Corburn Jason, Curl Shasa, Arredondo Gabino
Deaprtment of Public Health, University of California Berkeley, Berkeley, CA, USA.
City of Richmond, Richmond, CA, USA.
Community Health Equity Res Policy. 2025 Jul;45(4):411-422. doi: 10.1177/2752535X241273955. Epub 2024 Aug 13.
Local governments working in partnership with communities can institutionalize practices that promote health equity. We offer a case study of how one city in the US is implementing Health in All Policies (HiAP) with the explicit aim of promoting health equity. We use participant observations, original document reviews and interviews to describe how Richmond, California, is building new partnerships, programs and practices with community-based organizations and within government itself as part of the implementation of its HiAP Ordinance. We also report on indicators that were identified by community and government stakeholders for tracking progress toward improving place-based determinants of population health. We find that the responsibility for implementing Richmond's HiAP Ordinance rests on a new institution within local government and this entity is building new partnerships, promoting innovative policies and augmenting practices toward greater health equity. We also reveal how city governments and community partners can collaboratively track progress toward health equity using locally gathered data.
地方政府与社区合作，可以将促进健康公平的做法制度化。我们提供了一个案例研究，说明美国一个城市如何实施“所有政策促进健康”（HiAP），其明确目标是促进健康公平。我们通过参与观察、原始文件审查和访谈，来描述加利福尼亚州里士满市如何与社区组织以及政府内部建立新的伙伴关系、项目和做法，作为其实施HiAP条例的一部分。我们还报告了社区和政府利益相关者确定的指标，用于跟踪在改善基于地点的人口健康决定因素方面取得的进展。我们发现，实施里士满市HiAP条例的责任落在地方政府内的一个新机构身上，该实体正在建立新的伙伴关系，推行创新政策，并加强做法以实现更大的健康公平。我们还揭示了城市政府和社区伙伴如何利用本地收集的数据，共同跟踪在实现健康公平方面取得的进展。
