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Engaging Physicians in Community Coalitions for Health Advocacy

Learn how physicians can collaborate with community coalitions to influence policy on tobacco prevention. Explore different models of policy change and the benefits of forming coalitions. Discover the steps to ensure coalition success and why physicians are essential allies in community advocacy. Engage other physicians effectively by leveraging their skills and respecting their time constraints. Remember the importance of gratitude in fostering strong partnerships.

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Engaging Physicians in Community Coalitions for Health Advocacy

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  1. Working with Community Coalitions J. Gary Wheeler, MD, MPS Little Rock, Arkansas

  2. Goals and Objectives • Goal: • Appreciate the complex structure of community behavioral change and the role of community advocacy • Objective: • Describe how physicians can collaborate with community coalitions to influence tobacco prevention and control policy

  3. How things happen • By choice • By fiat/force • By incentives • Uncontrolled events

  4. Choice Washing clothes

  5. Fiat/force Speed Limits

  6. Incentives Tax Code

  7. Social Change: Ecologic Model MD RN

  8. Models of policy change • Outside initiative model • NGOs (policy entrepreneurs) • Bring pressure on policy makers • Mobilization model • Government leaders who define terms • Seek broad support • Inside Access Model • Those with easy access to policy makers • Slip in specific laws under the radar

  9. Advantages/Disadvantages • Inside Access Model • Efficient for technical issues; undemocratic, unsustainable • Outside Access Model • Populist; cost and effort are huge • Mobilization Model • Model of government; popularity/leadership of the governmental leader

  10. The overlooked factor: community So, polls really are important

  11. Benefits and Challenges of Coalitions • Benefits • Strength in numbers • … relationships • ….diversity • ….resources • Challenges • Autonomy • Different Goals • Efficiency

  12. Steps to Coalition Success • 1.Clarify/reaffirm vision & mission • 2.Create ownership of coalition • 3.Solidify coalition infrastructure & processes • 4.Recruit & retain active, diverse membership • 5.Develop transformational leaders • 6.Market your coalition • 7.Focus on action & advocacy • 8.Evaluate your coalition

  13. Why do coalitions need physicians? • Most people trust their health care professionals • Established, credible members of communities with significant influence • We represent strong political allies (AMA, AAP, etc) • We are the final word on the health science of a public debate • We have personal contact with patients and can tell their stories

  14. Why physicians? • We are often the only advocates for patients • We may have more freedom to speak compared to others

  15. Effective interactions • Attendance • Contribute (resources) • Help connect • Schmooze • Accept role as an equal partner • Eye on the prize

  16. Engage other physicians • Professionals • Create a “deeper story” by consolidating data from the clinical/patient perspective and community perspective • Have a defined role for their participation. Have a realistic “ask” of them that builds off of their skills and talents. • Be respectful of time constraints. Health care professionals are often juggling clinical care, academic work, after-hours call, administrative responsibilities, and family time.

  17. Most important lessons Remember to say thanks

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