Accountable Communities for Health: Moving From Providing Accountable Care to Creating Health
- PMID: 26195684
- PMCID: PMC4508180
- DOI: 10.1370/afm.1813
Accountable Communities for Health: Moving From Providing Accountable Care to Creating Health
Abstract
Lessons from community-oriented primary care in the United States can offer insights into how we could improve population health by integrating the public health, social service, and health care sectors to form accountable communities for health (ACHs). Unlike traditional accountable care organizations (ACOs) that address population health from a health care perspective, ACHs address health from a community perspective and consider the total investment in health across all sectors. The approach embeds the ACO in a community context where multiple stakeholders come together to share responsibility for tackling multiple determinants of health. ACOs using the ACH model provide a roadmap for embedding health care in communities in a way that uniquely addresses local social determinants of health.
Keywords: accountable care organizations; community-oriented primary care; health reform; population health.
© 2015 Annals of Family Medicine, Inc.
References
-
- Longlett SK, Kruse JE, Wesley RM. Community-oriented primary care: historical perspective. J Am Boardf Fam Pract. 2001;14(1):54–63. - PubMed
-
- Kark SL, Kark E. An alternative strategy in community health care: community-oriented primary health care. Isr J Med Sci. 1983;19(8): 707–713. - PubMed
-
- Nutting PA. Community-Oriented Primary Care: From Principle to Practice. Washington, DC: US Dept. of Health and Human Services, Public Health Service, Health Resources and Services Administration, Office of Primary Care Studies; 1987.
-
- Shortell SM. Bridging the divide between health and health care. JAMA. 2013;309(11):1121–1122. - PubMed
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