National Institute of Allergic and Infectious Diseases, National Institutes of Health, Bethesda, Md.
Section of Allergy and Immunology, Department of Pulmonary & Critical Care, Case Western Reserve University, University Hospitals Cleveland Medical Center, Cleveland, Ohio.
J Allergy Clin Immunol. 2023 Feb;151(2):314-323. doi: 10.1016/j.jaci.2022.11.004. Epub 2022 Dec 8.
The pandemic, political upheavals, and social justice efforts in our society have resulted in attention to persistent health disparities and the urgent need to address them. Using a scoping review, we describe published updates to address disparities and targets for interventions to improve gaps in care within allergy and immunology. These disparities-related studies provide a broad view of our current understanding of how social determinants of health threaten patient outcomes and our ability to advance health equity efforts in our field. We outline next steps to improve access to care and advance health equity for patients with allergic/immunologic diseases through actions taken at the individual, community, and policy levels, which could be applied outside of our field. Key among these are efforts to increase the diversity among our trainees, providers, and scientific teams and enhancing efforts to participate in advocacy work and public health interventions. Addressing health disparities requires advancing our understanding of the interplay between social and structural barriers to care and enacting the needed interventions in various key areas to effect change.
大流行、政治动荡以及我们社会中的社会正义努力引起了人们对持续存在的健康差距的关注,并迫切需要解决这些问题。我们使用范围综述描述了已发表的更新内容,以解决过敏和免疫学领域中改善护理差距的干预措施的差距和目标。这些与差异相关的研究提供了我们目前对健康决定因素如何威胁患者结局以及我们在该领域推进公平健康努力的能力的广泛了解。我们概述了通过在个人、社区和政策层面采取行动来改善患者获得护理和推进过敏/免疫疾病患者公平健康的下一步措施,这些措施可应用于我们领域之外。其中的关键是努力增加我们的受训人员、提供者和科学团队的多样性,并加强参与宣传工作和公共卫生干预的工作。解决健康差距需要提高我们对护理障碍的社会和结构性因素之间相互作用的理解,并在各个关键领域采取必要的干预措施来实现变革。