The Upstream Doctors: Medical Innovators Track Sickness to Its Source (Kindle Single) (TED Books)

In our shared imagination, the concept of health has been shaped by this downstream activity, where doctors and nurses discover and treat disease.

Ask if and how it distributes financial rewards and bonuses, if any. Are staff payments or salaries linked to measurable improvements in community health outcomes?

“A conceptual model that includes partialists, comprehensivists, and upstreamists makes sense for the work of population health management in health care. Each of those three key functions must be performed. For this to be wieldy, though, there would also need to be coordination among those three functions. But the nature of how we currently segmen

healthbegins.org.)

For those interested, a more comprehensive list of policy solutions and opportunities to advance an upstreamist approach can be found at healthbegins.org

California, for instance, recently launched a Health in All Policies initiative to factor health into a wide swath of state decisions.

Focus on food insecurity and slum housing, they said. And create a patient-centered medical home to deal with people’s medical and social issues.

first began to understand health as a social phenomenon that starts and ends outside the clinic walls.

The healthy housing program we had set up had helped thousands of children and adults like Veronica. We had worked with a community partner to set up a produce stand and resource guide to help families experiencing hunger and food insecurity. A medical-legal partnership we had created shortly after I started at the clinic was blossoming. Thousands