Michael Fisher
speaker
96 appearances
1 recordings
1 series
first heard Sep 2019
last heard Sep 2019
Michael Fisher’s voice in public audio — every appearance, attributed to the second.
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Appearances
We're better able to pinpoint where some proactive interventions may come in in terms of our care.
Yes.
And another area where through community health workers and almost block by block where we know which apartment buildings might have had a lead issue or other kinds of issues by literally targeting those neighborhoods, those streets, those buildings, and with trusted community health workers and other members of the support system.
We've been able to, in a couple of neighborhoods, dramatically reduce extreme prematurity.
And so part of it's knowing some of those social determinants.
Part of it is building the trust and relationship with those expected moms to make sure they're getting the appropriate prenatal care and early childhood support.
These kinds of changes don't happen instantly, but the opportunity and the payoff is immense.
I think the biggest challenges are ones we've touched on in different ways already.
I think one is continuing to strengthen that trust in urban settings like ours.
I also think the scale of the problem and the scale of the challenge is really large.
And I think it's going to take a sustained concerted effort to keep making progress on it.
What is our responsibility to help our fellow human beings and particularly the most vulnerable among us?
And are we doing all that we can?
And then I think there's the self-interested view.
Would we rather make smart, evidence-based investments and interventions earlier?
Not only do these children thrive better individually, but that we society benefit from healthier, more productive, better educated children as they become adults.
And how can we work better together?
How can we learn from things that are working?
You know, there's some interventions we've done in the safety arena with 130 children's hospitals that by sharing best practices together, by sharing common goals and data, we can make real progress on what seem to be intractable problems.
I would not underestimate the importance of the health system or health provider side, but this would be true for the business entities and social service entities and schools.
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