Despite Obstacles, Considerable Potential Exists for More Robust Federal Policy on Community Development and Health

The implementation of the Affordable Care Act of 2010 and the Obama administration’s urban policy create an opportunity to link community development with health in new and powerful ways. New federal programs, such as the Affordable Care Act’s Community Transformation Grants, seek to prevent death and disability through policy, environmental, programmatic, and infrastructure changes. But fragmented congressional jurisdiction and budget “scoring” rules pose challenges to needed reform. We argue that government agencies need to adopt so-called systems of innovation, or organizational practices and support mechanisms that seek continuously to test new models, refine promising ones, bring to scale those that work best, and restructure or terminate what does not. We also argue that a strong and well-focused policy advocacy coalition is needed to help drive reform focused on the social determinants of health. 

abstract

Title Despite Obstacles, Considerable Potential Exists for More Robust Federal Policy on Community Development and Health
Authors Xavier de Souza Briggs, Mariana Arcaya
Type of Publication
Journal Paper
Journal
Health Affairs
Volume
30
Issue
11
Work
Health Affairs 30(11):2064-2071
Date of Publication
Oct 1, 2011
Publisher
Health Affairs
Location
Washington, DC

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