Douglass Paul L, Itchhaporia Dipti, Bozkurt Biykem, Roswell Robert O, Khandelwal Akshay, Capers Quinn, Berlacher Kathryn, Ogunniyi Modele O, Bailey Alison L, Levy Phillip D, Grant Aubrey J, Tocco Jack, Natcheva Angela, Asare Akua G, Bhatt Ami B, Mieres Jennifer H, Disch Maghee F, Echols Melvin R
Chair, ACC BOT Health Equity Taskforce, Wellstar Health System, Morehouse School of Medicine, Atlanta, Georgia, USA.
Chair of Cardiovascular Health, Hoag Memorial Hospital Presbyterian, Newport Beach, California, USA.
JACC Adv. 2024 Jul 31;3(7):101050. doi: 10.1016/j.jacadv.2024.101050. eCollection 2024 Jul.
Advancements in cardiovascular (CV) disease management are notable, yet health inequities prevail, associated with increased morbidity and mortality noted among non-Hispanic African Americans in the United States. The 2002 Institute of Medicine Report revealed ongoing racial and ethnic health care disparities, spearheading a deeper understanding of the social determinants of health and systemic racism to develop strategies for CV health equity (HE). This article outlines the strategic HE approach of the American College of Cardiology, comprising 6 strategic equity domains: workforce pathway inclusivity, health care, data, science, and tools; education and training; membership, partnership, and collaboration; advocacy and policy; and clinical trial diversity. The American College of Cardiology's Health Equity Task Force champions the improvement of patients' lived experiences, population health, and clinician well-being while reducing health care costs-the Quadruple Aim of Health Equity. Thus, we examine multifaceted HE interventions and provide evidence for scalable real-world interventions to promote equitable CV care.
心血管疾病管理取得了显著进展，但健康不平等现象依然存在，在美国非西班牙裔非裔美国人中，发病率和死亡率有所上升。2002年医学研究所的报告揭示了持续存在的种族和族裔医疗保健差异，促使人们更深入地了解健康的社会决定因素和系统性种族主义，以制定心血管健康公平（HE）战略。本文概述了美国心脏病学会的战略性HE方法，包括6个战略公平领域：劳动力途径包容性、医疗保健、数据、科学和工具；教育与培训；会员资格、伙伴关系与合作；宣传与政策；以及临床试验多样性。美国心脏病学会健康公平特别工作组倡导改善患者的生活体验、人群健康和临床医生的福祉，同时降低医疗成本——这是健康公平的四重目标。因此，我们研究了多方面的HE干预措施，并为可扩展的现实世界干预措施提供证据，以促进公平的心血管护理。
