Social Determinants of Health in Imaging-based Cancer Screening: A Case-based Primer with Strategies for Care Improvement.

Autor:	Abraham P; From the Department of Radiology, University of California San Diego, 200 W Arbor Dr, San Diego, CA 92103 (P.A., A.H.); Vanderbilt University School of Medicine, Nashville, Tenn (A.E.B., S.B.); Department of Rehabilitation Medicine, Emory University School of Medicine, Atlanta, Ga (C.S.); Department of Radiology, Vanderbilt University Medical Center, Nashville, Tenn (A.J.C., L.B.S.); Advanced Diagnostic Imaging, Nashville, Tenn (M.S.); Department of Radiology, Albert Einstein College of Medicine, New York, NY (J.Y.); Department of Radiology, Massachusetts General Hospital, Boston, Mass (E.J.F.); Vanderbilt-Ingram Cancer Center, Nashville, Tenn (L.B.S.); and Veterans Health Administration-Tennessee Valley Health Care System Geriatric Research, Education and Clinical Center (GRECC), Nashville, Tenn (L.B.S.)., Haddad A; From the Department of Radiology, University of California San Diego, 200 W Arbor Dr, San Diego, CA 92103 (P.A., A.H.); Vanderbilt University School of Medicine, Nashville, Tenn (A.E.B., S.B.); Department of Rehabilitation Medicine, Emory University School of Medicine, Atlanta, Ga (C.S.); Department of Radiology, Vanderbilt University Medical Center, Nashville, Tenn (A.J.C., L.B.S.); Advanced Diagnostic Imaging, Nashville, Tenn (M.S.); Department of Radiology, Albert Einstein College of Medicine, New York, NY (J.Y.); Department of Radiology, Massachusetts General Hospital, Boston, Mass (E.J.F.); Vanderbilt-Ingram Cancer Center, Nashville, Tenn (L.B.S.); and Veterans Health Administration-Tennessee Valley Health Care System Geriatric Research, Education and Clinical Center (GRECC), Nashville, Tenn (L.B.S.)., Bishay AE; From the Department of Radiology, University of California San Diego, 200 W Arbor Dr, San Diego, CA 92103 (P.A., A.H.); Vanderbilt University School of Medicine, Nashville, Tenn (A.E.B., S.B.); Department of Rehabilitation Medicine, Emory University School of Medicine, Atlanta, Ga (C.S.); Department of Radiology, Vanderbilt University Medical Center, Nashville, Tenn (A.J.C., L.B.S.); Advanced Diagnostic Imaging, Nashville, Tenn (M.S.); Department of Radiology, Albert Einstein College of Medicine, New York, NY (J.Y.); Department of Radiology, Massachusetts General Hospital, Boston, Mass (E.J.F.); Vanderbilt-Ingram Cancer Center, Nashville, Tenn (L.B.S.); and Veterans Health Administration-Tennessee Valley Health Care System Geriatric Research, Education and Clinical Center (GRECC), Nashville, Tenn (L.B.S.)., Bishay S; From the Department of Radiology, University of California San Diego, 200 W Arbor Dr, San Diego, CA 92103 (P.A., A.H.); Vanderbilt University School of Medicine, Nashville, Tenn (A.E.B., S.B.); Department of Rehabilitation Medicine, Emory University School of Medicine, Atlanta, Ga (C.S.); Department of Radiology, Vanderbilt University Medical Center, Nashville, Tenn (A.J.C., L.B.S.); Advanced Diagnostic Imaging, Nashville, Tenn (M.S.); Department of Radiology, Albert Einstein College of Medicine, New York, NY (J.Y.); Department of Radiology, Massachusetts General Hospital, Boston, Mass (E.J.F.); Vanderbilt-Ingram Cancer Center, Nashville, Tenn (L.B.S.); and Veterans Health Administration-Tennessee Valley Health Care System Geriatric Research, Education and Clinical Center (GRECC), Nashville, Tenn (L.B.S.)., Sonubi C; From the Department of Radiology, University of California San Diego, 200 W Arbor Dr, San Diego, CA 92103 (P.A., A.H.); Vanderbilt University School of Medicine, Nashville, Tenn (A.E.B., S.B.); Department of Rehabilitation Medicine, Emory University School of Medicine, Atlanta, Ga (C.S.); Department of Radiology, Vanderbilt University Medical Center, Nashville, Tenn (A.J.C., L.B.S.); Advanced Diagnostic Imaging, Nashville, Tenn (M.S.); Department of Radiology, Albert Einstein College of Medicine, New York, NY (J.Y.); Department of Radiology, Massachusetts General Hospital, Boston, Mass (E.J.F.); Vanderbilt-Ingram Cancer Center, Nashville, Tenn (L.B.S.); and Veterans Health Administration-Tennessee Valley Health Care System Geriatric Research, Education and Clinical Center (GRECC), Nashville, Tenn (L.B.S.)., Jaramillo-Cardoso A; From the Department of Radiology, University of California San Diego, 200 W Arbor Dr, San Diego, CA 92103 (P.A., A.H.); Vanderbilt University School of Medicine, Nashville, Tenn (A.E.B., S.B.); Department of Rehabilitation Medicine, Emory University School of Medicine, Atlanta, Ga (C.S.); Department of Radiology, Vanderbilt University Medical Center, Nashville, Tenn (A.J.C., L.B.S.); Advanced Diagnostic Imaging, Nashville, Tenn (M.S.); Department of Radiology, Albert Einstein College of Medicine, New York, NY (J.Y.); Department of Radiology, Massachusetts General Hospital, Boston, Mass (E.J.F.); Vanderbilt-Ingram Cancer Center, Nashville, Tenn (L.B.S.); and Veterans Health Administration-Tennessee Valley Health Care System Geriatric Research, Education and Clinical Center (GRECC), Nashville, Tenn (L.B.S.)., Sava M; From the Department of Radiology, University of California San Diego, 200 W Arbor Dr, San Diego, CA 92103 (P.A., A.H.); Vanderbilt University School of Medicine, Nashville, Tenn (A.E.B., S.B.); Department of Rehabilitation Medicine, Emory University School of Medicine, Atlanta, Ga (C.S.); Department of Radiology, Vanderbilt University Medical Center, Nashville, Tenn (A.J.C., L.B.S.); Advanced Diagnostic Imaging, Nashville, Tenn (M.S.); Department of Radiology, Albert Einstein College of Medicine, New York, NY (J.Y.); Department of Radiology, Massachusetts General Hospital, Boston, Mass (E.J.F.); Vanderbilt-Ingram Cancer Center, Nashville, Tenn (L.B.S.); and Veterans Health Administration-Tennessee Valley Health Care System Geriatric Research, Education and Clinical Center (GRECC), Nashville, Tenn (L.B.S.)., Yee J; From the Department of Radiology, University of California San Diego, 200 W Arbor Dr, San Diego, CA 92103 (P.A., A.H.); Vanderbilt University School of Medicine, Nashville, Tenn (A.E.B., S.B.); Department of Rehabilitation Medicine, Emory University School of Medicine, Atlanta, Ga (C.S.); Department of Radiology, Vanderbilt University Medical Center, Nashville, Tenn (A.J.C., L.B.S.); Advanced Diagnostic Imaging, Nashville, Tenn (M.S.); Department of Radiology, Albert Einstein College of Medicine, New York, NY (J.Y.); Department of Radiology, Massachusetts General Hospital, Boston, Mass (E.J.F.); Vanderbilt-Ingram Cancer Center, Nashville, Tenn (L.B.S.); and Veterans Health Administration-Tennessee Valley Health Care System Geriatric Research, Education and Clinical Center (GRECC), Nashville, Tenn (L.B.S.)., Flores EJ; From the Department of Radiology, University of California San Diego, 200 W Arbor Dr, San Diego, CA 92103 (P.A., A.H.); Vanderbilt University School of Medicine, Nashville, Tenn (A.E.B., S.B.); Department of Rehabilitation Medicine, Emory University School of Medicine, Atlanta, Ga (C.S.); Department of Radiology, Vanderbilt University Medical Center, Nashville, Tenn (A.J.C., L.B.S.); Advanced Diagnostic Imaging, Nashville, Tenn (M.S.); Department of Radiology, Albert Einstein College of Medicine, New York, NY (J.Y.); Department of Radiology, Massachusetts General Hospital, Boston, Mass (E.J.F.); Vanderbilt-Ingram Cancer Center, Nashville, Tenn (L.B.S.); and Veterans Health Administration-Tennessee Valley Health Care System Geriatric Research, Education and Clinical Center (GRECC), Nashville, Tenn (L.B.S.)., Spalluto LB; From the Department of Radiology, University of California San Diego, 200 W Arbor Dr, San Diego, CA 92103 (P.A., A.H.); Vanderbilt University School of Medicine, Nashville, Tenn (A.E.B., S.B.); Department of Rehabilitation Medicine, Emory University School of Medicine, Atlanta, Ga (C.S.); Department of Radiology, Vanderbilt University Medical Center, Nashville, Tenn (A.J.C., L.B.S.); Advanced Diagnostic Imaging, Nashville, Tenn (M.S.); Department of Radiology, Albert Einstein College of Medicine, New York, NY (J.Y.); Department of Radiology, Massachusetts General Hospital, Boston, Mass (E.J.F.); Vanderbilt-Ingram Cancer Center, Nashville, Tenn (L.B.S.); and Veterans Health Administration-Tennessee Valley Health Care System Geriatric Research, Education and Clinical Center (GRECC), Nashville, Tenn (L.B.S.).
Jazyk:	angličtina
Zdroj:	Radiographics : a review publication of the Radiological Society of North America, Inc [Radiographics] 2023 Nov; Vol. 43 (11), pp. e230008.
DOI:	10.1148/rg.230008
Abstrakt:	Health disparities, preventable differences in the burden of disease and disease outcomes often experienced by socially disadvantaged populations, can be found in nearly all areas of radiology, including emergency radiology, neuroradiology, nuclear medicine, image-guided interventions, and imaging-based cancer screening. Disparities in imaging-based cancer screening are especially noteworthy given the far-reaching population health impact. The social determinants of health (SDoH) play an important role in disparities in cancer screening and outcomes. Through improved understanding of how SDoH can drive differences in health outcomes in radiology, radiologists can effectively provide patient-centered, high-quality, and equitable care. Radiologists and radiology practices can become active partners in efforts to assist patients along their imaging journey and overcome existing barriers to equitable cancer screening care for traditionally marginalized populations. As radiology exists at the intersection of diagnostic imaging, image-guided diagnostic intervention, and image-guided treatment, radiologists are uniquely positioned to design these strategies. Cost-effective and socially conscious strategies that address barriers to equitable care can improve both public health and equitable health outcomes. Potential strategies include championing supportive health policy, reducing out-of-pocket costs, increasing price transparency, improving education and outreach efforts, ensuring that appropriate language translation services are available, providing individualized assistance with appointment scheduling, and offering transportation assistance and childcare. © RSNA, 2023 Quiz questions for this article are available in the supplemental material.
Databáze:	MEDLINE
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