Circulation. 2020 Mar 10;141(10):e615-e644. doi: 10.1161/CIR.0000000000000753. Epub 2020 Feb 10.
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.
了解和满足居住在美国农村地区的人们的独特健康需求，对美国心脏协会追求一个更长、更健康的生活的目标至关重要。改善农村人口的健康状况符合美国心脏协会致力于健康公平以及关注健康的社会决定因素，以减少并理想地消除健康差距的承诺。本总统咨询报告呼吁美国心脏协会和其他利益攸关方将农村人口作为规划、研究和政策的优先事项。本咨询报告首先总结了现有关于农村人口、社区和健康结果的数据；探讨了导致城乡健康结果差距的三大类因素，包括个人因素、健康的社会决定因素和卫生保健系统因素；然后提出了一系列解决方案，涵盖卫生系统创新、政策和研究，旨在改善农村健康。
