"Understanding the relationship between how population groups experience “place” and the impact of “place” on health is fundamental to the social determinants of health…How do we interject this line of thought at a policy level to effect change?" - Daniel Bach

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  • One of the best ways to promote place-based thinking at the policy level is for funders (both public sector and philanthropic) to specify which kinds of stakeholders need to be part of the collaboratives or coalitions that apply for funding.  For example, the BUILD Health Challenge Grants specifically named public health agencies as part of the local partnerships involving community-based organizations, health systems, and others (sponsored by de Beaumont Foundation, Kresge Foundation, Robert Wood Johnson Foundation, Colorado Health Foundation).  See http://www.debeaumont.org/programs/build-health/. ;

    Place-based thinking underlies many of the public health approaches that map health disparities using geocoding and other tools, and health systems that are interested in the health and economic well-being of the neighborhoods where their facilities are located are using similar approaches.  Kaiser Permanente may be the best example, but several other heath systems are moving in that direction too.  And some of the Federal Reserves (e.g., Boston, San Francisco) are using medical and educational institutions are "anchors" to spur local investments that also promote community health in collaboration with local agencies (housing, transportation, etc.)  CDC also uses place-based thinking with some of its grant awards.  

    There's a lot going on, using different terminologies and different approaches. We could do a lot better at finding out how to measure the impact of these place-based approaches.  

      

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