abstract: 'For generations, Americans'' health has been unequally influenced by

  income, education, ethnicity, and geography. Health care systems have

  operated largely apart from each other and from community life. The

  definition of health has been the ``absence of illness,{''''} rather than

  the recognition that all aspects of our lives should support health.

  Today, a growing number of communities, regions, and states are working

  to redefine what it means to get and stay healthy by addressing the

  multiple determinants of health. The requirements of federal health care

  reform are changing who has access to care, how care is paid for and

  delivered, and how patients and providers interact. Coordinated efforts

  to promote wellness and prevent diseases are proliferating among a

  diverse set of stakeholders. These developments in health and in society

  present a window of opportunity for real societal transformation-a

  chance to catalyze a national movement that demands and supports a

  widely shared, multifaceted vision for a Culture of Health.

  To address this challenge, the Robert Wood Johnson Foundation has

  embarked on a strategic direction to use the tools of a large national

  philanthropy to catalyze a social movement which we are calling Building

  a Culture of Health. This article presents the Foundation''s new model

  for a Culture of Health, the trans-disciplinary research that developed

  a set of metrics that tie to the model, and the community engagement

  activities undertaken in the development of both the model and metrics.

  The model and associated metrics and extensive communication, in

  addition to partnership, and grant funding strategies, represent a

  culture change strategy being implemented over 20 years. Addressing

  underlying inequities in health affirming life conditions and improving

  social cohesion across diverse groups to take action to improve theses

  condition lay at the heart of this strategy. (C) 2016 Elsevier Ltd. All

  rights reserved.'
affiliation: 'Trujillo, MD (Corresponding Author), Robert Wood Johnson Fdn, Route
  1 \& Coll Rd East,POB 2316, Princeton, NJ 08543 USA.

  Trujillo, Matthew D.; Plough, Alonzo, Robert Wood Johnson Fdn, Route 1 \& Coll Rd
  East,POB 2316, Princeton, NJ 08543 USA.'
author: Trujillo, Matthew D. and Plough, Alonzo
author-email: mtrujillo@rwjf.org
author_list:
- family: Trujillo
  given: Matthew D.
- family: Plough
  given: Alonzo
da: '2023-09-28'
doi: 10.1016/j.socscimed.2016.06.043
files: []
issn: 0277-9536
journal: SOCIAL SCIENCE \& MEDICINE
keywords: 'Health; Values; Social cohesion; Social capital; Civic engagement;

  Community'
keywords-plus: 'PHYSICAL-ACTIVITY; UNITED-STATES; MENTAL-HEALTH; COMMUNITY; SENSE;

  INEQUALITY; PARTICIPATION; ENVIRONMENT; DEATH; RISK'
language: English
month: SEP
number-of-cited-references: '52'
pages: 206-213
papis_id: f02b0e4ac0962f613de9992066d69c68
ref: Trujillo2016buildingculture
times-cited: '32'
title: 'Building a culture of health: A new framework and measures for health and
  health care in America'
type: article
unique-id: WOS:000383296400024
usage-count-last-180-days: '1'
usage-count-since-2013: '30'
volume: '165'
web-of-science-categories: 'Public, Environmental \& Occupational Health; Social Sciences,

  Biomedical'
year: '2016'