RESUMO
Systemic racism is a public health crisis. Systemic racism and racial/ethnic injustice produce racial/ethnic disparities in health care and health. Substantial racial/ethnic disparities in stroke care and health exist and result predominantly from unequal treatment. This special report aims to summarize selected interventions to reduce racial/ethnic disparities in stroke prevention and treatment. It reviews the social determinants of health and the determinants of racial/ethnic disparities in care. It provides a focused summary of selected interventions aimed at reducing stroke risk factors, increasing awareness of stroke symptoms, and improving access to care for stroke because these interventions hold the promise of reducing racial/ethnic disparities in stroke death rates. It also discusses knowledge gaps and future directions.
Assuntos
Assistência à Saúde Culturalmente Competente , Diabetes Mellitus/terapia , Disparidades nos Níveis de Saúde , Disparidades em Assistência à Saúde , Hipertensão/prevenção & controle , Racismo , Acidente Vascular Cerebral/etnologia , Negro ou Afro-Americano , Dietoterapia , Exercício Físico , Educação em Saúde/métodos , Conhecimentos, Atitudes e Prática em Saúde , Acessibilidade aos Serviços de Saúde , Hispânico ou Latino , Humanos , Hipertensão/terapia , Povos Indígenas , Preconceito , Prevenção Primária , Qualidade da Assistência à Saúde , Comportamento de Redução do Risco , Prevenção Secundária , Autogestão , Determinantes Sociais da Saúde , Acidente Vascular Cerebral/prevenção & controle , Acidente Vascular Cerebral/terapia , Tempo para o Tratamento , Estados UnidosRESUMO
The National, Heart, Lung, and Blood Institute convened a Think Tank meeting to obtain insight and recommendations regarding the objectives and design of the next generation of research aimed at reducing health inequities in the United States. The panel recommended several specific actions, including: 1) embrace broad and inclusive research themes; 2) develop research platforms that optimize the ability to conduct informative and innovative research, and promote systems science approaches; 3) develop networks of collaborators and stakeholders, and launch transformative studies that can serve as benchmarks; 4) optimize the use of new data sources, platforms, and natural experiments; and 5) develop unique transdisciplinary training programs to build research capacity. Confronting health inequities will require engaging multiple disciplines and sectors (including communities), using systems science, and intervening through combinations of individual, family, provider, health system, and community-targeted approaches. Details of the panel's remarks and recommendations are provided in this report.
