A Community-Powered, Asset-Based Approach to Intersectoral Urban Health System Planning in Chicago.

Abstract:

OBJECTIVES:To describe, and provide a nomenclature and taxonomy for classifying, the economic sectors and functional assets that could be mobilized as partners in an intersectoral health system. METHODS:MAPSCorps (Meaningful, Active, Productive Science in Service to Community) employed local youths to conduct a census of all operating assets (businesses and organizations) on the South Side of Chicago, Illinois, in 2012. We classified assets by primary function into sectors and described asset and sector distribution and density per 100 000 population. We compared empirical findings with the Institute of Medicine's (IOM's) conceptual representation and description of intersectoral health system partners. RESULTS:Fifty-four youths mapped a 62-square-mile region over 6 weeks; we classified 8376 assets into 23 sectors. Sectors with the most assets were food (n = 1214; 230/100 000 population), trade services (n = 1113; 211/100 000), and religious worship (n = 974;185/100 000). Several large, health-relevant sectors (2499 assets) were identified in the region but not specified in the IOM's representation. Governmental public health, central to the IOM concept, had no physical presence in the region. CONCLUSIONS:Local youths identified several thousand assets across a broad diversity of sectors that could partner in an intersectoral health system. Empirically informed iteration of the IOM concept will facilitate local translation and propagation.

journal_name

Am J Public Health

authors

Lindau ST,Vickery KD,Choi H,Makelarski J,Matthews A,Davis M

doi

10.2105/AJPH.2016.303302

subject

Has Abstract

pub_date

2016-10-01 00:00:00

pages

1872-8

issue

10

eissn

0090-0036

issn

1541-0048

journal_volume

106

pub_type

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