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Seeding Change within Medicine

New Faculty Advance Health Equity

Ever since John “Jack” Wennberg, MD, MPH, began asking tough questions about health care in the 1970s, Dartmouth and the institute he founded have led the nation in challenging the status quo in health care. Four new professors will now help The Dartmouth Institute for Health Policy and Clinical Practice evolve, bringing their fresh ideas and perspectives and leveraging the Institute’s unparalleled health care data sets and expertise in health services research.

Home Is Where the Health Is

One public housing complex might be well maintained, another allowed to deteriorate. Residents in one extended-stay motel might be able to walk easily to nearby shops, doctors’ offices, and green space. In another, residents might find themselves on an island, encircled by traffic-choked highways and without sidewalks or reliable bus service. These differences can have a dramatic impact on physical and psychological health, especially for low-income older people, explains Terri Lewinson, MSW, PhD. Previously at Georgia State University, Lewinson has found that factors less obvious than building design are crucial to quality of life, for better or worse. By conducting in-depth interviews with tenants, she documents how they view their lives and housing. Unlike quantitative work that captures trends and resource allocation, qualitative research uncovers people’s individuality, which can be just as important when designing healthy communities. “We all experience the world uniquely,” says Lewinson, whose approach is informed by her training. She earned her doctorate at the University of Georgia School of Social Work. “My experience of joy will look very different from someone else’s experience of joy.”

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