Pragmatic strategies to address health disparities along the continuum of care in chronic liver disease.
Autor: | Brahmania M; Department of Medicine, Division of Gastroenterology and Transplant Medicine, University of Calgary, Calgary, Alberta, Canada., Rogal S; Department of Medicine, Division of Gastroenterology, VA Pittsburgh Healthcare System, Pittsburgh, Pennsylvania, USA., Serper M; Department of Medicine, Division of Gastroenterology, University of Pennsylvania, Philadelphia, Pennsylvania, USA., Patel A; Department of Medicine, Division of Gastroenterology, University of California Los Angeles, Los Angeles, California, USA., Goldberg D; Department of Medicine, Division of Gastroenterology, University of Miami, Miami, Florida, USA., Mathur A; Department of Surgery, Division of Transplant Surgery, Mayo Clinic, Phoenix, Arizona, USA., Wilder J; Department of Medicine, Division of Gastroenterology, Duke University School of Medicine, Durham, North Carolina, USA., Vittorio J; Department of Pediatrics, Division of Pediatric Gastroenterology, NYU Langone Health, New York, New York, USA., Yeoman A; Department of Medicine, Gwent Liver Unit, Aneurin Bevan University Health Board, Newport, Wales, UK., Rich NE; Department of Medicine, Division of Digestive and Liver Diseases, UT Southwestern Medical Center, Dallas, Texas, USA., Lazo M; Department of Medicine, Division of General Internal Medicine, Johns Hopkins University School of Medicine, Baltimore, Maryland, USA., Kardashian A; Department of Medicine, Division of Gastrointestinal and Liver Diseases, University of Southern California, Los Angeles, California, USA., Asrani S; Department of Medicine, Division of Gastroenterology, Baylor University Medical Center, Dallas, Texas, USA., Spann A; Department of Medicine, Division of Gastroenterology, Vanderbilt University, Nashville, Tennessee, USA., Ufere N; Department of Medicine, Liver Center, Division of Gastroenterology, Massachusetts General Hospital, Boston, Massachusetts, USA., Verma M; Department of Medicine, Einstein Healthcare Network, Philadelphia, Pennsylvania, USA., Verna E; Department of Medicine, Division of Gastroenterology and Hepatology, Weill Cornell Medicine, New York, New York, USA., Simpson D; Department of Surgery, Northwestern University, Chicago, Illinois, USA., Schold JD; Department of Surgery and Epidemiology, University of Colorado, Aurora, Colorado, USA., Rosenblatt R; Department of Medicine, Division of Gastroenterology and Hepatology, Weill Cornell Medicine, New York, New York, USA., McElroy L; Department of Surgery, Duke University School of Medicine, Durham, North Carolina, USA., Wadhwani SI; Department of Pediatrics, University of California San Francisco, San Francisco, California, USA., Lee TH; Department of Medicine, Section of Gastroenterology and Hepatology, Baylor College of Medicine, Houston, Texas, USA., Strauss AT; Department of Medicine, Division of Gastroenterology and Hepatology, Johns Hopkins University, Baltimore, Maryland, USA., Chung RT; Department of Medicine, Liver Center, Division of Gastroenterology, Massachusetts General Hospital, Boston, Massachusetts, USA., Aiza I; Department of Medicine, Liver Unit, Hospital Ángeles Lomas, Mexico City, Mexico., Carr R; Department of Medicine, Division of Gastroenterology, University of Washington, Seattle, Washington, USA., Yang JM; Department of Medicine, Division of Gastroenterology, Catholic University of Korea, Seoul, Korea., Brady C; Department of Medicine, Division of Gastroenterology, Duke University School of Medicine, Durham, North Carolina, USA., Fortune BE; Department of Medicine, Division of Hepatology, Montefiore Einstein Medical Center, Bronx, New York, USA. |
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Jazyk: | angličtina |
Zdroj: | Hepatology communications [Hepatol Commun] 2024 May 02; Vol. 8 (5). Date of Electronic Publication: 2024 May 02 (Print Publication: 2024). |
DOI: | 10.1097/HC9.0000000000000413 |
Abstrakt: | 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. (Copyright © 2024 The Author(s). Published by Wolters Kluwer Health, Inc. on behalf of the American Association for the Study of Liver Diseases.) |
Databáze: | MEDLINE |
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