P4HE resource spotlight: Organizational change for health equity

Welcome to the P4HE Collaborative Resource Spotlight on Organizational Change for Health Equity. Organizational change for health equity refers to implementing strategies within health systems to ensure fair and just access to health care for all individuals. In this blog post, we’re excited to share a curated list of resources designed to drive action for policy makers, private sector leaders, community members, academics, advocates, and philanthropists.  

Resource List

1. Advancing Health Equity through Organizational Change: Perspectives from Health Care Leaders
   This article outlines the necessary components to promote health equity, including committed leadership, integrated organizational structures, and effective data collection. It emphasizes that organizations must tailor their strategies to their specific environments to achieve sustainable change.
2. Organizational Change Management for Health Equity: Perspectives from the Disparities Leadership Program
   This article explores how the Disparities Leadership Program equips health care leaders with the skills to manage organizational changes that are aimed at reducing racial and ethnic disparities. It emphasizes the importance of leadership commitment, strategic integration of equity goals, and collaborative planning to achieve sustainable health equity improvements.
3. Resource Guide — Advancing Health Equity through Gender Affirming Health Systems
   This resource guide information and tools for health centers aiming to enhance gender-affirming care through the application of best practices in organizational change. It outlines the process undertaken by a health center during an organizational assessment and provides practical templates and facilitation guides to support the implementation of similar efforts.
4. Disruption as Opportunity: Impacts of an Organizational Health Equity Intervention in Primary Care Clinics
   The article examines the implementation of the “equipping primary health care for equity”—known as EQUIP—intervention in primary care clinics, which aimed to enhance equity-oriented health care by integrating cultural safety and trauma-informed care. The intervention increased staff awareness about providing equitable care, as well as spurred a review and reworking of organizational strategies to address issues like racism and trauma.
5. Advocacy that Builds Power: Transforming Policies and Systems for Health and Racial Equity
   The report highlights how advocacy efforts can drive organizational change by centering impacted communities and building power at multiple levels, including individual, organizational, and ecosystem. It emphasizes the importance of structural changes within organizations, such as shifting governance and policies, to support long-term equity and justice.
6. EQUIP Emergency: Study Protocol for an Organizational Intervention to Promote Equity in Health Care 
   The article outlines the “equipping primary health care for equity”—known as EQUIP—emergency intervention, which is designed to promote equity in health care by adapting successful strategies from primary care to emergency departments. It aims to address health inequities by implementing and evaluating structured assessments, process evaluations, and cost-benefit analyses across diverse emergency departments.
7. Critical Theory, Culture Change, and Achieving Health Equity in Health Care Settings
   The article explores how health care organizations can achieve health equity by grounding diversity, equity, and inclusion efforts in critical theory.
8. Shifting and Sharing Power: Public Health’s Charge in Building Community Power 
   The article discusses the importance of shifting policies, practices, and culture within organizations to support health equity and empower marginalized communities.
9. Driving Health Equity in the Workforce
   The report explores the guiding principles of American Heart Association's CEO Roundtable initiative to promote health equity in the workplace. It emphasizes the importance of intentional inclusion, addressing historical legacies of inequity, and fostering employee health and well-being to benefit employees, their families, and communities.
10. Power Up: A Call for Public Health to Recognize, Analyze, and Shift the Balance in Power Relations to Advance Health and Racial Equity
    The article highlights the necessity for structural changes to achieve health and racial equity, including workforce diversification, governance and policy reforms, and the empowerment of marginalized communities. 

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