Call to Action: Rural Health: A Presidential Advisory From the American Heart Association and American Stroke Association

Call to Action: Rural Health: A Presidential Advisory From the American Heart Association and American Stroke Association
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DOI:
10.1161/cir.0000000000000753
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发表时间:
2020-03-10
期刊:
影响因子:
37.8
通讯作者:
Maddox, Karen E. Joynt
Maddox, Karen E. Joynt
中科院分区:
医学1区
文献类型:
--
作者:
Harrington, Robert A.;Califf, Robert M.;Maddox, Karen E. Joynt

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了解和解决居住在美国农村地区的人们的独特健康需求对于美国心脏协会追求一个更长寿,更健康的世界至关重要。改善农村人口的健康符合美国心脏协会对健康公平的承诺,也符合其对健康的社会决定因素的关注,以减少并理想地消除健康差距。这一总统建议呼吁美国心脏协会和其他利益相关者采取行动,使农村人口成为规划,研究和政策的优先事项。该咨询报告首先总结了农村人口、社区和健康结果的现有数据;探讨了造成城乡健康结果差异的三大因素,包括个人因素、健康的社会决定因素和卫生服务系统因素;然后提出了一套涵盖卫生系统创新、政策和研究的解决方案,旨在改善农村健康。
Understanding and addressing the unique health needs of people residing in rural America is critical to the American Heart Association's pursuit of a world with longer, healthier lives. Improving the health of rural populations is consistent with the American Heart Association's commitment to health equity and its focus on social determinants of health to reduce and ideally to eliminate health disparities. This presidential advisory serves as a call to action for the American Heart Association and other stakeholders to make rural populations a priority in programming, research, and policy. This advisory first summarizes existing data on rural populations, communities, and health outcomes; explores 3 major groups of factors underlying urban-rural disparities in health outcomes, including individual factors, social determinants of health, and health delivery system factors; and then proposes a set of solutions spanning health system innovation, policy, and research aimed at improving rural health.