New book reveals systems that create health gaps

Antonia M. Villarruel, Ph.D., RN, FAAN, the Margaret Bond Simon Dean of Penn Nursing, has co-authored a new book, "Systems That Impact Population Health: Past and Present," developed through the National Academy of Medicine's (NAM) Culture of Health Program. The publication serves as a critical examination of how foundational US systems, including law, education, housing, and health care, have historically shaped, and continue to dictate health outcomes across diverse communities.

The book moves beyond focusing on individual behavior, arguing embedded institutional barriers is key to ensuring health for all. It is organized around seven distinct population groups, drawing on rigorous research and lived experience to reveal how these systems often influence opportunity, leading to persistent health disparities.

By connecting the nation's individual and collective history to its present-day health landscape, the book provides a unifying framework and policy recommendations to ensure good health for all.

"To achieve health for everyone everywhere, we must look upstream to the conditions in which people live, learn, work, and age," said Villarruel. "This book is a roadmap that outlines the changes and policies necessary to allow every person the opportunity to live a healthy life."

The publication directly aligns with Villarruel's commitment to addressing social determinants of health in her influential national roles. She served as the Chair of the National Academy of Medicine (NAM) Culture of Health Program Advisory Committee, a multiyear collaborative effort to identify strategies for creating and sustaining conditions that support equitable good health for all Americans.

More information:
Systems That Impact Population Health: Past and Present (2025)

Provided by University of Pennsylvania School of Nursing