Dotson Ebbin, Freeman Kyra, Michel Elisabeth, Young Micah
Health Management and Policy, University of Michigan School of Public Health, 1420 Washington Heights SPH II, M3509 Ann Arbor, MI 48109, United States.
Health Sciences, Pasadena City College, 1570 E. Colorado Blvd., Pasadena, CA 91106, United States.
Prev Med Rep. 2022 Aug 17;29:101950. doi: 10.1016/j.pmedr.2022.101950. eCollection 2022 Oct.
Structural barriers embedded within American society contribute to health inequities and social determinants of health (SDOH) in ways that systematically influence one's ability to succeed and to maintain a healthy overall quality of life in the United States. This article leverages educational attainment as an upstream SDOH factor that can be used to address downstream implications of population health equity. As providers learn to prescribe more innovative treatments that directly influence SDOH, an exploration is made to develop an intervention that integrates education, public health, and medicine as systems in a coordinated process to increase educational attainment for vulnerable populations. This article develops and analyzes the use of health equity management (HEM) model as a conceptual framework to identify precursors for educational attainment and provide an equitable solution for mending the educational attainment gap. It provides theoretical framing, conceptualizes stakeholder engagement, and creates a conceptual framework for identifying and addressing population health issues with education prescriptions. Operationalizing an educational prescription intervention will utilize provider-based screening methods to decrease the gaps in educational attainment by fostering partnerships between education, public health, and medicine. HEM identifies ideal partnership relationships to increase educational attainment and address long-standing quality of life issues, with a primary focus on coordinated activities among systems. Incorporating provider expertise into upstream educational decision-making legitimizes educational attainment as a critical component of population health equity. For many Americans, this is a necessary call to action to demand real structural change to ensure prosperity for all. An educational prescription intervention is a step towards increasing population health equity.
美国社会中存在的结构性障碍以系统影响个人在美国取得成功及维持健康总体生活质量能力的方式，导致了健康不平等和健康的社会决定因素（SDOH）。本文将受教育程度作为一个上游SDOH因素，可用于解决人口健康公平的下游影响。随着医疗服务提供者学会开出更多直接影响SDOH的创新治疗方案，本文探索开发一种干预措施，将教育、公共卫生和医学作为一个系统，在一个协调的过程中整合起来，以提高弱势群体的受教育程度。本文开发并分析了健康公平管理（HEM）模型作为一种概念框架的应用，以确定受教育程度的先兆，并为弥合受教育程度差距提供公平的解决方案。它提供了理论框架，将利益相关者参与概念化，并创建了一个概念框架，用于通过教育处方识别和解决人口健康问题。实施教育处方干预将利用基于医疗服务提供者的筛查方法，通过促进教育、公共卫生和医学之间的伙伴关系来缩小受教育程度差距。HEM确定理想的伙伴关系以提高受教育程度并解决长期存在的生活质量问题，主要侧重于系统之间的协调活动。将医疗服务提供者的专业知识纳入上游教育决策，使受教育程度成为人口健康公平的关键组成部分合法化。对许多美国人来说，这是一个必要的行动呼吁，要求进行真正的结构性变革，以确保所有人的繁荣。教育处方干预是朝着提高人口健康公平迈出的一步。
