健康的社会决定因素
卫生公平
医学
医疗保健
背景(考古学)
公共关系
衡平法
经济增长
公共卫生
政治学
护理部
经济
古生物学
法学
生物
作者
Eric Brandt,Kardie Tobb,Julia C. Cambron,Keith C. Ferdinand,Paul Douglass,Patricia K. Nguyen,Krishnaswami Vijayaraghavan,Sabrina Islam,Ritu Thamman,Shahid Rahman,Akshay Pendyal,Nishtha Sareen,Celina M. Yong,Latha Palaniappan,Uzoma N. Ibebuogu,Andrew Tran,Adrian Matias Bacong,Gina Lundberg,Karol E. Watson
标识
DOI:10.1016/j.jacc.2023.01.042
摘要
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.
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