Assessing and Addressing Social Determinants of Cardiovascular Health: JACC State-of-the-Art Review.
Assessing and Addressing Social Determinants of Cardiovascular Health: JACC State-of-the-Art Review.
复制标题
评估和解决心血管健康的社会决定因素：JACC 最先进的评论。
DOI：
10.1016/j.jacc.2023.01.042
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发表时间：
2023
影响因子：
24
通讯作者：
Ibebuogu
中科院分区：
文献类型：
--
作者：
Brandt,EricJ;Tobb,Kardie;Cambron,JuliaC;Ferdinand,Keith;Douglass,Paul;Nguyen,PatriciaK;Vijayaraghavan,Krishnaswami;Islam,Sabrina;Thamman,Ritu;Rahman,Shahid;Pendyal,Akshay;Sareen,Nishtha;Yong,Celina;Palaniappan,Latha;Ibebuogu
健康的社会决定因素（SDOH）是人们出生、生活和工作的社会条件。SDOH提供了一个更具包容性的观点，即环境、地理位置、社区、获得医疗保健、营养、社会经济学等如何对心血管发病率和死亡率至关重要。SDOH将继续增加患者管理的相关性和整合性，因此，将本文中的信息应用于临床和卫生系统将变得越来越普遍。这项最先进的审查涵盖了SDOH的5个领域，包括经济稳定性，教育，医疗保健的获得和质量，社会和社区背景，以及邻里和建筑环境。认识和解决SDOH是实现心血管护理公平的重要一步。我们讨论了心血管疾病背景下的每个SDOH，临床医生和医疗保健系统如何评估它们，以及临床医生和医疗保健系统解决这些SDOH的关键策略。这些工具和关键战略的摘要已提供。
Social determinants of health (SDOH) are the social conditions in which people are born, live, and work. SDOH offers a more inclusive view of how environment, geographic location, neighborhoods, access to health care, nutrition, socioeconomics, and so on are critical in cardiovascular morbidity and mortality. SDOH will continue to increase in relevance and integration of patient management, thus, applying the information herein to clinical and health systems will become increasingly commonplace. This state-of-the-art review covers the 5 domains of SDOH, including economic stability, education, health care access and quality, social and community context, and neighborhood and built environment. Recognizing and addressing SDOH is an important step toward achieving equity in cardiovascular care. We discuss each SDOH within the context of cardiovascular disease, how they can be assessed by clinicians and within health care systems, and key strategies for clinicians and health care systems to address these SDOH. Summaries of these tools and key strategies are provided.