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Physicians, prescribe education to address population health equity
Ebbin Dotson1, Kyra Freeman1, Elisabeth Michel1
1Health Management and Policy, University of Michigan School of Public Health, 1420 Washington Heights SPH II, M3509 Ann Arbor, MI 48109, United States.
Abstract:
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.
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