Longitudinal Policy and Systems Change as a Component of Community Power.
Publication Title
Family & community health
Document Type
Article
Publication Date
10-1-2023
Keywords
Humans; Policy; Health Status; oregon; core; diversity
Abstract
Community power represents the ability of communities to develop, sustain, and grow the capacity to participate in and advance systems change that addresses health inequities but is difficult to assess because of its multifaceted, longitudinal nature. Using California's school-based Local Control Funding Formula (LCFF) as an example, this article examines the interconnectedness of longitudinal policy and systems changes as one approach to understanding and visualizing evolving community power. Data on policy and systems changes were collected during the 10-year, place-based Building Healthy Communities initiative and coded using thematic analysis. Related changes within sites and between community and state levels were linked to show how changes built and overlapped over time. Around 45% of changes were interconnected and cascaded to build momentum within sites; in addition, a substantial proportion of statewide changes (68%) overlapped with community ones. The state-level LCFF policy led to multiple community-based changes over time, involving ongoing engagement from various community groups across communities. Local implementation of the LCFF policy change was used to illustrate the usefulness of connecting community-driven policy and systems changes over time to explore the dynamics of community power and address some of the limitations of that approach.
Specialty/Research Institute
Health Care Administration
Specialty/Research Institute
Population Health
Specialty/Research Institute
Center for Outcomes Research and Education (CORE)
DOI
10.1097/FCH.0000000000000371
