Department of Pediatric Gastroenterology, Hepatology, and Nutrition, McGovern Medical School, University of Texas Health Science Center and Children's Memorial Hermann Hospital, Houston, TX 70007, USA.
Department of Pediatrics, Hackensack Meridian School of Medicine, Nutley, NJ, USA; Department of Pediatrics, K. Hovnanian Children's Hospital at Jersey Shore University Medical Center, Neptune, NJ, USA.
Pediatr Clin North Am. 2021 Dec;68(6):1147-1155. doi: 10.1016/j.pcl.2021.07.004.
Social determinants of health (SDH) as outlined by Healthy People 2020 encompasses 5 key domains: economic, education, social and community context, health and health care, and neighborhood and built environment. This article emphasizes pediatric populations and some of the existing SDH and health care disparities seen in pediatric gastroenterology. We specifically review inflammatory bowel disease, endoscopy, bariatric surgery, and liver transplantation. We also examine the burgeoning role of telehealth that has become commonplace since the coronavirus disease 2019 era.
健康人 2020 年提出的健康的社会决定因素 (SDH) 涵盖 5 个关键领域：经济、教育、社会和社区环境、健康和医疗保健，以及邻里和建筑环境。本文强调儿科人群以及儿科胃肠病学中存在的一些现有 SDH 和医疗保健差距。我们专门回顾了炎症性肠病、内镜检查、减肥手术和肝移植。我们还研究了自 2019 冠状病毒病时代以来已经变得很普遍的远程医疗的新兴作用。
