The recent emergence of "translation science" acknowledges that much of the bench-side science we have amassed takes too long to get to patient bedsides, if it ever arrives. This effort to link health science more intentionally to practice, however, does not go far enough, often remaining focused on the clinic setting, guided by particular paradigms of what the "gold standard" of evidence constitutes, and aimed at finding the magic universal, curative bullet. Often unacknowledged is that much of our understanding of "health" is a social construction or that experiential knowledge is critical for resolving complex public health problems. Most of the attention is usually placed on the individual rather than corporations or policies that shape our environments and the supposed "choices" we have to prevent poor health. If we begin to think beyond the reactionary, curative medical model, how might we reshape our built environment, re-engage government, re-engineer health care delivery, or rethink our food systems to prevent obesity, undernutrition, and other chronic illnesses? This panel will examine the tensions and divergent public health design strategies emerging at the neighborhood, city government, health system, and national policy level in the U.S. and around the world.
Lesli Hoey, Moderator
- J. Ricardo Guzman, Community Health and Social Services Center, Detroit
- Rebecca A. Heidkamp, Johns Hopkins Bloomberg School of Public Health
- Cathy Nonas, New York City Health Department
- Jeremy Shiffman, American University