Sidney Kimmel Medical College, Thomas Jefferson University, Philadelphia, PA, USA.
Department of Emergency Medicine, Thomas Jefferson University, 1025 Walnut St., Suite 300, Philadelphia, PA, 19147, USA.
Curr Hypertens Rep. 2019 Jun 12;21(8):58. doi: 10.1007/s11906-019-0962-7.
The goals of this paper were to examine recent literature on the social determinants of health as they relate to hypertension and cardiovascular disease, and discuss relevance to the practice of emergency medicine.
Social determinants of health, defined by the World Health Organization as "the conditions in which people are born, grow, live, work, and age" ( https://www.who.int/social_determinants/thecommission/en/ ) play a complex role in the development of hypertension and cardiovascular disease and the persistence of racial disparities in related health outcomes. Deciphering the independent association between minority status and social determinants in the United States is challenging. As a result, much of the recent interventional work has targeted populations by race or ethnicity in order to address these disparities. There is opportunity to expand the work on social determinants of health and hypertension. This includes exploring innovative approaches to identifying at-need individuals and breaking down traditional siloes to develop multidimensional interventions. New funding and payment mechanisms will allow for providers and health systems to identify and target modifiable social determinants of health at the level of the individual patient to improve outcomes.
本文旨在研究与高血压和心血管疾病相关的健康社会决定因素的最新文献，并讨论其与急诊医学实践的相关性。
健康社会决定因素由世界卫生组织定义为“人们出生、成长、生活、工作和衰老的条件”（https://www.who.int/social_determinants/thecommission/en/），在高血压和心血管疾病的发展以及相关健康结果的种族差异持续存在中发挥着复杂的作用。在美国，解析少数族裔地位与社会决定因素之间的独立关联具有挑战性。因此，最近的大部分干预工作都是针对特定种族或族裔的人群，以解决这些差异。有机会扩展健康社会决定因素与高血压的相关工作。这包括探索识别有需要人群的创新方法，并打破传统的隔阂，制定多维干预措施。新的资金和支付机制将使提供者和卫生系统能够在个体患者层面上识别和针对可改变的健康社会决定因素，以改善结果。
