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Table 2 Aspects of the PPM Facilitating HE/SDOH Action

From: Influence of revised public health standards on health equity action: a qualitative study in Ontario, Canada

 

Aspects of the PPM Facilitating HE/SDOH Action

OPHS Policy Attributes

The introduction of new language (i.e. term 'priority populations') opened up discussion

The term ‘priority populations’ was seen as proactive

The term ‘priority populations’ was perceived as value-neutral language

Flexibility emphasized PHU role and autonomy in interpreting the PPM to fit their needs

EIDM promoted objective conclusions due to business case of health equity / social justice

PPM was perceived as organizing practice and directing resources through EIDM in an environment where justification for action on SDOH was challenging

Health Sector Context into which the PPM was introduced

PPM tried to overlay high-level population health thinking onto program delivery

PPM tried to maintain balance between different schools of thought or ideological differences

PPM promoted collaboration with different sectors

Implementation by Public Health Units (PHUs)

PPM was a catalyst that pushed PHUs to consider creative solutions and increased dialogue at local level

PPM helped to counter negative perceptions that the health equity/ social justice approach had from a conservative viewpoint

PPM made a connection between SDOH and health equity

PPM assisted PHUs with making decisions in a tight funding environment

PPM focused the work being done by PHUs, and spurred on and encouraged new work

PPM drew attention of those PHUs who hadn’t been as engaged due to capacity issues, and increased mobilization

PPM raised awareness of the need for HE capacity building within PHUs

PPM identified opportunities for PHU partnerships; health equity work may be enhanced by sharing resources between PHUs

PPM helped PHUs “do what they need to” and facilitated existing action