Agarwala Anandita, Patel Jaideep, Stephens Janna, Roberson Shamarial, Scott Jewel, Beckie Theresa, Jackson Elizabeth A
Circulation. 2023 Oct 10;148(15):1183-1193. doi: 10.1161/CIR.0000000000001171. Epub 2023 Sep 12.
Prevention of cardiovascular and related diseases is foundational to attaining ideal cardiovascular health to improve the overall health and well-being of individuals and communities. Social determinants of health and health care inequities adversely affect ideal cardiovascular health and prevention of disease. Achieving optimal cardiovascular health in an effective and equitable manner requires a coordinated multidisciplinary and multilayered approach. In this scientific statement, we examine barriers to ideal cardiovascular health and its related conditions in the context of leveraging existing resources to reduce health care inequities and to optimize the delivery of preventive cardiovascular care. We systematically discuss (1) interventions across health care environments involving direct patient care, (2) leveraging health care technology, (3) optimizing multispecialty/multiprofession collaborations and interventions, (4) engaging local communities, and (5) improving the community environment through health-related government policies, all with a focus on making ideal cardiovascular health equitable for all individuals.
预防心血管疾病及相关疾病是实现理想心血管健康的基础，有助于改善个人和社区的整体健康状况与福祉。健康的社会决定因素以及医疗保健不公平现象会对理想的心血管健康和疾病预防产生不利影响。以有效且公平的方式实现最佳心血管健康需要采取协调一致的多学科、多层次方法。在本科学声明中，我们在利用现有资源减少医疗保健不公平现象并优化心血管疾病预防护理服务的背景下，审视了实现理想心血管健康及其相关状况的障碍。我们系统地讨论了：（1）涉及直接患者护理的各类医疗保健环境中的干预措施；（2）利用医疗保健技术；（3）优化多专科/多专业协作与干预措施；（4）让当地社区参与进来；（5）通过与健康相关的政府政策改善社区环境，所有这些都着眼于让所有人都能公平地享有理想的心血管健康。
