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A Model of Advocacy to Inform Action.
Mark Earnest1, Shale L Wong2, Steve Federico3,4
1Division of General Internal Medicine, University of Colorado Anschutz Medical Campus, Aurora, CO, USA. Mark.Earnest@cuanschutz.edu.
Health professionals need a framework for advocacy. This model outlines skills and influence domains to improve health outcomes at individual, adjacent, and structural levels.
Area of Science:
- Public Health and Health Policy
- Health Professional Education
- Social Determinants of Health
Background:
- The COVID-19 pandemic underscored the link between social conditions and health, revealing limitations of solely biomedical approaches.
- A practical framework is lacking for health professionals to develop and implement advocacy competencies effectively.
- Existing efforts in health advocacy are hindered by the absence of structured guidance for training and activity planning.
Discussion:
- The proposed framework defines advocacy across three domains: practice, community, and government.
- It categorizes advocacy skills into policy, communication, and relationship-building.
- Successful application of these skills within domains leads to individual, adjacent, or structural change.
Key Insights:
- Advocacy competencies can be systematically developed and applied by health professionals.
- The framework provides a clear structure for planning and executing health advocacy initiatives.
- It bridges the gap between biomedical interventions and addressing social determinants of health.
Outlook:
- This framework is adaptable for diverse health professionals, educators, researchers, and organizations.
- It offers a scalable model for enhancing collective efforts to improve population health and well-being.
- Future applications may involve curriculum development and policy analysis for health equity.
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