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. 2024 Jun;43(6):805-812.
doi: 10.1377/hlthaff.2024.00033.

The Community As A Full Partner: A New Model For Public Health

Alice T Chen  1 , Denise O Smith  2 , Bisola O Ojikutu  3 , John Auerbach  4
Affiliations

The Community As A Full Partner: A New Model For Public Health

Alice T Chen et al. Health Aff (Millwood). 2024 Jun.

Abstract

The COVID-19 pandemic demonstrated a need to strengthen the US public health system by shifting toward much greater community engagement and leadership. In November and December 2023, we conducted separate online surveys of community-based organizations and large metropolitan health departments to identify barriers and opportunities for building a public health system with strong community partnerships. Identified barriers included mistrust, siloed health departments with structural challenges in funding community-based organizations, and insufficient shared decision making. The surveys helped inform our six policy recommendations: establish state and local community councils to formalize the roles of community-based organizations in public health decision making; dedicate funding to these organizations; offer funding that is not limited to a specific disease or condition; simplify procurement and reporting processes directed to community-based organizations; create a training and technical assistance program for these organizations; and increase public health worker diversity, including sustainable funding for community health workers.

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