Department of Medicine, Division of Gastroenterology and Transplant Medicine, University of Calgary, Calgary, Alberta, Canada.
Department of Medicine, Division of Gastroenterology, VA Pittsburgh Healthcare System, Pittsburgh, Pennsylvania, USA.
Hepatol Commun. 2024 May 2;8(5). doi: 10.1097/HC9.0000000000000413. eCollection 2024 May 1.
Racial, ethnic, and socioeconomic disparities exist in the prevalence and natural history of chronic liver disease, access to care, and clinical outcomes. Solutions to improve health equity range widely, from digital health tools to policy changes. The current review outlines the disparities along the chronic liver disease health care continuum from screening and diagnosis to the management of cirrhosis and considerations of pre-liver and post-liver transplantation. Using a health equity research and implementation science framework, we offer pragmatic strategies to address barriers to implementing high-quality equitable care for patients with chronic liver disease.
在慢性肝病的流行程度、自然病史、获得医疗服务的机会和临床结局方面,存在着种族、民族和社会经济方面的差异。改善公平性的解决方案范围广泛,从数字健康工具到政策变革。本综述概述了从筛查和诊断到肝硬化管理以及肝前和肝后移植考虑沿慢性肝病医疗保健连续体存在的差异。我们使用公平性研究和实施科学框架,提供切实可行的策略来解决为慢性肝病患者提供高质量公平护理的障碍。