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Health in All Education: A Transdisciplinary Learning Outcomes Framework

Published:January 11, 2023DOI:https://doi.org/10.1016/j.amepre.2022.12.001
      Historical and recent population health issues necessitate the goal of educating and preparing a transdisciplinary workforce with population health knowledge and competence to be able to develop, implement, and evaluate innovative and feasible solutions that not only address multifaceted community health problems downstream but also to be able to predict and prevent those factors that contribute to an inequitable health burden upstream. To identify where population health education is already shared among multiple disciplines, the Centers for Disease Control and Prevention's Academic Partnerships to Improve Health program conceptualized the Health In All Education initiative that was implemented in partnership with the Association for Prevention Teaching and Research. The purpose of the initiative was to (1) show the importance of integrating population health principles into higher-education transdisciplinary practices; (2) discuss examples of Centers for Disease Control and Prevention collaboration with disciplines related to public health (i.e., economics, environmental engineering, health informatics, health law and policy, social work, liberal education in general education); and (3) explore opportunities to promote transdisciplinary learning to prepare for collaborative, interprofessional practice in population health. This article introduces the Health in All Education Learning Outcomes Framework, a set of shared population health concepts identified on the basis of discipline-representative consensus. The following domains were identified as having transdisciplinary applicability on the basis of established public health curricula, competency, and learning outcome models: determinants of health, evidence-based approaches, population health focus, interprofessional practice, community collaboration, environmental health, occupational health, global health, diversity/cultural competence, health systems, finance and budgeting, and health law and policy.
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      REFERENCES

      1. Institute of Medicine (U.S.) Committee for the Study of the Future of Public Health. Chapter 2: A Vision of Public Health in America: An Attainable Ideal. In: The Future of Public Health. Washington, DC: The National Academies Press (U.S.);1988:35–55. https://www.ncbi.nlm.nih.gov/books/NBK218220/.

      2. 10 Essential public health services. Centers for Disease Control and Prevention (CDC). https://www.cdc.gov/publichealthgateway/publichealthservices/essentialhealthservices.html. Updated September 2020. Accessed June 20, 2022.

        • Stoto MA.
        Population health in the Affordable Care Act era. Academy health.
        AcademyHealth, Washington, DC2022 (Published February 21, 2013. Accessed November 15, 2022.)
        • Magnan S.
        Social Determinants of Health 101 for Health Care: Five Plus Five.
        The National Academy of Medicine, Washington, DC2017https://doi.org/10.31478/201710c
        • Evans R
        • Barer M
        • Marmor T.
        Why Are Some People Healthy and Others Not? The Determinants of Health of Populations.
        Aldine de Gruyter, New York, NY1994https://doi.org/10.1515/9783112421628
        • Evans RG
        • Stoddart GL.
        Producing health, consuming health care.
        Soc Sci Med. 1990; 31: 1347-1363https://doi.org/10.1016/0277-9536(90)90074-3
        • Kindig D
        • Stoddart G.
        What is population health?.
        Am J Public Health. 2003; 93: 380-383https://doi.org/10.2105/ajph.93.3.380
        • Roux AV.
        On the distinction–or lack of distinction–between population health and public health.
        Am J Public Health. 2016; 106: 619-620https://doi.org/10.2105/AJPH.2016.303097
      3. American Academy of Family Physicians. Integration of primary care and public health (position paper). Leawood, KS: American Academy of Family Physicians. https://www.aafp.org/about/policies/all/integration-primary-care.html. Published December 2020. Accessed November 29, 2022.

      4. Stasha S. The state of homelessness in the U.S. –2022. PolicyAdvice. September 29, 2022. https://policyadvice.net/insurance/insights/homelessness-statistics/. Accessed October 1, 2022.

        • Nicholas WC
        • Henwood BF.
        Applying a prevention framework to address homelessness as a population health issue.
        J Public Health Policy. 2018; 39: 283-293https://doi.org/10.1057/s41271-018-0137-9
        • Krieger N.
        Discrimination of health inequities.
        Int J Health Serv. 2014; 44: 643-710https://doi.org/10.2190/HS.44.4.b
      5. American Public Health Association. Structural racism is a public health crisis: impact on the Black community. Leawood, KS: American Academy of Family Physicians.https://www.apha.org/policies-and-advocacy/public-health-policy-statements/policy-database/2021/01/13/structural-racism-is-a-public-health-crisis. Published October 24, 2020. Accessed June 20, 2022.

      6. WHO. Interim guidance: preparedness, prevention and control of coronavirus disease (COVID-19) for refugees and migrants in non-camp settings. Geneva, Switzerland: WHO.https://www.who.int/publications/i/item/preparedness-prevention-and-control-of-coronavirus-disease-(covid-19)-for-refugees-and-migrants-in-non-camp-settings. Published April 17, 2020. Accessed June 20, 2022.

        • Caron RM
        Adegboye ARA. COVID-19: a syndemic requiring an integrated approach for marginalized populations.
        Front Public Health. 2021; 9675280https://doi.org/10.3389/fpubh.2021.675280
        • Brown TM
        • Fee E
        Stepanova V. Halfdan Mahler: Architect and Defender of the World Health Organization “Health for All by 2000” Declaration of 1978.
        Am J Public Health. 2016; 106: 36-38https://doi.org/10.2105/AJPH.2015.302935
      7. Centers for Disease Control and Prevention. Health in all policies. https://www.cdc.gov/policy/hiap/index.html. Updated June 9, 2016. Accessed July 19, 2022.

        • Vogel AL
        • Stipelman BA
        • Hall KL
        • Nebeling L
        • Stokols D
        • Spruijt-Metz D.
        Pioneering the transdisciplinary team science approach: lessons learned from National Cancer Institute Grantees.
        J Transl Med Epidemiol. 2014; 2 (PMID: 25554748; PMCID: PMC4280018. Accessed July 19, 2022): 1027
        • Kosty MP
        • Hanley A
        • Chollette V
        • Bruinooge SS
        • Taplin SH.
        National Cancer Institute - American Society of Clinical Oncology teams in cancer care project.
        J Oncol Pract. 2016; 12: 955-958https://doi.org/10.1200/JOP.2016.018127
      8. Riegelman RK, Albertine S, Persily NA. The educated citizen and public health: a consensus report on public health and undergraduate education. Williamsburg, VA: Council of Colleges of Arts & Sciences. https://www.ccas.net/files/public/Publications/Public_Health_and_Undergraduate_Education.pdf. Published October 2007. Accessed November 15, 2022.

        • Petersen DJ
        • Albertine S
        • Plepys CM
        • Calhoun JG
        Developing an educated citizenry: the undergraduate public health learning outcomes project.
        Public Health Rep. 2013; 128: 425-430https://doi.org/10.1177/003335491312800517
      9. Gebbie K, Rosenstock L and Hernandez LM, Who Will Keep the Public Healthy? Educating Public Health Professionals for the 21st Century, 2003, The National Academy Press; Washington, DC. https://www.ncbi.nlm.nih.gov/books/NBK221695/. Accessed July 19, 2022

      10. Association of American Colleges and Universities (AAC&U). College learning for the new global century: a report from the National Leadership Council for Liberal Education and America's Promise (LEAP). Washington, DC: Association of American Colleges and Universities (AAC&U).https://nsee.memberclicks.net/assets/docs/KnowledgeCenter/IntegratingExpEduc/BooksReports/82.2.%20college%20learning%20for%20the%20new%20global%20century.pdf. Published 2009. Accessed July 19, 2022.

      11. Riegelman RK, Albertine S. Recommendations for undergraduate public health education. Washington, DC: Association of American Colleges and Universities (AAC&U). https://files.eric.ed.gov/fulltext/ED504790.pdf. Published October 2008. Accessed November 16, 2022.

        • Caron RM.
        The educated citizen and global public-health issues: one model for integration into the undergraduate curriculum.
        Front Public Health. 2016; 4https://doi.org/10.3389/fpubh.2016.00035
      12. Health in All Education project. Association for Prevention Teaching and Research. https://www.aptrweb.org/page/HIAE. Accessed June 20, 2022.

        • Allan J
        • Barwick TA
        • Cashman S
        • et al.
        Clinical prevention and population health: curriculum framework for health professions.
        Am J Prev Med. 2004; 27: 471-476https://doi.org/10.1016/j.amepre.2004.08.010
      13. Council on Education for Public Health. Accreditation criteria: Schools of Public Health and Public Health Programs. Silver Spring, MD: Council on Education for Public Health. https://media.ceph.org/wp_assets/2016.Criteria.pdf. Published October 2016. Accessed June 9, 2022.

      14. Undergraduate public health. Association for Prevention Teaching and Research (APTR). https://www.aptrweb.org/page/undergraduate_ph. Accessed July 19, 2022.

      15. Interprofessional Education Collaborative. (IPEC). Core competencies for interprofessional collaborative practice: 2016 update. Washington, DC: Interprofessional Education Collaborative. https://ipec.memberclicks.net/assets/2016-Update.pdf. Published 2016. Accessed June 16, 2022.

        • Hohl SD
        • Neuhouser ML
        • Thompson B.
        Re-orienting transdisciplinary research and community-based participatory research for health equity.
        J Clin Transl Sci. 2022; 6: e22https://doi.org/10.1017/cts.2022.15
        • Choi BCK
        • Pak AW.
        Multidisciplinarity, interdisciplinarity and transdisciplinarity in health research, services, education and policy: 1. Definitions, objectives, and evidence of effectiveness.
        Clin Invest Med. 2006; 29 (Accessed July 20, 2022.): 351-364
      16. Learn about convergence research. National Science Foundation (NSF). https://beta.nsf.gov/funding/learn/research-types/learn-about-convergence-research. Accessed June 20, 2022.

        • Oerther DB
        • Glasgow ME.
        The nurse+engineer as the prototype V-shaped professional.
        Nurs Outlook. 2022; 70: 280-291https://doi.org/10.1016/j.outlook.2021.10.007
      17. WHO. Framework and statement: consultation on the drafts of the “Health in All Policies Framework for Country Action” for the Conference Statement of 8th Global Conference on Health Promotion. Geneva, Switzerland: WHO. https://www.who.int/teams/health-promotion/enhanced-wellbeing/eighth-global-conference. Published 2003. Accessed June 20, 2022.