How Should Health Care Organizations and Communities Work Together to Improve Neighborhood Conditions?

AMA J Ethics. 2019 Mar 1;21(3):E281-287. doi: 10.1001/amajethics.2019.281.


In the past few decades, scholars have begun to establish ethical principles for public health engagement. A key tension has been how to reconcile public health improvement with local autonomy in decision making so as to express respect for community members' on-the-ground experience. This article describes the experience of one children's hospital in learning to ethically engage a surrounding community in conversations about housing development in partnership with a local faith-based development organization.

MeSH terms

  • Community-Institutional Relations*
  • Health Status
  • Hospitals, Pediatric / ethics
  • Hospitals, Pediatric / organization & administration
  • Humans
  • Residence Characteristics*
  • Social Planning*