Proactive strategies to address health equity and disparities: Recommendations from a Bi-National symposium

Jeannie Haggerty, Marshall H. Chin, Alan Katz, Kue Young, Jonathan Foley, Antoine Groulx, Eliseo J. Pérez-Stable, Jeff Turnbull, Jennifer E. DeVoe, Uche Uchendo

Research output: Contribution to journalArticlepeer-review

15 Scopus citations


Introduction: Health inequities persist in Canada and the United States. Both countries show differential health status and health care quality by social characteristics, making zip or postal code a greater predictor of health than genetics. Many social determinants of health overlap in the same individuals or communities, exacerbating their vulnerability. Many of the contributing factors and problems are structural and evade simple solutions. Methods: In March 2017 a binational Canada–US symposium was held in Washington DC involving 150 primary care thought leaders, including clinicians, researchers, patients, and policy makers to address transformation in integrated primary care. This commentary summarizes the session’s principal insights and solutions of the session tackling health inequities at policy and delivery levels. Discussion: The solution lies in intervening proactively to reduce disparities—developing risk-adjustment measures that integrate social factors; increasing the socioeconomic, racial, and ethnic diversity of health providers; teaching cultural humility; supporting community-oriented primary care; and integrating equity considerations into health system funding. We propose moving from retrospective analysis to proactive measures; from equality to equity; from needs-based to strength-based approaches; and from an individual to a population focus.

Original languageEnglish (US)
Pages (from-to)479-483
Number of pages5
JournalJournal of the American Board of Family Medicine
Issue number3
StatePublished - May 1 2018


  • Administrative Personnel
  • Canada
  • Health Status
  • Primary Health Care
  • Retrospective Studies
  • Risk Adjustment

ASJC Scopus subject areas

  • Public Health, Environmental and Occupational Health
  • Family Practice


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