Addressing Precarious Work Through Policy and Systems Change: A Case of a Local Health Department, University, and Worker Center Collaboration in Suburban Cook County, IL.

Context: Precarious employment is a social determinant of health, impacting an increasing number of workers. Cross-sectoral, multilevel initiatives (eg organizational, community, and systems) that address upstream policy, systems, and environmental changes have demonstrated impact for improving work...

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Publicado en:Journal of Public Health Management & Practice Vol. 32; no. 3; pp. 376 - 386
Autores principales: Jarpe-Ratner, Elizabeth, Fisher, Liz, Bonney, Tessa, Pinsker, Eve, Kader, Adam, Bell, Tim, Rodriguez, Cinthya, Barnett, Gina Massuda, Rubin, Rachel, Welter, Christina
Formato: research tables/charts Journal Article
Publicado: Lippincott Williams & Wilkins May/Jun2026
Acceso en línea:Ver este registro en EBSCOhost
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      dt: May/Jun2026
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        atl: Addressing Precarious Work Through Policy and Systems Change: A Case of a Local Health Department, University, and Worker Center Collaboration in Suburban Cook County, IL.
      aug:
        au:
          Jarpe-Ratner, Elizabeth
          Fisher, Liz
          Bonney, Tessa
          Pinsker, Eve
          Kader, Adam
          Bell, Tim
          Rodriguez, Cinthya
          Barnett, Gina Massuda
          Rubin, Rachel
          Welter, Christina
        affil: Author Affiliations: University of Illinois Chicago School of Public Health, Chicago, IL (Drs. Jarpe-Ratner, Bonney, Pinsker, Welter, and Ms. Fisher)
      sug:
        subj:
          Occupational Health
          Interinstitutional Relations
          Collaboration
          Suburban Areas Illinois
          Health Policy Evaluation
          Organizational Change Evaluation
          Employment Psychosocial Factors
          Social Determinants of Health Evaluation
          Public Health
          Human
          Retrospective Design
          Record Review
          Illinois
          Salaries and Fringe Benefits
          Sick Leave
          Professional Regulation
          Professional Compliance
          Occupational Safety
          Personal Protective Equipment Utilization
          Occupational Health Legislation and Jurisprudence
          Qualitative Studies
          Focus Groups
          Thematic Analysis
          Strategic Planning
          Systems Analysis
          Implementation Science
          Sustainable Growth
          Trust
          Creativeness
          Funding Source
          Financing, Government
          Descriptive Statistics
      ab: Context: Precarious employment is a social determinant of health, impacting an increasing number of workers. Cross-sectoral, multilevel initiatives (eg organizational, community, and systems) that address upstream policy, systems, and environmental changes have demonstrated impact for improving worker health and wellness through addressing social determinants of health-like precarious employment. The Cook County Department of Public Health (CCDPH), such as other health departments, had not historically focused on prioritizing healthy work despite acknowledging it as an important social determinant of health. Program: Through the Healthy Work Collaborative (HWC), a capacity building initiative launched by the University of Illinois Chicago (UIC) Center for Healthy Work in 2017, CCDPH partnered with Centro de Trabajadores Unidos (CTU) and Arise Chicago, and later with Chicago Workers Collaborative (CWC). These are worker centers who organize and advocate for policy changes to increase standards for all workers. The purpose of this evaluation is to describe the lessons learned about facilitating successful collaboration for policy, systems, and environmental change. Implementation: These organizations worked together from the time of the HWC's first phase of in-person planning and training sessions through later phases of HWC funding and beyond. Evaluation: Interview and focus group data were examined to identify lessons learned for the partnership, yielding the following: (1) Commitments to equity and justice provided the foundation for a common agenda and complementary roles; (2) Creativity and openness facilitated novel ways to engage and expand areas of work; (3) Strong relationships, supported by humility, provided a foundation for collaboration; (4) Having clearly defined goals, objectives, and a work plan facilitated focused progress and flexibility; and (5) Systems thinking and strategic planning supported implementation and sustainability. Discussion: The CCDPH-CTU-Arise-CWC-UIC partnership can serve as a powerful illustration of how public health, together with partners, can position itself to address precarious employment through policy, systems, and environmental change.
      pubtype: Academic Journal
      doctype:
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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