Deloitte Consulting, LLC, Atlanta, Georgia.
Cherokee Nation Operational Solutions, LLC, 4770 Buford Hwy, Atlanta, GA 30341 (
Prev Chronic Dis. 2024 Oct 10;21:E78. doi: 10.5888/pcd21.240077.
Cardiovascular disease (CVD) is the leading cause of illness and death in the US and is substantially affected by social determinants of health, such as social, economic, and environmental factors. CVD disproportionately affects groups that have been economically and socially marginalized, yet health care and public health professionals often lack tools for collecting and using data to understand and address CVD inequities among their populations of focus. The Health Equity Indicators for Cardiovascular Disease Toolkit (HEI for CVD Toolkit) seeks to address this gap by providing metrics, measurement guidance, and resources to support users collecting, measuring, and analyzing data relevant to their CVD work. The toolkit includes a conceptual framework (a visual model for understanding health inequities in CVD); a comprehensive list of health equity indicators (metrics of inequities that influence CVD prevention, care, and management); guidance in definitions, measures, and data sources; lessons learned and examples of HEI implementation; and other resources to support health equity measurement. To develop this toolkit, we performed literature scans to identify primary topics and themes relevant to addressing inequities in CVD, engaged with subject matter experts in health equity and CVD, and conducted pilot studies to understand the feasibility of gathering and analyzing data on the social determinants of health in various settings. This comprehensive development process resulted in a toolkit that can help users understand the drivers of inequities in their communities or patient populations, assess progress, evaluate intervention outcomes, and guide actions to address CVD disparities.
心血管疾病（CVD）是美国发病率和死亡率的首要原因，它受到社会决定因素的极大影响，如社会、经济和环境因素。CVD 不成比例地影响那些在经济和社会上处于边缘地位的群体，但医疗保健和公共卫生专业人员往往缺乏收集和使用数据的工具，以了解和解决其关注人群中的 CVD 不平等问题。心血管疾病健康公平指标工具包（HEI for CVD Toolkit）旨在通过提供指标、测量指南和资源来解决这一差距，以支持用户收集、测量和分析与其 CVD 工作相关的数据。该工具包包括一个概念框架（用于理解 CVD 中健康公平性的可视化模型）；一整套健康公平指标（影响 CVD 预防、护理和管理的不公平度量指标）；定义、措施和数据源方面的指导；HEI 实施的经验教训和实例；以及其他支持健康公平测量的资源。为了开发这个工具包，我们进行了文献扫描，以确定与解决 CVD 中的不平等问题相关的主要主题和主题，与健康公平和 CVD 方面的专家进行了接触，并进行了试点研究，以了解在各种环境中收集和分析健康社会决定因素数据的可行性。这个全面的开发过程产生了一个工具包，可以帮助用户了解其社区或患者群体中不平等现象的驱动因素，评估进展情况，评估干预措施的结果，并指导解决 CVD 差异的行动。
