26
Veröffentlichung:	Chicago, IL : Health Administration Press ; <i>Original Publication</i>: [Ann Arbor, Mich. : Health Administration Press, c1984-, 2022
Medientyp:	academicJournal
ISSN:	0748-8157 (print)
DOI:	10.1097/HAP.0000000000000160
Schlagwort:	United States Humans Quality of Life Health Facilities Social Support Public Health Health Equity
Sonstiges:	Nachgewiesen in: MEDLINE Sprachen: English Publication Type: Journal Article Language: English [Front Health Serv Manage] 2022 Dec 01; Vol. 39 (2), pp. 17-26. MeSH Terms: Public Health* ; Health Equity* ; United States ; Humans ; Quality of Life ; Health Facilities ; Social Support References: BJC HealthCare. 2021. “Community Health Improvement Strategic Plan 2022–2023.” Emerging Wisdom. Published August. https://www.bjc.org/community-health-improvement . ; Braveman P., Gottlieb L.. 2014. “The Social Determinants of Health: It's Time to Consider the Cause of the Causes.” Public Health Reports 129 (1): 19–31. https://doi.org/10.1177/00333549141291S206 . (PMID: 10.1177/00333549141291S206) ; Cambria N., Fehler P., Purnell J. Q., Schmidt B.. 2018. “Segregation in St. Louis: Dismantling the Divide”. St. Louis, MO: Washington University in St. Louis. ; Gordon C. 2008. Mapping Decline: St. Louis and the Fate of the American City. Philadelphia, PA: University of Pennsylvania Press. ; Harper S., MacLehose R. F., Kaufman J. S.. 2014. “Trends in the Black-White Life Expectancy Gap Among US States, 1990–2009.” Health Affairs 33 (8): 1375–82. https://doi.org/10.1377/hlthaff.2013.1273 . (PMID: 10.1377/hlthaff.2013.1273) ; Holder S., Montgomery D.. 2019. “Life Expectancy Is Associated With Segregation in U.S. Cities.” Bloomberg. Published June 6. https://www.bloomberg.com/news/articles/2019-06-06/life-expectancy-follows-segregation-in-u-s-cities . ; King C. J., Buckley B. O., Maheshwari R., Griffith D. M.. 2022. “Race, Place, and Structural Racism: A Review of Health and History in Washington, D.C.” Health Affairs 41 (2): 273–80. https://doi.org/10.1377/hlthaff.2021.01805 . (PMID: 10.1377/hlthaff.2021.01805) ; Kramer M. R., Hogue C. R.. 2009. “Is Segregation Bad for Your Health?” Epidemiologic Reviews 31 (1): 178–94. https://doi.org/10.1093/epirev/mxp001 . (PMID: 10.1093/epirev/mxp001) ; Purnell J. Q., Camberos G. J., Fields R. P. (eds). 2014. For the Sake of All: A Report on the Health and Well-Being of African Americans in St. Louis and Why It Matters for Everyone. St. Louis, MO: Washington University in St. Louis and St. Louis University. https://cpb-us-w2.wpmucdn.com/sites.wustl.edu/dist/3/1454/files/2018/06/FSOA_report_2-17zd1xm.pdf . ; Rothstein R. 2014. “The Making of Ferguson: Public Policies at the Root of its Troubles.” Washington, DC: Economic Policy Institute. Published October 15. https://www.epi.org/publication/making-ferguson/ . ; Schroeder S. A. 2007. “We Can Do Better—Improving the Health of the American People.” New England Journal of Medicine 357 (12): 1221–8. https://doi.org/10.1056/NEJMsa073350 . (PMID: 10.1056/NEJMsa073350) Entry Date(s): Date Created: 20221122 Date Completed: 20221124 Latest Revision: 20230814 Update Code: 20240513

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Community Health Improvement: Social Care Is Healthcare.