Editor's note: R. Lawrence Moss, MD, FACS, FAAP, is the president and CEO of Nemours Children's Health System based in Jacksonville, Florida.
Its the year 2020, and its a beautiful day in the neighborhoodfor some children. Despite our countrys efforts towards improving socioeconomic factors like unemployment, teen pregnancy and high school graduation rates, we can still predict a childs health, their future income, and even their life span, based solely on their zip code. According to the Child Opportunity Index 2.0, a new report from Brandeis University, 10 million American children live in low-opportunity neighborhoods, which puts them at a stark disadvantage to those in high-opportunity areas.
Researchers analyzed 72,000 neighborhoods across America, examining factors such as access to good schools, parks, and healthy food. In all metropolitan areas, they found at least a seven-year difference in life expectancy between residents in low- and high-opportunity neighborhoods.
In a new white paper I recently published, How Children Can Transform the Economy and Healthcare, I note the leverage for strategic investments in the well-being of children to impact not only their own lives, but strengthen the outlook and contributions of the next generation of future U.S. citizens.
Weve known for decades that social, economic, and environmental factors have a major impact on health, yet our healthcare system persists in spending the vast majority of its resources on medical treatmentstests, surgical procedures, medications, and so on. However, a substantial body of evidence suggests that medical care actually accounts for only about 15% of our health.
The remaining 85% is determined by the multiple underlying factors that shape our livesincluding education, food security, employment, freedom from violence, avoidance of childhood trauma, access to transportation, and much more. By transforming healthcare from a system that pays for volume and complexity of medical services to a system that pays for a more holistic view of health, we can deeply impact the health of children today, and the next generation of adults.
According to a recent Harris Poll commissioned by Nemours, nearly two-thirds of American parents of children under 18 report at least one economic, environmental, or lifestyle factor that limits their familys ability to lead a healthy life. Sixty-eight percent of parents encountered at least one of these factors in the past 12 months: Being unable to pay one or more of their bills (32%), skipping a doctor/dentist appointment because they couldnt afford to pay for visits, or find transportation (32%), worrying about running out of food (23%), worrying about their familys personal safety (17%), trouble finding work or affordable child care (17% each), or being unable to find a grocery store with healthy food options (10%).
Our survey shows how shockingly normal it is for families to struggle to meet basic needs that are crucial for childrens health. While we must remain committed to providing the highest quality acute medical care when needed, we must also recognize that families need so much morefrom high-quality education to nutritious food to policies and programs that lift the health of entire communities. To do this, we must work together. Effective partnerships will amplify and extend the reach of our work to maximize the benefits for our children.
Related: Nemours CEO Larry Moss: Let's Invest More in Kids' Health
Were seeing health systems across the country find ways to connect their patients to resources that go far beyond medical treatment. At Nemours, were doing this through intentional collaboration with our community partners in early childhood education, adult care, food pantries, and more. Nemours and other childrens hospitals are doing this because it is a way to get more from the care we provide, and because its also a very smart investment in the future economic health of our country.
For example, a recent study from Opportunity Insights, a research group at Harvard University, examined the return on investment of 133 past and present federal social policies. Not surprisingly, those policies that directly targeted young children had the highest value because they continued to pay dividends long after childhood.
If we, as a society, would collectively address the social factors that influence childrens health, we would permanently improve the health and the economy of our country by reducing the toll from chronic diseases, creating a healthier, more productive workforce.
As trusted authorities with substantial infrastructures, childrens hospitals are well-positioned to lead the way. Through partnerships with social service agencies, government, and commercial payers, we can greatly magnify the effectiveness of the medical care we deliver by also addressing the underlying social determinants of health for all.
Dr. R. Lawrence Mosswas a participant at the HealthLeaders CEO Exchange last fall. The CEO Exchange is one of the healthcare thought leadership and networking events that HealthLeaders holds annually. Our CEO Exchange is an invitation-only event that brings together top leaders from across the country to participate in small discussion groups, share best practices, and network freely. To inquire about attending a HealthLeaders Exchange, email us at exchange@healthleadersmedia.com.
Care to share your view?HealthLeaders accepts original thought leadership articles from healthcare industry leaders in active executive roles at provider and payer organizations. These may include case studies, research, and guest editorials. We neither accept payment nor offer compensation for contributed content. Send questions and submissions to Erika Randall, content manager,erandall@healthleadersmedia.com.
Photo credit: Nemours Children's Health System President and CEO R. Lawrence "Larry" Moss, MD, delivers a presentation during a HealthLeaders CEO Exchange gathering in Park City, Utah. (HealthLeaders/David Hartig)
View post:
- Intentional Community and Capitalism - Shareable - April 10th, 2024 [April 10th, 2024]
- How alternative communities have evolved from pacifist communes to a solution to the ageing population - The Conversation - March 12th, 2024 [March 12th, 2024]
- Georgia Power Announced T. Dallas Smith named to Georgia ... - All On Georgia - November 18th, 2023 [November 18th, 2023]
- CSRWire - Thought Leaders Gather for Critical Community ... - CSRwire.com - November 18th, 2023 [November 18th, 2023]
- EPA centers diversity with first-ever environmental youth advisory council - Yahoo News - November 18th, 2023 [November 18th, 2023]
- Rigor, Relevance, & Reality: Education Collaboratory at Yale ... - Yale School of Medicine - November 18th, 2023 [November 18th, 2023]
- Gaza: UN experts call on international community to prevent ... - ReliefWeb - November 18th, 2023 [November 18th, 2023]
- Fathering Together Announces Acquisition of City Dads Group - PR Web - November 18th, 2023 [November 18th, 2023]
- Company to pay over $50 million in largest environmental lawsuit settlement in D.C. history: Health risks to the public - Yahoo News - November 18th, 2023 [November 18th, 2023]
- Student death is now part of the routine at Middlebury - The Middlebury Campus - November 18th, 2023 [November 18th, 2023]
- We welcomed an abandoned dog into our family. But dog dumping ... - Kansas Reflector - November 18th, 2023 [November 18th, 2023]
- The National Climate Assessment Goes Woke - Dallasweekly - November 18th, 2023 [November 18th, 2023]
- A Conversation about History, Race and the Meaning of True ... - Philanthropy Roundtable - November 18th, 2023 [November 18th, 2023]
- The color of community | WORLD - WORLD News Group - November 18th, 2023 [November 18th, 2023]
- Kindness has good benefits | News, Sports, Jobs - The Review - November 18th, 2023 [November 18th, 2023]
- Georgia Power Foundation awards grant for BIG Edge ... - Georgia Southern University Newsroom - November 18th, 2023 [November 18th, 2023]
- "Chilling": Maryland lawmakers threaten to cut aid to immigrants ... - Salon - November 18th, 2023 [November 18th, 2023]
- Three water options come with high cost | News, Sports, Jobs - Evening Observer - November 18th, 2023 [November 18th, 2023]
- Welcome to the Team, Kintan! | Office of Immigrant Affairs - Philadelphia Water Department - July 11th, 2023 [July 11th, 2023]
- Fannie Mae Recognized for Its DEI Efforts - DSNews.com - July 11th, 2023 [July 11th, 2023]
- Fannie Mae Named 'Best Place to Work for Disability Inclusion' and ... - Fannie Mae - July 11th, 2023 [July 11th, 2023]
- Focused on progress - Weekly Challenger - July 11th, 2023 [July 11th, 2023]
- Good Ancestors and Messengers of Hope - Digital Journal - July 11th, 2023 [July 11th, 2023]
- 'Make it intentional': 3-N-1 Trinity Services helps young ... - Longview News-Journal - July 11th, 2023 [July 11th, 2023]
- 'Latinistas' is the World's First All-Latina Fashion Doll Line - hiplatina.com - July 11th, 2023 [July 11th, 2023]
- CSU Releases Findings of Three-Year Research Study on NAVA'S ... - InvestorsObserver - July 11th, 2023 [July 11th, 2023]
- Press Ganey's Physician of the Year on a cardiology 'game changer ... - Becker's Hospital Review - July 11th, 2023 [July 11th, 2023]
- City Officials Join Summer Campers and Local Artists to Kick Off ... - Philadelphia Water Department - July 11th, 2023 [July 11th, 2023]
- Merrill and Linda Hutchinson on Communication for a Summer of ... - Digital Journal - July 11th, 2023 [July 11th, 2023]
- Feathers installed as Rotary District Governor | News, Sports, Jobs - The Inter-Mountain - July 11th, 2023 [July 11th, 2023]
- Theatre at St. Luke's: All Shook Up to The Little Mermaid - Orlando Sentinel - July 11th, 2023 [July 11th, 2023]
- Culture wars rage on, forcing marketers to decide whether to ... - Marketing Dive - July 11th, 2023 [July 11th, 2023]
- Some thoughts on governance of the local variety - Resilience - July 6th, 2023 [July 6th, 2023]
- 988 is saving lives, but more awareness and support needed - Alton Telegraph - July 6th, 2023 [July 6th, 2023]
- The Limitations of Eco-Anxiety | Atmos - Atmos Magazine - July 6th, 2023 [July 6th, 2023]
- Welcome Back: How JAPER Becomes Real for the People in Brazil ... - Just Security - July 6th, 2023 [July 6th, 2023]
- Now Is the Time to Go All In on Heat Pumps - Rocky Mountain Institute - July 6th, 2023 [July 6th, 2023]
- Tennessee Department of Transportation (TDOT) celebrates 40th ... - Elizabethton.com - July 6th, 2023 [July 6th, 2023]
- Discrimination or bureaucracy? A Jewish community in Germany ... - The Jerusalem Post - July 6th, 2023 [July 6th, 2023]
- AAP Rules And Guidelines For How To Keep Kids Safe From Cars - Fatherly - July 6th, 2023 [July 6th, 2023]
- Pine County Sheriff's Report and Jail Roster | Communities ... - Pine City Pioneer - July 6th, 2023 [July 6th, 2023]
- Is a Hanan Ben Ari concert the solution for Jewish divisions? - opinion - The Jerusalem Post - July 6th, 2023 [July 6th, 2023]
- What the LGBT wedding website Supreme Court ruling means for ... - The Atlanta Journal Constitution - July 6th, 2023 [July 6th, 2023]
- Out at CHM hosts its first 2023 event - Windy City Times - July 6th, 2023 [July 6th, 2023]
- 'The time is now': Longtime friends launch support organization for ... - The Lawrence Times - July 6th, 2023 [July 6th, 2023]
- La Vergne Receives Municipal League Award for Excellence in Fire ... - rutherfordsource.com - July 6th, 2023 [July 6th, 2023]
- UW System offers status update on its five-year strategic plan (day 1 ... - University of Wisconsin System - July 6th, 2023 [July 6th, 2023]
- Hawaii Native Krystal Ka'ai Tackles Equity And Anti-Asian Hate For ... - Honolulu Civil Beat - July 6th, 2023 [July 6th, 2023]
- News & events / News - Diocese of York - July 6th, 2023 [July 6th, 2023]
- Businesses that address social or environmental problems often ... - The Conversation - July 6th, 2023 [July 6th, 2023]
- EFOC: Is This Happening To Me Because I'm Black? Combating ... - Essence - July 6th, 2023 [July 6th, 2023]
- Stations Telling Diverse Stories With Sponsored Segments from ... - Next TV - July 6th, 2023 [July 6th, 2023]
- Ex-Prisoners Face Headwinds as Job Seekers, Even as Openings ... - The New York Times - July 6th, 2023 [July 6th, 2023]
- Bungie weighs in on the current argument raging through the ... - PC Gamer - July 6th, 2023 [July 6th, 2023]
- Myanmar: Dire humanitarian and human rights situation ... - OHCHR - June 30th, 2023 [June 30th, 2023]
- Invest in our public schools - EdNC - June 30th, 2023 [June 30th, 2023]
- N.Y. stands up for LGBTQ equality: Having Pride 12 months a year - New York Daily News - June 30th, 2023 [June 30th, 2023]
- NASCAR, Bubba Wallace bring 'Bubba's Block Party' to Chicago - Daytona Times - June 30th, 2023 [June 30th, 2023]
- Fifth Third's 2022 Sustainability Report Shares Progress on Priorities ... - InvestorsObserver - June 30th, 2023 [June 30th, 2023]
- Top LGBTQ+ Financial Influencers to Learn from in 2023 - Investopedia - June 30th, 2023 [June 30th, 2023]
- 'Retirement is so traditional,' try periodic retirement to figure out ... - Morningstar - June 30th, 2023 [June 30th, 2023]
- Crisis of missing and murdered Indigenous people brings federal ... - New Mexico In Depth - June 30th, 2023 [June 30th, 2023]
- The Astounding Power of Intentional Productivity (And How You Can ... - The Good Men Project - June 30th, 2023 [June 30th, 2023]
- What SCOTUS ruling on affirmative action means for UL schools - Louisiana Radio Network - June 30th, 2023 [June 30th, 2023]
- Community managers find the path for developers and players to ... - VentureBeat - June 30th, 2023 [June 30th, 2023]
- The EPA was ready to clean up 'Cancer Alley.' Then it backed off. - Grist - June 30th, 2023 [June 30th, 2023]
- What Bidenomics Means for Workers and Families - UpNorthNews - June 30th, 2023 [June 30th, 2023]
- The vital link between a healthy press and our republic - The Fulcrum - June 30th, 2023 [June 30th, 2023]
- Death, Drag, and Decadence shows off the queer joy of DnD - Wargamer - June 30th, 2023 [June 30th, 2023]
- Israeli Expats in the U.S.: 'I Speak English, but I Don't Speak American' - Tablet Magazine - June 30th, 2023 [June 30th, 2023]
- NTSB hearings end with talks on tanker conditions, fire's aftermath - Marietta Times - June 30th, 2023 [June 30th, 2023]
- Can 'Friendship Clubs' Cure the Loneliness Created by Remote Work? - The San Francisco Standard - June 4th, 2023 [June 4th, 2023]
- 'Men in Blazers' Podcast Comes to Higher Ground to Talk Vermont ... - Seven Days - June 4th, 2023 [June 4th, 2023]
- Mindfulness, breathwork expert preaches value of slow living to Black and brown communities - Yahoo News - June 4th, 2023 [June 4th, 2023]
- Idaho's physician shortage is here. Here's what we can do about it. - Idaho Capital Sun - June 4th, 2023 [June 4th, 2023]
- Awards Ceremony Shines Spotlight on Caltech's Trailblazers in ... - Caltech - June 4th, 2023 [June 4th, 2023]
- The African American Museum of Iowa Announces Juneteenth ... - River Cities Reader - June 4th, 2023 [June 4th, 2023]
- US Supreme Court Rules Against Striking Drivers Who Abandoned ... - Engineering News-Record - June 4th, 2023 [June 4th, 2023]
- The Future of the Thomaston Green is Green (or should be) - PenBayPilot.com - June 4th, 2023 [June 4th, 2023]
- The Elephant in the Ethernet Port - City Journal - June 4th, 2023 [June 4th, 2023]