P.M. Alberti is senior director, Health Equity Research and Policy, Association of American Medical Colleges, Washington, DC. K.M. Sutton is lead specialist, Health Equity Research and Policy, Association of American Medical Colleges, Washington, DC. L.A. Cooper is professor of medicine and director, Johns Hopkins Center to Eliminate Cardiovascular Health Disparities, Johns Hopkins University School of Medicine and Johns Hopkins University Bloomberg School of Public Health, and vice president for health care equity, Johns Hopkins Medicine, Baltimore, Maryland. W.G. Lane is associate director, Preventive Medicine Residency Program, associate professor, Department of Epidemiology and Public Health, and Department of Pediatrics, University of Maryland School of Medicine, Baltimore, Maryland. S. Stephens is clinical instructor and director, B'more for Healthy Babies Upton/Druid Heights Program, University of Maryland School of Social Work, Promise Heights, and adjunct faculty, Morgan State University School of Social Work, Baltimore, Maryland. M.A. Gourdine is clinical assistant professor of pediatrics and of epidemiology/preventive medicine, Department of Epidemiology and Public Health, University of Maryland School of Medicine, and senior associate, Johns Hopkins Bloomberg School of Public Health, Baltimore, Maryland.
Acad Med. 2018 Jan;93(1):20-24. doi: 10.1097/ACM.0000000000001678.
In November 2015, the Association of American Medical Colleges (AAMC) held its annual meeting in Baltimore, Maryland. In response both to health and health care inequities faced by residents of Baltimore and to the imminent trial of the police officers charged with Freddie Gray's death, AAMC leaders thought it crucial to address issues of health inequity, social injustice, and the role an academic health center (AHC) can play in improving the health of the community it serves. In collaboration with community-engaged researchers from Johns Hopkins University and University of Maryland, Baltimore, AAMC staff interviewed Baltimore residents, soliciting their perspectives on how medical education, clinical care, and research can and should respond to social injustice and the social determinants of health. The authors used the resulting videoed interviews to frame a conversation during the annual meeting aimed at developing concrete actions that an individual, an institution, or the AAMC can take to address social injustice and health inequities in the Baltimore community and beyond. The robust conversation and the action steps identified by participants led to the development of a toolkit to build the capacity of AHCs and their communities to engage in similar, action-oriented programming. The success of the conversation inspired future meeting sessions that purposefully incorporate community voices and expertise. This Perspective presents results of this action planning and places the proposed set of activities within the current health care context to demonstrate how community expertise and wisdom can inform and advance efforts to improve the health of all.
2015 年 11 月，美国医学院协会（AAMC）在马里兰州巴尔的摩举行了年度会议。为了应对巴尔的摩居民面临的健康和医疗保健不平等问题，以及即将对被控杀害弗雷迪·格雷的警察进行审判，AAMC 领导层认为，解决健康不平等、社会不公正以及学术医疗中心（AHC）在改善其服务社区健康方面可以发挥的作用至关重要。AAMC 工作人员与约翰霍普金斯大学和马里兰大学巴尔的摩分校的社区参与研究人员合作，采访了巴尔的摩居民，征求他们对医学教育、临床护理以及研究如何以及应该如何应对社会不公正和健康决定因素的看法。作者使用由此产生的视频采访来构建年度会议期间的对话，旨在制定具体行动，个人、机构或 AAMC 可以采取这些行动来解决巴尔的摩社区及其他地区的社会不公正和健康不平等问题。参与者之间的激烈讨论和确定的步骤促成了一个工具包的开发，以增强 AHC 及其社区参与类似的、面向行动的计划的能力。这次对话的成功激发了未来的会议，这些会议有目的地纳入社区的声音和专业知识。本观点介绍了这一行动计划的结果，并将拟议的活动集置于当前的医疗保健背景下，以展示社区专业知识和智慧如何为改善所有人的健康提供信息和推动努力。
