まとめ
実施科学は,疎外された集団における健康の社会的決定因子に対処することによって,心血管疾患の格差を減らすことができます. この声明は,心血管健康の公平性を促進するために,実施科学を適用するためのロードマップを提供します.
科学分野:
- 公衆衛生
- 心血管医学
- 実施科学
背景:
- 心血管疾患 (CVD) の格差は,特に疎外された集団では残っています.
- 健康の社会的決定因子 (SDOH) に取り組むことは,CVDの公平性にとって極めて重要です.
- 実施科学は,CVDの公平性に関する研究と実践のギャップを埋めるための枠組みを提供します.
研究 の 目的:
- 心血管保健の公平性というレンズを通して 実施科学を定義する
- CVDの不平等を対象とした既存の実施研究を評価する.
- CVDの健康の公平性を促進するために,実施科学を活用するためのガイドラインを提供すること.
主な方法:
- 4段階のロードマップとチェックリストを開発しました.
- 組織的,コミュニティ的,政策的,そして複数設定の介入を検討した.
- CVDの格差を減らすための実施戦略の見直し
主要な成果:
- CVDの公平性に関する実施科学の研究のギャップを特定し,利害関係者の関与と公平性に基づく枠組みを含む.
- SDOHの概念化と統合の必要性を強調した.
- 適応性のあるハイブリッド効果デザインと多層介入の有用性を強調した.
結論:
- 実施科学は 心血管保健の公平性を 促進するために不可欠です
- 介入の選択と実施には,構造化され,公平性に焦点を当てたアプローチが必要です.
- CVDの格差を減らすために,多層の介入とSDOHに関するさらなる研究が必要です.
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