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

Daniel Skinner; Berkeley Franz; Kelly Kelleher

doi:10.1001/amajethics.2019.281

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.

Authors

Daniel Skinner¹, Berkeley Franz², Kelly Kelleher³

Affiliations

¹ An assistant professor of health policy at the Ohio University Heritage College of Osteopathic Medicine in Dublin, Ohio, and a co-director of the Health Policy Fellowship, a program of the American Association of Colleges of Osteopathic Medicine.
² A medical sociologist and an assistant professor of community-based health at the Ohio University Heritage College of Osteopathic Medicine in Athens, Ohio.
³ A professor of pediatrics at the Ohio State University College of Medicine and the director of the Center for Innovation in Pediatric Practice and the vice president of health services research at the Research Institute at Nationwide Children's Hospital.

PMID: 30893043
DOI: 10.1001/amajethics.2019.281

Abstract

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*