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The Role of Community Health Centers in Assessing the Social Determinants of Health for Planning and Policy: The Example of Frontier New Mexico

Bruna, Sean PhD; Stone, Lisa Cacari PhD; Wilger, Susan BS, MPAff; Cantor, Jeremy MPH; Guzman, Carolina MPH

Journal of Ambulatory Care Management:
doi: 10.1097/JAC.0000000000000004
Original Articles
Abstract

This article examines the experience of a frontier-based community health center when it utilized the Tool for Health and Resilience in Vulnerable Environments (THRIVE) for assessing social determinants of health with a local health consortium. Community members (N = 357) rated safety, jobs, housing, and education among the top health issues. Community leaders integrated these health priorities in a countywide strategic planning process. This example of a frontier county in New Mexico demonstrates the critical role that community health centers play when engaging with local residents to assess community health needs for strategic planning and policy development.

Author Information

Department of Anthropology, Robert Wood Johnson Foundation Center for Health Policy at the University of New Mexico, University of New Mexico, Albuquerque, New Mexico (Dr Bruna-Lewis); Department of Family & Community Medicine, University of New Mexico Health Science Center, Robert Wood Johnson Foundation Center for Health Policy at the University of New Mexico, 1 University of New Mexico, Albuquerque, New Mexico (Dr Stone); National Center for Frontier Communities, Silver City, New Mexico (Ms Wilger); Prevention Institute, Oakland, California (Mr Cantor and Ms Guzman).

Correspondence: Lisa Cacari Stone, PhD, Department of Family & Community Medicine, University of New Mexico Health Science Center, Robert Wood Johnson Foundation Center for Health Policy at the University of New Mexico, MSC 095060, 1 University of New Mexico, Albuquerque, NM 87131 (lcacari-stone@salud.unm.edu).

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The authors have disclosed that they have no significant relationships with, or financial interest in, any commercial companies pertaining to this article.

Acknowledgements: This research project was funded by the Department of Health and Human Services National Institutes of Health, National Center on Minority Health and Health Disparities to Principle Investigator Cacari Stone under the RWJF Center for Health Policy (Grant Number-3P20MD004996-01S1).

Human Participant Protection: The study protocol was approved by the institutional review board of the University of New Mexico Health Sciences Center (HRRC#10-634).

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