All authors are with the North Carolina Department of Health and Human Services, Division of Public Health, Chronic Disease and Injury Section, Raleigh.
Am J Public Health. 2024 Oct;114(S7):S554-S557. doi: 10.2105/AJPH.2024.307719. Epub 2024 Aug 28.
The North Carolina Division of Public Health, Chronic Disease and Injury Section recommends local health departments (LHDs) adopt an "inside-out" approach to advance health and racial equity. Internally, LHDs must increase their capacity to address equity by establishing LHD policies and practices that prioritize equity and nurture a culture of trust. Externally, LHDs must seek guidance from historically marginalized populations to inform LHD policy changes and community-based public health approaches affecting these populations for greater engagement in LHD programs. (. 2024;114(S7):S554-S557. https://doi.org/10.2105/AJPH.2024.307719).
北卡罗来纳州公共卫生司、慢性病和伤害科建议地方卫生部门 (LHD) 采用“内外兼顾”的方法来促进健康和种族公平。在内部,LHD 必须通过制定优先考虑公平并培养信任文化的 LHD 政策和实践来增强解决公平问题的能力。在外部,LHD 必须寻求历史上被边缘化的人群的指导,以告知 LHD 政策的改变和影响这些人群的基于社区的公共卫生方法,从而使他们更积极地参与 LHD 项目。(. 2024;114(S7):S554-S557. https://doi.org/10.2105/AJPH.2024.307719)。