Health Equity Resource Center

Health Equity Member Interest Group Goals
Mission/Vision
Objectives:

  • Support IAFP member needs related to education in health equity (e.g. implicit bias training, rural health equity summit/workshop)
  • Create a network of IAFP physicians committed to health equity (e.g. AAFP Health Equity Champions Survey dissemination)

Definition of Health Equity  

IAFP definition: Health equity is realized when each individual has a fair opportunity to achieve their full health potential. Achieving health equity requires treating everyone justly according to their circumstances: equality is an outcome of equity. Societal efforts must be undertaken to address structural inequalities that create group-differentiated access to resources, as well as differentiated vulnerabilities to harm.” (IHI, Healthy People 2020, Race Matters Institute, Structural Competency Workgroup, Am J Public Health)

Prominent health organizations definitions 
Video Introduction:  What is Health Equity?  
Recommended Articles

Statement from the Editors of Family Medicine Journals (Oct. 15, 2020) includes a link to over 250 published manuscripts and demonstrates expertise as well as a commitment to addressing racism in medicine.

Definition of Racism:
“Americans believe in the reality of ‘race’ as a defined, indubitable feature of the natural world. Racism—the need to ascribe bone-deep features to people and then humiliate, reduce, and destroy them—inevitably follows from this inalterable condition. In this way, racism is rendered as the innocent daughter of Mother Nature, and one is left to deplore the Middle Passage or Trail of Tears the way one deplores an earthquake, a tornado, or any other phenomenon that can be cast as beyond the handiwork of men. But race is the child of racism, not the father.” (Ta Nehesi Coates, Between the World and Me)
To understand racism, one must understand how it operates on multiple levels: personal, interpersonal, institutional, structural. See the graphic below, and watch this video from RaceForward.

Ways to Take Action
Results from the IAFP's Health Equity Champions Survey highlighted 50+ individuals willing to partner with IAFP in a number of ways, and areas in which they want to get involved. We provide a brief overview of tangible ways to engage in health equity work.
Identify specific need from your personal experience, or community with the Illinois-Specific Resources below

Here are first steps you can take:
1. Reflect on existing biases and privileges you may bring to the table. This may be an uncomfortable reflection, but is part of the continual process. It is ok to make mistakes as long as you are humble.

  • Attend an implicit bias training offered in your workplace or IAFP will offer one in 2022. 
  • Simple reflection questions: “How do I define my identity in this society, and how may I benefit from privilege? Who is at the ‘table’ I sit at? Does it reflect the community I serve? How can I use my positions of power to make room for other sat the table?”

2. Identify one socio-economic factor that may contribute to health inequity in your community. Think about stories from your patients, or use the resources here.
3. Find your role and superpower: There are different roles that one can play to generate social change. As family physicians, we may identify the most as frontline responders and caregivers. Aside from those two roles, what are unique characteristics that you possess? Check out a full list of roles here, and examples of initial steps.
4. Join our IAFP Health Equity Member Interest Group to be connected with Health Equity champions.
5.  IAFP Hosted a Town Hall for Medical Students on October 17, 2020. Learn more and view the recording 

Education with state and national FM Advocacy Resources:

Use your Voice: Write an op-ed and/or Letter to the Editor:
Suggested places of distribution:

  • AAFP Blog David Mitchell Social Media/Commentary Editor
  • KevinMD
  • Local newspapers (check the publication’s website for instructions on how to submit Letters to the Editor and Op-Ed and any word count limits)
  • Doximity

Tips for writing an Op-Ed from the Harvard Communication Project
Make sure you have a headshot photo to submit, if needed.
You can also contact Ginnie Flynn, IAFP Vice President of Communications, for help in finalizing your message.

Diversity in Health Workforce

Illinois-Specific Resources
Purpose of this section: Direct audience to local resources for connection and potential partnership - this is where we would especially appreciate your experiences as a workgroup and knowledge of local resources and notable interdisciplinary partnerships to highlight
Illinois Specific Statistics on Health Disparities/Structural Inequity

Public Discussion

  • Shifting the Lens - monthly podcast from Rush University Health system.  Episode 1 features IAFP member Carl Lambert, Jr., MD. 
  • Starting the Conversation - Chicago Produced by Johnson & Johnson, the first edition on Chicago features IAFP's Family Health Foundation of Illinois board member Ronald Rembert, Jr. MD.

Interdisciplinary Collaboration

  • Medical-Legal-Partnerships, including those coordinated through SIU and Loyola
  • Partnerships w/other non-medical organizations
  • Statewide, inter-professional organizations
  • https://innovation.cms.gov/

Education/Practice-Based Resources

For screening tools, see AAFP EveryONE Project.
THEN Center - The Center for Collaborative Study of Trauma, Health Equity and Neurobiology. 
Other screening tools for social determinants of health available including
HealthLeads, PRAPARE
Screening tool comparison table
NowPow 
Illinois Coalition for Immigrant and Refugee Rights (ICIRR)

AAFP/National Resources
Purpose of this section: Direct audience to concentrated list of select national resources, chosen based on variety of content and potential utility to audience
Health Equity and Racism:  AAFP Update from the February 2022 Ten State Conference
AAFP EveryONE Project Toolkit

  • Implicit Bias Training
  • Practice Leadership
  • Assessment and Action (Screening and Action Plan Development)
  • Community Collaboration 
  • Neighborhood Navigator

AAFP Health Equity Curricular Toolkit 
AAFP FPM Article September 2021 "How to Spot and Tactfully Address Discrimination in the Health Care Setting" written by IAFP members Santina Wheat, MD, MPH and Michelle Byrne, MD, MPH

AAFP CME Audiobooks (for purchase, discounted for members!):  3 Modules:  Caring for LGBTQ+ Patients, Communicating Effectively with Your Patients, Social Determinants of Health

Health Equity During COVID-19 Top Strategies for an Equity Focused Recovery

STFM Health Equity: Goals and Resources 
Health Equity Fellowship 
AAFP Center for Diversity and Health Equity  
CDC Social Determinants of Health: Maps and Resources 
Structural Competency 

National Center for Chronic Disease and Prevention and Health Promotion Social Determinants of Health 
CDC Health Equity in Cancer resource center 
American Cancer Society Cancer Action Network (ACS CAN), Advancing Health Equity—Addressing Cancer Disparities Video

Health Equity in Rural Health
Provide topic-specific opportunities at intersection of health equity and rural health, given unique landscape and practice of Illinois family physicians
Rural Health Equity Summit: August  2021 led to the creation of our Rural Health Equity Resource Center