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Community-based public health: partnering with public hospitals and health systems.

Many of the major gains in health that Americans have enjoyed over the past century, such as reduced infant, child and maternal mortality and increased life span, were driven by public health interventions. Clean drinking water, food safety, pest control and other sanitation measures are just a few of the important practices adopted as a result of public health advocacy and education. Faced with the persistent, complex issues that plague our communities, such as violence, substance abuse and the many negative health effects of poverty, no one entity can fix it alone. Improving community health requires involving the entire community: residents, community-based organizations (CBOs), public health and related agencies, and health care providers. Public hospitals and health systems play a special role in this ensemble. This Policy & Practice Brief details the roles and responsibilities of public hospitals and health systems and describes some of the effective collaborations in place in communities throughout California. It addresses both their challenges and successes, and offers advice on fostering successful partnerships. The open door to health care for many